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Oklahoma Licensed Utilization Manager
VirtualVocationsGarden Grove, California, United Statesjob_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Manager, Utilization Management to oversee two Utilization Management teams and ensure compliance with healthcare guidelines.
Key Responsibilities
Manage prior authorization, concurrent review, and retrospective clinical review teams to ensure compliance with guidelines
Analyze utilization management activities and provide recommendations for improvement to senior leadership
Develop and maintain utilization management policies and educate the team on key initiatives
Required Qualifications
Graduate of an Accredited School of Nursing or Bachelor's degree with 5+ years of related experience
2+ years of supervisory experience preferred
Knowledge of utilization management principles preferred
RN - Registered Nurse - State Licensure and / or Compact State Licensure required
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Utilization Manager • Garden Grove, California, United States
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