Utilization Management Manager Vanderbilt Health
Overview
Manager leads Utilization Management department at VUMC overseeing growth and operational excellence. This role drives policy development and coordinates cross-functional initiatives to support enterprise expansion.
What You'll Do10
- 1Develop work goals aligned with institutional objectives
- 2Create and maintain department policies
- 3Supervise section staff and adjust priorities
- 4Collaborate with clinical and administrative departments
- 5Provide staff education and training
- 6Monitor financial targets and budget expenditures
- 7Ensure compliance with licensing and regulatory standards
- 8Implement performance evaluations and recognition programs
- 9Maintain accurate records and complete required reports
- 10Lead quality improvement efforts and data-driven decisions
Requirements10
- 1LIC-Registered Nurse certification
- 23 years nursing experience
- 3Master's degree
- 43-5 years healthcare administration experience
- 5Proficiency in healthcare analytics tools
- 6Strong leadership and conflict resolution skills
- 7Experience with claim adjudication processes
- 8Knowledge of state Medicaid regulations
- 9Ability to work remotely or onsite
- 10Commitment to continuous professional development
Salary Insight
Salary not disclosed in listing
Location
Required Skills
Similar open positions
Explore active roles that match your skills and interests.
61000 SelectHealth Inc
VerifiedClinical Manager Utilization Care Management 61000
SelectHealth seeks a Clinical Manager to lead Utilization Review and Care Management teams delivering high quality cost effective services. This role drives program innovation and fosters professional development while meeting financial and clinical objectives. The ideal candidate excels in leadership communication and regulatory compliance.
Anuvia Prevention and Recovery Center, Inc.
VerifiedRevenue Cycle Manager Utilization Management
Revenue Cycle Manager leads payer-to-cash operations at Anuvia Prevention & Recovery Center. Own end-to-end revenue cycle from intake to claim submission. Drive operational excellence and team leadership.
Vanderbilt University Medical Center
VerifiedLead Admin Asst Clinical Ambulatory Medicine at Vanderbilt
As the Lead Admin Asst Clinical for Ambulatory Medicine Patient Care Centers & Endoscopy Labs at Vanderbilt University Medical Center, you will own daily operations and administrative support for complex clinical areas. You will serve as the primary liaison between internal teams and external groups, ensuring smooth workflows in a busy medical environment. You will independently manage budgets, compile data, and coordinate initiatives, all while leveraging your Electronic Medical Records access to support patient care. This role stands out for its leadership component, as you will guide team members and drive process improvements across multiple units. Join a top-tier academic medical center in Nashville, where your expertise is valued and your impact is felt daily.
Vanderbilt Health
VerifiedProgram Manager – Onsite Nashville TN
Program Manager based in Nashville TN at Vanderbilt Health focusing on engagement program coordination and partnership development. This role oversees community-focused programs and events while collaborating with internal stakeholders and external partners.
Vanderbilt Health
VerifiedDirector of Emergency Services, RN Leadership
Director of Emergency Services at Vanderbilt Clarksville Hospital. Own the strategic, operational, and clinical leadership of the Emergency Department, ensuring high-quality, patient-centered care. Report directly to the Chief Nursing Officer. Lead a team of 50+ nurses and support staff, managing a $15M budget. Drive quality, patient safety, and financial performance in a newly acquired facility, aligning with Vanderbilt Health's mission.
Vanderbilt Integrated Providers, LLC
VerifiedAdvanced Practice Clinician Vanderbilt Integrated Providers LLC
Vanderbilt University Medical Center seeks an Advanced Practice Clinician to lead patient care for a distinct population. The role aligns with physician teams while delivering evidence based practices. This position drives quality outcomes and supports interdisciplinary collaboration.