Director of Medical Management

If you are an RN with leadership experience and a passion for healthcare outcomes looking for a great opportunity in a quality of life community located in the beautiful Pacific Northwest, we want to talk to you!

Key Responsibilities

• Directs projects an initiatives related to case management, utilization review, care coordination and clinical pharmacy.
• Develops strategies and deploys resources in order to reach corporate goals and evaluate impact and effectiveness of initiatives.
• Works closely with health plan medical management to prioritize projects, identify medical trends and develop processes to successfully respond to trends.

Qualifications

• Bachelor's degree in nursing or related degree required
• Ability to obtain or previously held RN license required
• MINIMUM of 5 years of experience program or project management that has included program evaluation responsibility and supervisory experience
• Experience or training in disease management, utilization management, case management, clinical pharmacy and managed care required
• Experience or training in data analysis, problem-solving processes and communication strategies required
• Previous health plan experience preferred
• Experience or training in Medicare, Medicaid and commercial insurance preferred

Apply

Partner with a recruiter who specializes in your industry.  Email your resume to Tracey Smith at

tsmith@jsirecruit.com

for consideration or call her directly at 509-688-0994 for more information on this and other great opportunities.