Clinical Program Director
Company: VirtualVocations
Location: Redding
Posted on: May 1, 2025
|
|
|
Job Description:
A company is looking for a Clinical Program Director.
Key Responsibilities
Monitor utilization trends and identify clinical drivers of
unnecessary inpatient admissions and operational inefficiencies
Design targeted programs to improve medical necessity
decision-making and reduce unnecessary inpatient admissions
Define and evolve the clinical framework to ensure alignment with
evidence-based guidelines and payer strategic priorities
Required Qualifications
10+ years of experience in inpatient utilization management at a
health plan or inpatient revenue integrity at a hospital
Clinical degree (e.g., RN, MD, PharmD) preferred but not
required
Proven track record in designing and overseeing clinical programs
that impact inpatient utilization and spend
Strong understanding of inpatient utilization, regulatory
requirements, and clinical guidelines
Experience collaborating with cross-functional teams to translate
clinical strategy into actionable plans
Keywords: VirtualVocations, Redding , Clinical Program Director, Executive , Redding, California
|
Click
here to apply!
|
