The Senior Director of Utilization and Case Management drives execution, alignment, and performance of care management programs in the acute care system, ensuring consistent standards, scalable processes, and sustainable outcomes at the individual hospital level. This role provides critical system leadership to critical to advancing a high-performing, integrated care management model across our acute care system.
The ideal candidate will have a clinical background (RN or social work preferred), deep experience in utilization review and inpatient case management, proven results in LOS, denials and throughput, and strength in leading teams in a matrixed health system.
What You Can Expect:
* Provide system-wide leadership, oversight, and accountability for utilization review, case management, and inpatient social work
* Lead employee and provider engagement efforts, including interdisciplinary rounding (IDTs), coaching, and action planning
* Ensure operational effectiveness...