Licensed Utilization Supervisor

Job Summary

A company is looking for a Supervisor, Utilization Management.

Key Responsibilities

• Supervises the Prior Authorization and Clinical Review team to ensure appropriate care for members
• Monitors and tracks utilization management resources for compliance with performance and quality standards
• Collaborates with the team to resolve complex member care issues and identifies opportunities for process improvements

Required Qualifications

• Graduate of an Accredited School of Nursing or Bachelor's degree
• 4+ years of related experience in utilization management
• Knowledge of utilization management principles preferred
• RN - Registered Nurse - State Licensure and/or Compact State Licensure required