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Texas Licensed Utilization Management Supervisor
VirtualVocationsMadison, Wisconsin, United Statesjob_description.job_card.variable_days_ago
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- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Supervisor, Utilization Management.
Key Responsibilities
Supervises the Prior Authorization, Concurrent Review, and / or Retrospective Review Clinical Review team to ensure appropriate care to members
Monitors UM resources for adherence to performance, compliance, quality, and efficiency standards
Collaborates with the team to resolve complex care member issues and identifies opportunities for process improvements
Required Qualifications
Graduate of an Accredited School of Nursing or Bachelor's degree
4+ years of related experience in utilization management
Registered Nurse (RN) State Licensure and / or Compact State Licensure required
Knowledge of utilization management principles preferred
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Supervisor Utilization Management • Madison, Wisconsin, United States
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