Kelsey-Seybold Clinic, part of the Optum family, seeks a Director of Utilization Management to oversee inpatient/outpatient reviews, medical necessity determinations, and regulatory compliance across CMS, Texas TDI, NCQA, URAC, and payer requirements.
This leadership role requires RN licensure, 10+ years in managed care with 5+ in management, and strong analytical and policy skills to drive quality, efficiency, and cost containment.
#J-18808-LjbffrStrategic RN Director, Utilization Management in pearland at Unknown Company
- Typical pay
- $71,760–$110,650
For context, most registered nurses earn between $71,760–$110,650 a year according to Bureau of Labor Statistics wage data. What this particular role pays is set by the employer — check the description above.
This position is listed as full time and onsite.