RN System Director Utilization Management

System Director Of Utilization

MedStar Health is looking for a System Director of Utilization. With 10 nationally respected hospitals and over 500 specialty, urgent care, and primary care locations, MedStar Health is the leading healthcare provider in Maryland, DC, and Virginia.

The System Director of Utilization is responsible for overseeing utilization review operations across a defined group of hospitals within designated region of Maryland or the District of Columbia. Possesses deep knowledge and expertise specific to regulatory requirements of the region. Responsible for operationalizing strategic vision in partnership with system ACM leaders. Ensures consistent application of evidence-based review practices with oversight and performance management of UR RN teams. Drives performance aligned with regulatory and payor expectations, ensuring the delivery of high-quality care, operational efficiencies, reduction in avoidable utilization, and collaboration with clinical and operational stakeholders.

Requirements :

• MSN Required
• Active DC or MD RN license Required
• 5-7 years' experience in Utilization Management with 3-5 years' experience in Utilization Management Leadership Required
• 3-5 years' experience in acute care bedside nursing Required

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This position has a hiring range of $142,064 - $287,996