Remote RN Supervisor - Utilization Management

Job Summary

A company is looking for a Supervisor, Utilization Management.

Key Responsibilities

• Supervises the Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members
• Monitors and tracks utilization management resources for compliance with performance and quality standards
• Collaborates with the team to identify opportunities for process and quality improvements in utilization management

Required Qualifications, Training, and Education

• Graduate of an Accredited School of Nursing or Bachelor's degree
• 4+ years of related experience in utilization management
• Prior leadership or supervisory experience
• Compact RN license required
• Knowledge of LTSS programs preferred