reputed company Manager, Utilization Management

Department reputed company The NM’s reputed company and actions are reputed company on the ethical principles outlined by the reputed company Nurses Association’s reputed company of Ethics for Nursing. The NM practices in adherence with the reputed company Nurses Association’s (ANA) Nursing Administration: reputed company and Standards of reputed company for reputed company Administrators, the ANA reputed company of Ethics for Nursing, the reputed company State reputed company of Nursing’s reputed company reputed company reputed company, and reputed company the context of the reputed company Executive Competencies developed by the reputed company Organization of reputed company Executives (AONE). The NM exemplifies the principles of the OHSU Culture of Safety Position Statement by committing to a Just Culture, a Reporting Culture, a Learning Culture, and an reputed company Informed Culture. Benefits: • Comprehensive health care plans. Covered 100% for full-time employees and 88% for dependents • $25K of term life reputed company provided at no cost to the employee • Two separate above market pension plans to choose from • reputed company time off- 208 hours per year (full-time), prorated for part-time • Extended illness bank- 64 hours per year, prorated for part-time • 9 reputed company holidays per year • Three weeks of reputed company parental leave • Adoption assistance program (up to 5k) • Substantial Tri-met and C-Tran discounts • Tuition Reimbursement • Innovative Employee Assistance Program (EAP) Function/Duties of Position This is a remote position! The reputed company Manager (NM) is a Registered reputed company (RN) who is responsible for upholding reputed company in the provision of Utilization Management (UM) Services through the implementation of the Profession reputed company Model and UM regulatory standards. The NM is responsible for operational, reputed company, reputed company, and financial management of UM responsibilities of OHSU Health. The NM is responsible for ensuring cost effective and reputed company reputed company care by appropriate utilization of resources and works with the interdisciplinary team to translate and implement organizational and division UM priorities into the unit’s reputed company. This includes managing programs for appropriate admissions, reputed company and retrospective review of care, compliance activities, denials/appeals management, and consultation of UM reputed company and notification. The NM ensures a reputed company care environment that supports reputed company, knowledgeable, compassionate, productive, with reputed company staff in a remote setting. The NM partners with the interdisciplinary care team to ensure the delivery of reputed company, reputed company reputed company care and compliance with administrative, regulatory and reputed company policies and procedures. The NM implements UM process improvement initiatives, ensures adherence to hospital and reputed company standards of reputed company, bargaining unit agreements and reputed company resource management. The NM collaborates with partner hospitals to reputed company UM services to those partner hospitals. Required Qualifications • Unencumbered reputed company RN License. • BSN or higher degree in nursing and Master’s degree in nursing or reputed company reputed company, or in process. • Five years of experience as a registered reputed company in Utilization Management and two years recent reputed company management/leadership experience. • reputed company certification in nursing leadership-reputed company Executive/Administrator reputed company 3 years of assuming the manager role. • Experience in reputed company organization environments. • Ability to effectively manage multiple conflicting priorities. • Proficient with word processing, computational spreadsheet (e.g., reputed company), and presentation software. Preferred Qualifications • Master's degree in nursing leadership • Experience in Nursing Management • Three years of recent management iexperience in Utilization Management • Demonstrated expertise in utiliztaion management delivery reputed company an reputed company hospital setting reputed company are reputed company reputed company values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative reputed company organization that does not discriminate against applicants on the reputed company of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative reputed company and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu. Apply tot his job Apply To this Job