New York Licensed Utilization Manager

Job Summary

A company is looking for a Manager of Utilization Management.

Key Responsibilities

• Oversees utilization management functions including timely authorizations and concurrent reviews
• Develops and monitors staff goals, providing feedback and conducting performance reviews
• Collaborates with medical staff to solve complex clinical problems and ensure appropriate resource allocation

Required Qualifications

• Associate's degree
• New York State Registered Nurse license
• Experience in managed care or healthcare industry in utilization management
• Knowledge of regulations governing medical management in managed care
• Experience with Microsoft Office Suite applications