Medical Mutual: Provide health, dental, and vision insurance and Medicare plans.
8+ YOE5+ MgmtBScN required (Master's preferred). Requires RN license, 8+ years progressive utilization management experience with 5+ years in leadership, NCQA/CMS/HIPAA knowledge, Microsoft Office proficiency, and strong communication and process-improvement skills.
NCQA, CMS, HIPAA, EMR, Microsoft Office, Microsoft Outlook, Microsoft Excel, Microsoft PowerPoint, Microsoft Word, ICD-10, CPT, HCPCS
Medical Mutual: Provide health, dental, and vision insurance and Medicare plans.
8+ YOE5+ MgmtBSN and active RN license required, 8+ years utilization management experience with 5+ years leadership, knowledge of NCQA/CMS/HIPAA, Microsoft Office proficiency, process improvement experience preferred.
Microsoft Outlook, Microsoft Excel, Microsoft PowerPoint, Microsoft Word
Director II Safety Quality Patient Experience - South
Akron or Medina or Lodi or Union
OnsiteFull Time
Cleveland Clinic: Provides specialized hospital care, medical research, and education.
6+ YOEMaster's +6 years healthcare management experience or Bachelor's +7 years; CPHQ required. Preferred: RN, CPPS, CJCP, HACP, process improvement and infection control certifications, and hospital quality leadership.