Utilization Management Manager

Job Summary

A company is looking for a Utilization Management Manager to oversee patient care access through authorization processes.

Key Responsibilities

• Manage prior authorizations and concurrent review authorizations to ensure timely patient access to care
• Coordinate with clinical teams and payors to facilitate the authorization process and resolve denials
• Document authorization information and maintain compliance with regulatory standards

Required Qualifications

• Postsecondary non-degree certification from an accredited nursing school required
• Associate's Degree in healthcare or related field required; Bachelor's Degree preferred
• 3+ years of experience in a healthcare setting strongly preferred
• Healthcare professional licensure preferred, or equivalent experience in lieu of licensure
• Experience in managed care, case management, or utilization review is a plus