Supervisor of Utilization Management

Job Description

Job Description

Supervisor of Utilization Management - Concurrent Review

VillageCareMAX

112 Charles Street, New York, NY 10014

• MUST LIVE IN NJ / NY / CT

VillageCare is looking for a motivated RN for our Supervisor of Utilization Management - Concurrent Review opening. This role is responsible for the oversight of concurrent review and discharge planning process for members with inpatient and skilled nursing facility stays. Training, mentoring, and monitoring work process and output will be essential to this role.

Some daily responsibilities will include :

We would like to speak to those who have a current and unrestricted New York State RN license. Bachelor's degree in Nursing required, advanced degree preferred. 2 years of utilization review experience at a Managed Care Organization or Health Plan required. Supervisory experience required. Knowledge of Medicaid and / or Medicare regulations along with ability to apply Interqual Care Guidelines will be essential to this role. URAC / CCM certifications preferred.

There are many benefits to working for VillageCare. If you are someone who likes being part of a team, enjoys a highly competitive benefits package from world leading carriers and competitive compensation, than we would love to speak with you!

VillageCare offers a wide range of at-home and community-based services, as well as managed long-term care options that seek to match each individual's needs to help them attain and maintain the greatest level of independent living possible. We are committed to superior outcomes in quality health care.

VillageCare is an Equal Opportunity Employer.

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