Florida Licensed UR Manager

A company is looking for a Regional Utilization Review (UR) Manager to oversee and support utilization review operations across multiple facilities.

Key Responsibilities

Manage and support facility-based UR coordinators to ensure adherence to internal standards and regulatory guidelines

Maintain strong communication across various departments regarding authorizations and reviews

Develop and deliver onboarding and continuing education programs for UR coordinators

Qualifications

Bachelor's degree in Nursing, Social Work, Healthcare Administration, or a related field

Active, unencumbered clinical license (RN, LCSW, or equivalent) is strongly preferred

Minimum 2 years of management or supervisory experience

3-5 years of UR experience

Knowledge of payer requirements, regulatory standards, and utilization criteria