Interim Director of Utilization Management
AMN Healthcare, San Ramon, CA, United States
Job Description & Requirements
Interim Director of Utilization Management
StartDate: ASAP
Pay Rate: $170000.00 - $180000.00
Interim Director of Utilization Management Needed in San Ramon, CA!
The Position
An Interim Director of Utilization Management is needed to lead utilization management operations.
Reporting to the Vice President, this leader will oversee a team of approximately ten FTEs.
Key responsibilities include stabilizing the department, overseeing referral review processes, managing utilization management audits, developing corrective action plans, monitoring program metrics, and collaborating cross-functionally to improve operational performance.
The ideal candidate will have strong leadership experience in utilization management, including referral management, auditing, and regulatory compliance. Experience with Epic Tapestry authorization systems is highly desired, along with knowledge of CMS and DMHC requirements. Must be highly organized, patient-focused, and able to adapt quickly to changing needs. Excellent communication skills will be critical.
Must be available to start within 2-3 weeks of acceptance.
Requirements
Bachelor's degree required; master's degree preferred.
Active California RN license required.
Progressive clinical leadership experience required, with experience in utilization management, case management, referral processes, and payer or managed care environments.
The Community
San Ramon offers scenic East Bay living with access to open spaces, trails, and nearby views of Mount Diablo.
The area features City Center Bishop Ranch, a premier destination for shopping, dining, entertainment, and community gathering.
Outdoor enthusiasts can enjoy Bishop Ranch Open Space Regional Preserve, which offers hiking, picnicking, and peaceful natural surroundings.
Nearby Mount Diablo State Park provides scenic drives, hiking opportunities, and expansive regional views.
San Ramon offers convenient access to the broader Bay Area while maintaining a relaxed suburban lifestyle.
Compensation Details
Compensation Range: $170,000 to $180,000 annually.
The final compensation rate will be determined based on experience, education, training, location, internal equity, and budget considerations, in accordance with Fair Market Value evaluation. Additionally, some candidates may be eligible for a comprehensive benefits package, depending on the specific role, including but not limited to health insurance coverage and retirement benefits.
The listed base compensation range represents a good faith estimate of potential earnings at the time of this job posting and may be subject to future adjustments.
Interim Leadership with B.E. Smith
Becoming an Interim Leader through BE Smith provides an exceptional opportunity to rapidly make meaningful improvement in healthcare settings. Is the interim leadership lifestyle right for you? Apply now and discover how Interim Leadership could revolutionize your career path.
Joining the B.E. Smith team means you could receive a full benefits package upon accepting roles. This includes health, dental, and vision insurance, life insurance, AD&D, and a flexible spending account, with some benefits varying based on the job's type and duration.
As a B.E. Smith employee, we manage your taxes by handling withholdings and also paying the employer portion of your FICA contributions.
Interim positions come with varying travel requirements. B.E. Smith and the client cover all travel, accommodation, and work-related expenses. You receive bi-weekly trips home at the client's expense, plus a rental car and comfortable lodging for a convenient living experience.
Some roles may require specific licenses. A compact nursing license allows registered nurses to work in any state that is part of the Nurse Licensure Compact without needing separate state licenses. Stay up to date on new legislation, and confirm licensure requirements with the recruiter.
B.E. Smith is continuously addressing the challenges of the COVID-19 pandemic with a commitment to transparent communication. We strive to mitigate its impact on clients, healthcare workers, employees, and stakeholders of B.E. Smith. Upholding our integrity, we remain dedicated to sharing timely updates and insights, guided by our core value of "Doing the Right Thing."
Please direct all inquiries, applications, and referrals to:
Peter Benson
Senior Executive Recruiter
#BESRecruitment
Job Benefits
About the Company
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.
