Nevada Licensed Utilization Management Manager

Location: Remote
Compensation: Salary
Reviewed: Thu, May 08, 2025
This job expires in: 18 days
HIPAA InterQual MCG QNXT

Job Summary

A company is looking for a Manager of Utilization Management Support.

Key Responsibilities
  • Oversee day-to-day operations of the Utilization Management Central support team
  • Drive performance through collaborative feedback and continuous improvement initiatives
  • Ensure compliance with regulatory requirements and operational goals
Required Qualifications
  • 3+ years of progressive leadership experience with direct reports
  • 2+ years of experience in utilization management
  • Solid knowledge of healthcare regulations and utilization review processes
  • Proficiency in utilization management criteria, such as InterQual or MCG
  • Demonstrated analytical and decision-making skills
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