Arkansas Licensed Utilization Management Supervisor

Job Summary

A company is looking for a Supervisor Utilization Management - Government Programs.

Key Responsibilities

• Oversees utilization review activities and ensures compliance with quality standards
• Collaborates with healthcare staff to ensure appropriate care levels and continuity for members
• Manages staffing logistics, including scheduling and performance management of the utilization management team

Required Qualifications, Training, and Education

• Associate's degree in Nursing required; Bachelor's degree preferred or five years of clinical experience in lieu of degree
• Current, unrestricted Registered Nurse licensure in Arkansas or multistate licensure required
• Minimum five years of clinical experience with at least two years in Utilization Management
• Experience with Medicaid, Medicare, or Federal Government Programs required
• Experience with regulatory compliance and Milliman or InterQual guidelines preferred