Bachelors degree in related field or equivalent experience. BSN preferred.
3+ years UM and recent nursing experience in an acute care setting particularly in medical/surgical, pediatrics, or obstetrics and management experience.
Thorough knowledge of UM and clinical nursing.
Familiarity with Medicare and Medicaid managed care practices and policies, CHIP and SCHIP.
Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff.
Must have experience supervising/managing a team in a very large organization or mid-sized organization.
Case Management Certification preferred.
*Seeking VERY STRONG leadership skills.
*Prior Authorization Manager Hospital background is acceptable but coming from a mid-to large organization (another health system of 300+ beds).