Director, Utilization Management Hospice CoE

Position Purpose

Directs the utilization management team to ensure the appropriate application of policy procedures and processes to help support best member outcomes. Oversees and manages Utilization Operations specific to the daily operations of Utilization Management including timeliness, quality and performance outcomes, provider interactions and experience and associated regulatory and/or compliance measures.

Requirements

• Registered Nurse Highly Preferred
• Must have experience creating pivot tables
• Requires a Bachelor's degree and 7+ years of related experience, including prior management experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. 4+ years management experience preferred.
• Expert knowledge of industry regulations, policies, and standards preferred
• License/Certification: RN - Registered Nurse - State Licensure and/or Compact State Licensure highly preferred

Qualifications

• Education: Bachelor's degree

Skills

• Knowledge of industry regulations, policies, and standards
• Experience in creating pivot tables
• Management experience

Pay

$133,700.00 - $247,400.00 per year

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• A flexible approach to work with remote, hybrid, field or office work schedules

Company Information

Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.