RN Utilization Management Supervisor – CA Licensed

Centene Corporation; Arizona; On-site; USD 75,000 - 135,000; Full time

Benefits offered by this job

Health insurance

401K

Stock purchase plan

Tuition reimbursement

Paid time off

Job summary

Centene Corporation is seeking a senior utilization management supervisor to oversee Prior Authorization, Concurrent Review, and Retrospective Review teams. The role requires RN licensure with CA license consideration, and remote work options are available for candidates willing to obtain CA licensure before starting.

The position emphasizes enforcing UM standards, coaching staff, and driving process improvements within a remote-friendly, multi-state environment.

Qualifications

• Requires Graduate of an Accredited School Nursing or Bachelor’s degree with 4+ years of related experience.
• Strong knowledge of appeals and utilization management principles preferred.

Responsibilities

• Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review teams.
• Oversees day-to-day utilization management operations for adherence to standards.
• Educates and provides resources for UM team; communicates with members and providers.
• Develops and implements UM policies, procedures, and guidelines; ensures compliance.

Skills

Utilization management

Leadership

Quality improvement

Coaching

Education

Nursing degree or Bachelor’s degree

Job description

Centene Corporation is seeking a senior utilization management supervisor to oversee Prior Authorization, Concurrent Review, and Retrospective Review teams. The role requires RN licensure with CA license consideration, and remote work options are available for candidates willing to obtain CA licensure before starting.

The position emphasizes enforcing UM standards, coaching staff, and driving process improvements within a remote-friendly, multi-state environment.