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auditing leadership google suite utilization review rnπ Description
- Provide day-to-day oversight and management of the nurse team.
- Own daily nurse operations: queue, volume, staffing, and escalation.
- Support strategic and clinical initiatives as needed.
- Report to the Manager, Clinical Programs.
- Work remotely with occasional travel for meetings.
- Collaborate with QA/Training and Talent Acquisition on hiring.
π― Requirements
- Active, unrestricted RN license in state of hire or compact multi-state license.
- Associate or Bachelor's Degree in Nursing.
- 5+ years healthcare experience, with at least 2 years clinical practice in acute care.
- 3+ years of utilization review experience in managed care.
- 1+ years direct-report leadership in a virtual environment.
- Working knowledge of health insurance concepts; Medicare/Marketplace experience preferred.
π Benefits
- Medical, dental, and vision benefits.
- Unlimited vacation program.
- Annual performance bonuses.
- 401(k) retirement plan participation.
- Life and disability insurance.
- Paid holidays, sick time, and parental leave.
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