Overview: We are seeking a passionate and dedicated RN Director of Clinical Operations to lead the utilization management and case management programs. In this role, you will play a vital part in shaping the clinical system to enhance patient care outcomes while managing costs effectively. You will oversee the integration of our case management program, focusing on delivering quality and cost-effective results. Join us in fostering an inclusive environment where diverse backgrounds, skills, and talents are valued and advanced. Key Responsibilities: Implement and direct utilization management and case management programs. Evaluate and assess clinical systems to optimize patient care outcomes. Represent the organization at the system level to ensure program integration. Collaborate with staff to achieve quality, cost-effective care. Qualifications: BSN Required; MSN Preferred. 5-7 years of Nursing Case Management experience within a Managed Care Organization required. 3-5 years of leadership experience in Case Management within a Managed Care Organization required. Must hold an active DC RN license. This role offers a competitive salary range of $118,331 - $230,172. We look forward to your application!