Passion + Vision + Integrity = Excellence Ensure consistency and the highest ethical standards across our entire organization. Our quality assurance team drives ongoing improvement by fostering an environment of support, providing technical and specialized consultative services, and inspiring ongoing excellence.
Director Utilization Management Riverside, California
In this role, you will develop, manage, and direct the Utilization Management programs that emphasize appropriate admissions as well as concurrent and retrospective review care. You may be responsible for other integrated functions such as Discharge Planning, Case Management program, Outside Utilization Review program, Transportation coordination, and Extended Care Coordination to promote a centralized, coordinated, interdisciplinary process in the continuum of care.
Qualifications Include: • At least three years of experience in directing utilization management and discharge planning in an acute care setting • BSN or bachelor’s degree in a health care related field such as management, health services administration; a master’s degree in a related field such as nursing, business, or health services administration preferred • A current California RN licensure • Knowledge of the Nurse Practice Act, JCAHO, NCQA, and other local, state, and federal regulations • Demonstrated knowledge of operations and health care 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 • The ability to work in a Labor/Management Partnership environment
For immediate consideration, please visit http://kp.org/careers for complete qualifications and job submission details, referencing job number 824876.
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.
This position supports Kaiser Permanente’s code of conduct and compliance by adhering to all laws and regulations, accreditation and licensure requirements, and internal policies and procedures.
Discover what it’s like to be part of an industry-leading organization driving innovative care and technology. Get social with us and see what people are saying!
Glassdoor and LinkedIn: Kaiser Permanente Facebook: Kaiser Permanente Thrive Twitter: @KPCareers YouTube: Kaiser Permanente Careers
Internal Number: 824876
About Kaiser Permanente
As America's largest nonprofit health plan, serving over 9 million members in eight states and the District of Columbia, we're driven by the needs of our patients and our responsibility to the communities we serve. We recruit high-caliber individuals and provide them with a positive work environment, outstanding facilities and resources, competitive wages, and exceptional benefits. If you believe quality of care and quality of life go hand in hand, this is the place to put your beliefs into practice.