Utilization Manager

Gentiva is an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every moment. We believe that better care for caregivers and clinicians means better care for everyone, so we offer ongoing professional training, lower nurse-to-patient ratios, and comprehensive benefits for eligible employees. Here, you’ll join gifted colleagues who make a lasting difference in people’s lives every day.

We're looking for a Utilization Manager to join our team. This position will directly report to the Director of Utilization Management and is responsible for planning, coordinating, implementing, and finalizing projects related to Pharmacy, Medical Supplies and DME usage by hospice branches.

• Reviews the daily, weekly, and monthly metrics, processes, and reporting related to PPD vendors: medical supplies, durable medical equipment, and pharmacy utilization.
• Works closely with branch leadership to identify and deploy best-practice for utilization processes.
• Works closely with PPD vendors to ensure service levels are at or above expectations and when indicated, develops and deploys corrective action plans for improvement.
• This is a Remote position with travel expectations.

• Registered Nurse preferred
• Bachelor’s degree preferred
• 3 years experience working with data as a data analyst, or related experience
• At least 2 years of experience planning, leading and directing complex initiatives that are strategic in nature and national in scope
• Experience in process improvement best practices
• Professional presentation experience and proficient communication skills
• Knowledge of hospice rules, regulations, policies and Conditions of Participation
• Proven analytical skills, including data mining, evaluation, trending, and visualization
• Able to travel up to 25% of the time

• Comprehensive Benefits Package: Health Insurance, 401k Plan, Tuition Reimbursement, PTO
• Opportunity to Participate In a Fleet Program
• Competitive Salaries
• Mileage Reimbursement
• Professional Growth and Development Opportunities

• This is a safety-sensitive position
• Employee must meet minimum requirements to be eligible for benefits
• Where applicable, employee must meet state specific requirements
• We are proud to be an EEO employer
• We maintain a drug-free workplace