The Clinical Recruiter Naperville , IL 60540
RN Director of Care and Utilization Management Chicago
Acts as a resource to the medical staff, administrative staff, divisional, and external regulatory agencies in all issues relating to utilization management
Oversees outside medical services based on Health Plan benefit guidelines and medical necessity
Analyzes and reports significant utilization trends, patterns, and impact to appropriate departmental and medical staff committees
Illinois RN License required
Three to five years' experience in Population Health Management
Demonstrated knowledge of operations and healthcare management; TJC, Title XXII, Medicare, Medi-Cal and other local, state and federal regulations
Knowledge of managed care operations
Demonstrated interpersonal, negotiation, and leadership skills
Effective oral and written communication skills
Must be able to work in a Labor/Management Partnership environment For all of our Case Management opportunities, please forward a resume to Otie Pruett at or visit our Case Management website at If this opportunity is of interest, please feel free to contact me at your earliest convenience.
If there is someone that you know who may be interested in this opportunity, I would appreciate the referral.
Otie Pruett VP of Case Management Recruitment Email: Direct: