Remote RN Utilization Management Leader

Centene Management Company LLC; Oklahoma; Hybrid; USD 75,000 - 135,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off

Job summary

Centene Management Company LLC in Oklahoma is seeking an RN leader to supervise the Utilization Management team, overseeing Prior Authorization, Concurrent Review, and related processes. The role requires Oklahoma residency and an active RN license, with weekend on-call responsibilities and strong Microsoft Office proficiency.

The ideal candidate brings 4+ years in utilization management, excellent communication, and solid organizational skills to drive quality, compliance, and process

Qualifications

• RN license required and active in Oklahoma.
• 4+ years of utilization management or related field preferred.

Responsibilities

• Oversee UM priorities and reviews to ensure compliance and quality.
• Collaborate with the UM team to resolve complex member issues.
• Develop and implement UM policies and guidelines with senior management.
• Coach and train UM staff; support onboarding and hiring of team members.

Skills

Leadership

Utilization management

Communication skills

Time management

Education

Bachelor's degree in Nursing

Tools

Microsoft Office

Job description

Centene Management Company LLC in Oklahoma is seeking an RN leader to supervise the Utilization Management team, overseeing Prior Authorization, Concurrent Review, and related processes. The role requires Oklahoma residency and an active RN license, with weekend on-call responsibilities and strong Microsoft Office proficiency.

The ideal candidate brings 4+ years in utilization management, excellent communication, and solid organizational skills to drive quality, compliance, and process