Director of Clinical Operations & Care Management

A healthcare organization in Worcester, MA is seeking a Utilization Management professional to oversee clinical operations and improve care management. This role requires a nursing degree, an active Massachusetts RN license, and substantial experience in Medicare Advantage. Responsibilities include review of clinical appropriateness, management of care teams, and ensuring compliance with healthcare regulations. Excellent leadership and communication skills are essential for success in this position. #J-18808-Ljbffr