
The Director of System Utilization Management is a senior nursing leadership role within a large multi-hospital health system in the Southeast. This position provides strategic oversight for utilization review and resource management across all facilities. Key responsibilities include developing system-wide utilization strategies to optimize length of stay and reduce denials, ensuring strict compliance with federal and payer regulations, and leading data analytics initiatives to improve financial and clinical outcomes. The role involves collaborating with revenue cycle and clinical teams to enhance reimbursement and mentoring a team of clinical review staff. This opportunity appeals to experienced leaders seeking to drive organizational alignment and continuous improvement within a collaborative culture that values high performance and professional development.
