Director, Case Management and Utilization Review Job at University of Michigan Health-Sparrow, Lansing, MI

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  • University of Michigan Health-Sparrow
  • Lansing, MI

Job Description

Kirby Bates Associates has been exclusively retained by University of Michigan Health-Sparrow (UMH-Sparrow) to conduct their search for the new Director, Case Management and Utilization Review.

UMH-Sparrow, Mid-Michigan’s only community-owned and community-governed health system, is looking for a seasoned and strategic CM/UR leader for their flagship hospital. The area’s only Level 1 Trauma Center, EW Sparrow Hospital, is known for delivering world-class care that’s close to home.

The Director will have a direct impact on empowering the provision of exceptional healthcare in Mid-Michigan by working in concert with key leaders to lead the delivery of exceptional patient care and optimize resource utilization. This pivotal role will oversee strategic planning, operational efficiency and team development within the CM and UR teams.

Opportunity Highlights:

  • Join a rapidly growing organization whose impact at more than 150 sites of care: EW Sparrow Hospital, community hospitals in Carson City, Charlotte, Ionia and St. Johns, and the 478 UMH-Sparrow primary care providers and specialists serving patients in multiple locations across the region.
  • Part of the prestigious University of Michigan Health System/Michigan Medicine.
  • Develop and implement innovative strategies to improve patient outcomes, reduce length of stay, and enhance the overall patient experience.
  • Play a key role in achieving hospital-wide financial and operational goals.

Qualifications:

  • Bachelor’s degree required. Master’s degree preferred.
  • RN required.
  • Minimum of 5 years of experience in case management and utilization review in an acute care hospital, with at least 3 years in case management and UR/UM leadership.
  • Knowledge of Utilization Review and InterQual Criteria
  • Strong leadership, communication, and interpersonal skills. Proven ability to manage complex projects and lead teams. Proficiency in utilization review criteria and reimbursement methodologies.

EEO Statement

Kirby Bates Associates is an EEO/AA Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender, gender identity and expression, national origin, age, disability or protected veteran status. We celebrate diversity and are committed to creating an inclusive environment for all of our associates.

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