Florida Licensed UR Manager

Job Summary

A company is looking for a Regional Utilization Review (UR) Manager to oversee and support utilization review operations across multiple facilities.

Key Responsibilities

• Manage and support facility-based UR coordinators to ensure adherence to internal standards and regulatory guidelines
• Maintain strong communication across various departments regarding authorizations and reviews
• Develop and deliver onboarding and continuing education programs for UR coordinators

Qualifications

• Bachelor's degree in Nursing, Social Work, Healthcare Administration, or a related field
• Active, unencumbered clinical license (RN, LCSW, or equivalent) is strongly preferred
• Minimum 2 years of management or supervisory experience
• 3-5 years of UR experience
• Knowledge of payer requirements, regulatory standards, and utilization criteria