Senior RN, Utilization Management Leader (Hybrid/Remote)

Centene Corporation; California (MO); Hybrid; USD 75,300 - 135,400; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off

Flexible work schedule

Job summary

Centene Corporation is seeking a Clinical Supervisor to oversee the utilization management team ensuring appropriate care for members. The ideal candidate will supervise day-to-day activities, collaborate on complex member care issues, and maintain compliance with healthcare regulations.

Requires a Bachelor's degree and 4+ years of experience in a related field, along with an active RN license in California. This position offers a salary range between $75,300 and $135,400 annually, and a comprehensive benefits package.

Qualifications

• 4+ years of related experience in utilization management.
• Registered Nurse licensure in California required.
• Knowledge of healthcare regulations and standards.

Responsibilities

• Supervise Prior Authorization and Concurrent Review processes.
• Monitor compliance with performance and quality standards.
• Collaborate to resolve complex care member issues.
• Educate the team on key initiatives and communications.

Skills

Utilization management principles

Leadership

Coaching

Compliance knowledge

Education

Bachelor's degree

Graduate of an Accredited School of Nursing

Job description

Centene Corporation is seeking a Clinical Supervisor to oversee the utilization management team ensuring appropriate care for members. The ideal candidate will supervise day-to-day activities, collaborate on complex member care issues, and maintain compliance with healthcare regulations.

Requires a Bachelor's degree and 4+ years of experience in a related field, along with an active RN license in California. This position offers a salary range between $75,300 and $135,400 annually, and a comprehensive benefits package.