• Job Description

  Req#: RQ4013862
  Site: Mass General Brigham Incorporated

  
  

  Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

  
  

  Support the new centralization of UM and will manage the AMC hospitals

  
  

  Job Summary

  The Manager of Utilization Review is accountable for the delivery of consistent, high-quality patient care, promoting the development and satisfaction of Utilization Review nurses and support staff, providing operational efficiencies and insuring compliance with hospital and utilization management regulatory policies and standards of practice. The Manager of Utilization Review develops and implements department initiatives to enhance the evolving role of the Utilization Management.
  
  The Manager of Utilization Review provides leadership across multiple hospitals within the system. The role ensures patient-focused Utilization Management standards of practice, personnel management and development, and fiscal responsibility. In addition to daily operations, the role maintains and cultivates partnerships with numerous clinical and non-clinical services/departments within the organization through participation in Case Management, Revenue Cycle, Contracting, and MGB Payer groups, committees and initiatives.

  
  

  Qualifications

  • Bachelor's Degree in Nursing required, Master's Degree in Nursing or Social Work preferred. Registered Nurse [RN - State License]

  • 3-5 years utilization review experience required

  • 2-3 years leadership experience required

  
  Knowledge, Skills and Abilities:

  • Excellent team communication skills.

  • Strong interpersonal skills, with the ability to develop, motivate and inspire a team.

  • Strong team player that is able to multitask with multiple interruptions in a deadline-intense environment.

  • Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.

  • Understanding the implications of new information for both current and future problem-solving and decision-making.

  
  

  Additional Job Details (if applicable)

  
  

  Remote Type

  Hybrid

  
  

  Work Location

  399 Revolution Drive

  
  

  Scheduled Weekly Hours

  40

  
  

  Employee Type

  Regular

  
  

  Work Shift

  Day (United States of America)

  
  

  EEO Statement:

  Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

  
  

  Mass General Brigham Competency Framework

  At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

• About the company

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