New York RN Utilization Manager

Job Summary

A company is looking for a Manager, Utilization Management.

Key Responsibilities

• Manages the prior authorization, concurrent review, and retrospective clinical review team to ensure compliance with guidelines
• Analyzes utilization management activities and operations to identify areas for improvement
• Develops and maintains 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 supervisory experience preferred
• Knowledge of utilization management principles preferred
• RN - Registered Nurse - State Licensure and/or Compact State Licensure required