Sr Director of Patient Access and Utilization Management

Join Nashville General Hospital as Sr. Director of Patient Access and Utilization Management and lead our Patient Access and Utilization Management functions, overseeing registration, financial clearance, insurance verification, and utilization review programs, ensuring seamless patient flow and optimal revenue cycle performance.

Requirements

• Bachelor's - Nursing, Business Administration, Healthcare Administration, or related field (Required)
• Master's in Healthcare Administration (MHA), Business Administration (MBA), or related advanced degree (Required)
• Minimum 10 years of progressive administrative and supervisory experience
• Minimum 8 years in a healthcare management position (preferred)
• Proven ability to handle multiple projects simultaneously with strong budgeting and negotiation skills
• Functional knowledge of computers, word processing, spreadsheets, and hospital information systems (HIS Affinity preferred)
• Thorough knowledge of patient access, utilization management, and medical terminology
• Detailed knowledge of Joint Commission, NCQA, CMS, state, and federal requirements
• Experience with insurance verification, coverage interpretation, and revenue cycle optimization
• Strong verbal and written communication skills with a proven ability to collaborate with hospital-wide teams
• Demonstrated ability to independently identify problems, implement solutions, and meet deadlines

Benefits

• Medical, Dental, and Vision Insurance within first 31 days of employment
• Metro Health Incentive Program - Access to high quality healthcare without incurring out-of-pocket expenses
• Short and Long-Term Disability - up to 60% of eligible weekly pay
• Life Insurance - Metro provides you with basic life and AD&D coverage equal to $50,000 ($32,500 if you are age 65 or older), at no cost to you.
• Retirement Plan - eligible up to IRS max limits and includes company contribution
• Shift and Weekend Differential Pay Offered on Nights and Weekends
• Tuition Reimbursement for employee and dependents
• 12 paid holidays - any holiday worked is another holiday banked
• Flexible Spending Accounts
• Free Parking for all employees