California Licensed Utilization Management Supervisor

A company is looking for a Supervisor of Utilization Management to oversee a clinical review team ensuring appropriate care for members.

Key Responsibilities

Supervises the day-to-day activities of the utilization management team

Monitors compliance with performance, quality, and efficiency standards

Collaborates with the team to address complex member care issues and identifies opportunities for process improvements

Required Qualifications, Training, and Education

Registered Nurse (RN) license for California

Graduate of an accredited nursing school or Bachelor's degree

4+ years of related experience in utilization management

Knowledge of utilization management principles preferred

Ability to work in Pacific Standard Time (PST)