Nursing Manager Utilization UM

An exceptional full-service acute care hospital in Northern California is actively interviewing for a Nursing Manager to oversee a complex Utilization Management (UM) and UR program. Join this reputable hospital as it leads patient care into the next generation. 

This state-of-the-art, 250+ bed hospital, seeks an experienced full-time Nurse Manager to lead its team of Case Management and Utilization Review (UR) professionals. The administrative and clinical team at this medical center have pushed the limits of patient care and satisfaction. Honored as one of the best hospitals in the U.S., this Non-Profit facility has also received honors for its comprehensive Stroke Care Program, its Pediatrics Programs, and its Birth Centers.

Reporting to the Administrative Director of Case Management and Care Transitions, the Utilization Nurse Manager will oversee a vital and busy department. Reporting to this person is a Certified Case Manager (CCM) Supervisor who oversee outpatient, inpatient, and utilization review, as well as two Utilization Management Leads. Indirectly, the Nursing Manager will oversee nearly 20 FTEs in total, and work closely with professionals from across the organization’s nursing units. 

The new UM Nursing Manager at this hospital will discover an environment of collaboration, communication, and compassionate care. You’ll guide the operations of a fast-paced case management department with an experienced hand, overseeing both the clinical and administrative aspects of this role. 

The Nurse Manager will employ strong financial and budgetary skills, actively managing the Case and Utilization Management (UM) department, in addition to contributing to managed care operations. A key element of this very important role is your ability to communicate effectively across departmental and organization boundaries. Beyond regular reporting on quality, utilization, and care transition metrics to the hospital’s executive team, the Utilization Management UM Nursing Manager also be asked to provide information and assistance to NGOs and the community. Using internal and external tools, various communication channels, and a strong sense of responsibility, you’ll be able to positively impact care delivery to this community.

Situated close to the urban attractions of San Francisco proper and the high-tech atmosphere of Silicon Valley, the SF Bay Area region boasts something for everyone. Live theater, world renowned restaurants, legendary live music, and famous wineries await just a short drive north or south. Enjoy the lights and sounds of a full service city. If the Nurse Manager Utilization is an adventurous type, you won’t need to look very far for hundreds of miles of hiking & biking trails, beachcombing, and the expanses of the Northern California wilderness. With some of the best schools in the nation and a high quality of life, the SF Bay Area is quickly gaining popularity among young families too.

In this full-time, exempt position, the UM Nurse Manager will be expected to take responsibility for a large staff and a complex service line. You will be supported in these efforts by an encouraging and visionary executive leadership team. You will also be eligible to receive a generous benefits package and competitive compensation.