Samaritan Health Services-posted about 2 months ago
Full-time • Director
Hybrid • Corvallis, OR
5,001-10,000 employees
Administrative and Support Services

Responsible for overseeing and coordinating case management and utilization review activities across the healthcare system. Ensures that the clinical and operational processes related to case management and utilization review align with industry leading practices, regulatory standards, and organizational goals. Collaborates with interdisciplinary teams to improve patient care, streamline resource use, and maintain cost-efficiency while adhering to all relevant healthcare regulations.

  • Bachelor's degree required. Master's degree preferred.
  • Current unencumbered Oregon RN license required.
  • Five (5) years leadership experience in acute hospital case management and/or utilization review required.
  • Experience in Milliman (MGG) or InterQual required.
  • Accredited Case Manager (ACM) required within one (1) year of hire.
  • MCG Care Guidelines Specialist Certification - BHC required within six (6) months of hire.
  • Leadership - Inspires, motivates, and guides others toward accomplishing goals. Achieves desired results through effective people management.
  • Conflict resolution - Influences others to build consensus and gain cooperation. Proactively resolves conflicts in a positive and constructive manner.
  • Critical thinking # Identifies complex problems. Involves key parties, gathers pertinent data and considers various options in decision making process. Develops, evaluates and implements effective solutions.
  • Communication and team building - Leads effectively with excellent verbal and written communication. Delegates and initiates/manages cross-functional teams and multi-disciplinary projects.
  • Master's degree preferred.
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