Utilization Management RN

Added
1 day ago
Type
Full time
Salary
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Related skills

nursing prior authorization clinical nursing supervisory utilization management

πŸ“‹ Description

  • Direct oversight of day-to-day UM team operations
  • Assist team in reviewing prior-authorization requests for medical necessity
  • Identify and develop orientation and competency for staff processing authorizations
  • Collaborate with internal and external providers and clinical staff to resolve UM issues

🎯 Requirements

  • Minimum of three (3) years of relevant clinical nursing experience
  • Strong preference for prior PACE experience
  • Two (2) years of supervisory experience with mentoring and developing team members

🎁 Benefits

  • Medical insurance coverage (Medical, Dental, Vision)
  • PTO and holidays; sick time
  • 401K savings + match
  • Advancement opportunities – internal promotions
  • Additional benefits
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