Remote Utilization Review Manager

Umpqua Health; Remote; USD 68,000 - 82,000; Full time

Job summary

A community-driven healthcare organization is seeking a Manager of Utilization Review to oversee the intake and processing of prior authorizations. This full-time role requires strong management skills and experience in healthcare. The ideal candidate will have a background in utilization management, proficiency with relevant software, and the ability to lead a team effectively. Benefits include generous PTO, health insurance, and a competitive salary range.

Benefits

Generous benefits including PTO

Health/Vision/Dental Insurance

401k with company match

Gym membership reimbursement

Tuition reimbursement

Qualifications

• 3–5 years in healthcare prior authorization or utilization management experience.
• 3+ years of management experience in a healthcare setting.
• Strong proficiency with Windows, Word, Excel, and Outlook.

Responsibilities

• Manage intake and processing of prior authorizations received.
• Supervise department telephone coverage and ensure timely responses.
• Conduct audits and identify process improvement opportunities.

Skills

LVN or LPN

Healthcare prior authorization

Management experience

ICD-10 and CPT codes proficiency

Organizational skills

Communication skills

Analytical skills

EMR systems knowledge

Education

LVN or LPN qualification

Tools

MS Office suite

Job description

A community-driven healthcare organization is seeking a Manager of Utilization Review to oversee the intake and processing of prior authorizations. This full-time role requires strong management skills and experience in healthcare. The ideal candidate will have a background in utilization management, proficiency with relevant software, and the ability to lead a team effectively. Benefits include generous PTO, health insurance, and a competitive salary range.