Remote Utilization Review Manager – Prior Authorization

Nashville Public Radio; Remote; USD 68,000 - 82,000; Full time

Job summary

A healthcare organization in Oregon is looking for a Manager of Utilization Review. The role is responsible for processing prior authorizations and leading a team while ensuring compliance with regulations. Candidates should have an LVN or LPN and at least 3-5 years of relevant experience in healthcare prior authorization. The position offers a competitive salary along with robust benefits such as health insurance, PTO, and tuition reimbursement. Occasional travel may be required.

Benefits

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.
• Proficiency in ICD-10 codes, CPT codes, and medical terminology.

Responsibilities

• Manage the intake and processing of prior authorizations.
• Oversee support for Utilization Review and Care Coordination.
• Conduct trainings and audits within the department.

Skills

Healthcare prior authorization

Team leadership

Communication skills

Analytical thinking

Organizational skills

Education

LVN or LPN

Tools

Windows

Word

Excel

Outlook

EMR systems

Job description

A healthcare organization in Oregon is looking for a Manager of Utilization Review. The role is responsible for processing prior authorizations and leading a team while ensuring compliance with regulations. Candidates should have an LVN or LPN and at least 3-5 years of relevant experience in healthcare prior authorization. The position offers a competitive salary along with robust benefits such as health insurance, PTO, and tuition reimbursement. Occasional travel may be required.