A healthcare provider in California is seeking a Supervisor of Utilization Management to oversee operations of the Pre-Authorization team. This role requires 5+ years of clinical experience and 3+ years in utilization management. You'll manage staffing, coordinate referrals, and facilitate team meetings. A California RN license is required. This position offers a hybrid work environment and focuses on improving patient care and operational efficiency. Join us in making a difference in healthcare delivery.
Qualifications
5+ years clinical experience.
3+ years utilization experience in health plan/UM operations.
Must have California RN license.
Responsibilities
Coordinate day-to-day operations of the Pre-Authorization team.
Manage staffing, scheduling, and workflow to meet goals.
Chair pre-authorization meetings monthly and coach staff.
Skills
Clinical experience
Utilization management
Leadership skills
Interpersonal skills
Data analysis
Microsoft Office
Education
Bachelor's degree or equivalent
Registered Nurse (RN) license
Job description
A healthcare provider in California is seeking a Supervisor of Utilization Management to oversee operations of the Pre-Authorization team. This role requires 5+ years of clinical experience and 3+ years in utilization management. You'll manage staffing, coordinate referrals, and facilitate team meetings. A California RN license is required. This position offers a hybrid work environment and focuses on improving patient care and operational efficiency. Join us in making a difference in healthcare delivery.