DIRECTOR OF MEDICAL MGMT NEEDED IN PHOENIX,AZ!!(MUST BE AN RN)

Directs the daily activities of the Medical Management Department, including utilization review, concurrent review, authorizations, discharge planning, case management, and disease management.Knowledge and Skills:
Incumbent must have skills in management, supervision, program development and implementation, advanced problem solving and organizational skills. Effective and advanced oral and written communication skills and the ability to prioritize multiple tasks are necessary. Knowledge of commercial health plan management is necessary. General understanding of NCQA standards, and Federal Health Care regulations. The ability to establish and maintain a constructive relationship with diverse members, management, employees, and vendors. The ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution are required. Requires strong problem solving, organizational, and time management skills and ability to work in a fast paced environment. Proficiency with Microsoft Office Suite applications and common computer and office hardware is necessary. Additionally, incumbent must be able to use specific software essential to the business such as claims information program, case and disease management programs, etc. Incumbent must be able to counsel, plan and train, while managing various staffing patterns.

Education and Work Experience:
Five years of progressively responsible health care administrative experience, with a minimum of two years in commercial managed care environment. Masters degree in nursing or BSN with extensive administrative experience preferred, although not required.