This closed position was filled. Check out our Jobs Search Page for our current open positions similar to this one.
|Title:||Director of Medical Management|
|Job Location:||Sacramento, California - United States|
|Salary:||$150,000.00 - $165,000.00 - US Dollars - Yearly|
|Employer Will Recruit From:||
This is an awesome to create clinical programs to meet needs of members in care management.
Works closely with Medical Informatics team to identify trends that need to be addressed with program management. Monitors the program work plan to assure attainment of Medical Management annual goals. Responsible for Care Management clinical inter-rater reliability and monitoring important aspects of care.
Provides information and advice to higher level management related to medical management.
Bachelor’s degree in Nursing or equivalent required;
Master’s degree in Health Services Administration or equivalent desired.
Five years clinical experience in an acute care setting.
Four years experience in quality management/improvement in a health care setting.
Two years work experience in a managed care environment.
Five years management experience in a health care setting.
Three years medical management experience in an HMO setting desired
License/Certification: Must have and maintain current valid and unrestricted Registered Nursing (RN) license. Valid state driver’s license
University - Bachelor's Degree/3-4 Year Degree