Maine Licensed Utilization Review Supervisor

A company is looking for a Supervisor Utilization Review - Remote.

Key Responsibilities

Manage daily operations of the utilization review team, including referral and authorization requests

Mentor team members and assist with onboarding, training, and development

Ensure compliance with regulatory requirements and maintain standards of practice

Required Qualifications

Associates degree in nursing; Bachelor's degree (BSN) preferred

3 years of medical management experience in a managed care setting

RN experience in a clinical setting required

Current Licensure as an RN in Maine and other jurisdictions as necessary

Certification in Managed Care Nursing preferred