Franciscan Health
Healthcare Insurance • Non-profit
Franciscan Health is a healthcare organization committed to providing high-quality medical care grounded in the Franciscan tradition. They offer a range of medical services, including clinical and allied health, home health and hospice, nursing, physicians and advanced practice providers, and non-clinical and administrative roles. With a focus on embracing the values of St. Francis to care for those in need, they provide a supportive and fulfilling work environment for their employees, emphasizing a mission of compassion and community engagement. Franciscan Health is dedicated to offering a variety of employment opportunities across different medical specialties and locations.
10,000+ employees
Founded 1875
⚕️ Healthcare Insurance
🤝 Non-profit
Director – Central Utilization
Job not on LinkedIn
November 4
Franciscan Health
Healthcare Insurance • Non-profit
Franciscan Health is a healthcare organization committed to providing high-quality medical care grounded in the Franciscan tradition. They offer a range of medical services, including clinical and allied health, home health and hospice, nursing, physicians and advanced practice providers, and non-clinical and administrative roles. With a focus on embracing the values of St. Francis to care for those in need, they provide a supportive and fulfilling work environment for their employees, emphasizing a mission of compassion and community engagement. Franciscan Health is dedicated to offering a variety of employment opportunities across different medical specialties and locations.
10,000+ employees
Founded 1875
⚕️ Healthcare Insurance
🤝 Non-profit
📋 Description
• Guide a dedicated team committed to delivering quality, efficiency, and compassion across every inpatient experience • Establish and monitor UM performance indicators • Develop management reports for leadership • Manage centralized UM staffing, recruitment, performance management and training • Promote compliance with CMS, State and Payer utilization management policies • Maintain knowledge of Medicare, Medicaid and other payer rules and regulations • Develop collaborative partnership with payers for reimbursement assurance • Support care management teams with Epic care management modules • Develop, implement, and manage policies and budget
🎯 Requirements
• Bachelor's Degree in Nursing or related field - Required • Master's Degree Nursing or MBA/MHA - Preferred • 8 years Utilization Management - Required • Registered Nurse (RN) - State Licensing Board - Preferred - AND - Accredited Case Manager (ACM) - American Case Management Association (ACMA) - Preferred • Previous leadership experience - highly desired
🏖️ Benefits
• Comprehensive benefit offerings
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