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Director of Health Services

Doral, Florida, 33166, United States

Leon Health is dedicated to delivering compassionate, high-quality care to our members. We are seeking a dynamic and experiencedDirector of Health Servicesto lead our Health Services department with vision, integrity, and excellence.

Key Responsibilities:

  • Lead and manage the Health Services department to ensure efficient operations and optimal resource utilization.
  • Drive strategic planning and execution to enhance departmental performance and member outcomes.
  • Collaborate with providers, members, and stakeholders to coordinate care and ensure the highest standards of service.
  • Qualifications:

    • Graduate of an accredited School of Nursing.
    • Active, valid Florida Registered Nurse (RN) license.
    • Minimum5 years of clinical experience.
    • At least8 years in Utilization Management and/or Case Management.
    • Minimum5 years of leadership/management experience.
    • Deep understanding of utilization review, medical terminology, levels of care, treatment modalities, healthcare statutes, and delivery models.
    • Proven experience working withMedicare populations.
    • Strong organizational and time management skills with the ability to handle multiple priorities.
    • High proficiency in data analysis and healthcare analytics.

    Why Leon Health?

    • Be part of a mission-driven organization that values innovation, compassion, and excellence.
    • Work with a team that’s passionate about improving lives and shaping the future of healthcare.
    • Enjoy a collaborative culture and opportunities for professional growth.
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