Care Coordination, Case Management, Case Manager, Care Manger, Utilization Manager, Utilization Management, Nursing Resource Management, Utilization Review, Nurse Navigator, Outpatient Case Management, Care Coordinator
Interim Director of Utilization Management
StartDate: ASAP
Pay Rate: $170000.00 - $180000.00
Interim Director of Utilization Management Needed in San Ramon, CA!
The Position
An Interim Director of Utilization Management is needed to lead utilization management operations.
Reporting to the Vice President, this leader will oversee a team of approximately ten FTEs.
Key responsibilities include stabilizing the department, overseeing referral review processes, managing utilization management audits, developing corrective action plans, monitoring program metrics, and collaborating cross-functionally to improve operational performance.
The ideal candidate will have strong leadership experience in utilization management, including referral management, auditing, and regulatory compliance. Experience with Epic Tapestry authorization systems is highly desired, along with knowledge of CMS and DMHC requirements. Must be highly organized, patient-focused, and able to adapt quickly to changing needs. Excellent communication skills will be critical.
Must be available to start within 2-3 weeks of acceptance.
Requirements
Bachelor's degree required; master's degree preferred.
Active California RN license required.
Progressive clinical leadership experience required, with experience in utilization management, case management, referral processes, and payer or managed care environments.
The Community
San Ramon offers scenic East Bay living with access to open spaces, trails, and nearby views of Mount Diablo.
The area features City Center Bishop Ranch, a premier destination for shopping, dining, entertainment, and community gathering.
Outdoor enthusiasts can enjoy Bishop Ranch Open Space Regional Preserve, which offers hiking, picnicking, and peaceful natural surroundings.
Nearby Mount Diablo State Park provides scenic drives, hiking opportunities, and expansive regional views.
San Ramon offers convenient access to the broader Bay Area while maintaining a relaxed suburban lifestyle.
Compensation Details
Compensation Range: $170,000 to $180,000 annually.
The final compensation rate will be determined based on experience, education, training, location, internal equity, and budget considerations, in accordance with Fair Market Value evaluation. Additionally, some candidates may be eligible for a comprehensive benefits package, depending on the specific role, including but not limited to health insurance coverage and retirement benefits.
The listed base compensation range represents a good faith estimate of potential earnings at the time of this job posting and may be subject to future adjustments.
Interim Leadership with B.E. Smith
Becoming an Interim Leader through BE Smith provides an exceptional opportunity to rapidly make meaningful improvement in healthcare settings. Is the interim leadership lifestyle right for you? Apply now and discover how Interim Leadership could revolutionize your career path.
Joining the B.E. Smith team means you could receive a full benefits package upon accepting roles. This includes health, dental, and vision insurance, life insurance, AD&D, and a flexible spending account, with some benefits varying based on the job's type and duration.
As a B.E. Smith employee, we manage your taxes by handling withholdings and also paying the employer portion of your FICA contributions.
Interim positions come with varying travel requirements. B.E. Smith and the client cover all travel, accommodation, and work-related expenses. You receive bi-weekly trips home at the client's expense, plus a rental car and comfortable lodging for a convenient living experience.
Some roles may require specific licenses. A compact nursing license allows registered nurses to work in any state that is part of the Nurse Licensure Compact without needing separate state licenses. Stay up to date on new legislation, and confirm licensure requirements with the recruiter.
B.E. Smith is continuously addressing the challenges of the COVID-19 pandemic with a commitment to transparent communication. We strive to mitigate its impact on clients, healthcare workers, employees, and stakeholders of B.E. Smith. Upholding our integrity, we remain dedicated to sharing timely updates and insights, guided by our core value of "Doing the Right Thing."
Please direct all inquiries, applications, and referrals to:
Peter Benson
Senior Executive Recruiter
#BESRecruitment
Job Benefits
About the Company
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.
Care Coordination, Case Management, Case Manager, Care Manger, Utilization Manager, Utilization Management, Nursing Resource Management, Utilization Review, Nurse Navigator, Outpatient Case Management, Care Coordinator