RN Medical Management Manager Arizona

Job Summary

A company is looking for a Manager of RN Medical Management Services.

Key Responsibilities:

• Lead and manage prior authorization, concurrent review, and case management staff
• Participate in selection, orientation, and training of staff within the Medical Management Programs
• Collaborate with Management staff and Medical Directors to review cases and data for appropriateness of care

Required Qualifications:

• Associate's degree in Nursing
• Current Registered Nurse (R.N.) license in state worked
• Five years of clinical RN experience in prior authorization, utilization review, or case management, with one year in a supervisory or management role
• Knowledge of utilization management data analysis and Medicare, Medicaid, and Managed Care
• Skill in computer applications including Microsoft Office Products and other medical management systems