DIRECTOR OF UTILIZATION MANAGEMENT NEEDED IN PHOENIX,AZ!!

This position has oversight of the utilization management process for all affiliated health plans, to include prior authorization, concurrent review, case management and disease management. This position identifies, analyzes, plans, develops, organizes, implements and evaluates functions within the health plan utilization management areas. Directs the daily activities of the medical claims review staff.Education and Work Experience:
•Registered Nurse with a current state license.
•Bachelor degree in Nursing or Health Administration and/or health related field (BSN preferred). Master or MBA preferred, but not required.
•Five years experience of progressively responsible health care administrative experience, preferably in managed care.
•Minimum of three years of management and supervisory experience
•Minimum of five years clinical experience