Delaware Licensed Utilization Management Supervisor

Job Summary

A company is looking for a Supervisor Utilization Management Review.

Key Responsibilities

• Provide daily oversight, support, and direction to a remote team of Utilization Management Reviewers
• Manage daily operations, including monitoring work assignments and adjusting based on staffing and request volume
• Ensure the team meets operational goals through auditing, coaching, and training

Required Qualifications

• Associate's Degree in Nursing required; Bachelor's Degree in Nursing preferred
• Minimum of 5 years of clinical practice experience in an acute care setting
• Minimum of 3 years of experience performing prior authorization reviews and/or concurrent reviews in a managed care environment
• Experience leading a remote Utilization Management team in a health plan
• Current and unencumbered Delaware RN license or Nurse Licensure Compact (NLC) required