IA Licensed Utilization Management Manager

Job Summary

A company is looking for a Manager, Utilization Management.

Key Responsibilities

• Manage the Prior Authorization, Concurrent Review, and Retrospective Review Clinical Team for NICU Specialty
• Review and analyze utilization management activities and provide recommendations for improvement
• Develop and maintain compliance with utilization management policies and procedures

Required Qualifications

• Graduate of an Accredited School of Nursing or Bachelor's degree
• 5+ years of related experience
• 2+ years of supervisory experience preferred
• Knowledge of utilization management principles preferred
• RN - Registered Nurse - State Licensure and/or Compact State Licensure required