Director of Medical Management - Murfreesboro - (Murfreesboro, TN)

American Health Companies (AHC) is looking for an--Director of Medical Management--to join our expanding team!!--The purpose of this position is to assess the medical necessity and quality of healthcare services by conducting the following types of requests: pre-service, concurrent, and retrospective utilization management reviews. The primary responsibility of the Utilization Management (UM) Nurse is to provide clinical support to the Clinical Services Department and Medical Director to assure that members receive all appropriate medical services in compliance with medical and regulatory guidelines.--Benefits Overview: Aggressive compensation Rates Direct Deposit Affordable Medical Insurance Dental, and Vision Insurance Offered as well as supplemental plans Employer Paid Life Insurance 100% Employer paid ESOP (Employee Stock Ownership Program) Opportunity for CEU Reimbursement 401K offered --What's Required: Education:-- Education leading to the completion of an approved RN program.