Maine Licensed Clinical Supervisor

Job Summary

A company is looking for a Clinical Supervisor Utilization Review - Remote.

Key Responsibilities

• Manage day-to-day operations of the utilization review clinical team, including referral/authorization requests and organizational determinations
• Mentor and support team members, assisting with complex cases and training initiatives
• Ensure compliance with regulatory standards and perform chart audits

Required Qualifications

• Associate's degree in nursing; Bachelor's degree (BSN) preferred
• 3+ years of medical management experience in a managed care setting, including utilization review
• RN experience in a clinical setting
• Leadership and/or management experience preferred
• Current Licensure as an RN in Maine and other necessary jurisdictions