Utilization Management Manager

Job Summary

A company is looking for a Utilization Management Manager, remote position.

Key Responsibilities

• Manage prior authorizations and concurrent review authorizations to ensure timely patient access to care
• Build relationships with clinical staff and managed care teams to facilitate the authorization process
• Document and communicate authorization determinations to relevant stakeholders effectively

Required Qualifications

• Postsecondary non-Degree (Cert/Diploma/Program Grad) from an Accredited School of Nursing required
• Associate's Degree in healthcare or related field required; Bachelor's Degree preferred
• 3+ years of experience in healthcare strongly preferred
• Healthcare professional licensure preferred; 3+ years of relevant experience may be considered in lieu of licensure
• Experience in managed care, case management, or utilization review is a plus