Nurse Manager Utilization Review UR

An amazing growth position has recently opened for a Nurse Manager to oversee the Utilization Review (UR) team for this community hospital in the San Francisco Bay Area. Join a tenured, experienced team, and help lead them towards great patient outcomes and efficient operations.

This 100-bed non-profit medical center in the San Francisco Bay Area has a fantastic reputation for providing excellent patient care. The UR Nurse Manager will join an urban medical center that has been recognized locally for outstanding community and inpatient services. Offering a full suite of services, including Emergency Care, Cardiopulmonary, Critical and Telemetry, as well as extensive Outpatient Services, this hospital is positioned to fulfill the immediate and acute needs of the community.

Reporting to the Director of Nursing, the Utilization Manager will take on a role balanced between patient care and operational optimization. Reporting to the manager is a small team of Utilization Review Specialists, Concurrent Reviewers, and Admissions personnel. The Manager of Utilization Review will discover an environment of collaboration and will have the opportunity to work with a wide array of internal and external leaders as they help negotiate complex care plans for patients.

With the support of hospital and Care Coordination leaders, the Nurse Manager of Utilization Review UR develop policies and procedures to actively manage:

  • Oversight of the admissions and authorization process and concurrent review of complex patient cases.
  • Developing and maintaining utilization reports and summaries, providing actionable report data to leaders upon request.
  • Quality of service trends and possible issue identification
  • Training program standardization across the continuum of care
  • New health product / program development
  • Organize onsite visits from regulatory agencies

The San Francisco Bay Area has something for every type of person. For those who enjoy the finer things in life, haute cuisine, world class theater, and a well-established arts scene await the Nursing Manager of Utilization Management just around every corner. Despite the area’s growth, it’s surprisingly easy to find a quiet walk (or an intense hike) through hundreds of miles of nature trails. Regarded for its amazing schools and a sense of community, the SF Bay Area is also a great place to raise a family. Connected by Bay Area Rapid Transit and one of the nation’s best networks of buses and light-rails, it's easy to get where ever you're going. 

Working with this large and well-established healthcare company comes with many benefits. The UR Manager of Nursing will enjoy a competitive compensation package, which includes great benefits, paid time off, and an amazing employee health program.