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Supervisor, Utilization Management

Company:
KVR Consultant
Location:
Sunrise, Florida, United States
Salary:
$75,000
Posted:
December 06, 2016

Posted By Premium Recruiter

Description:

Position Purpose: Supervise the daily operations of the utilization management (UM) department

Supervise the daily operations of the UM staff

Ensure appropriate usage of resources in order to facilitate the UM process

Ensure compliance within applicable state program guidelines

Evaluate compliance policies and procedures and analyze/recommend enhancements

Assist with ensuring consistent data collection from UM staff that is used to assist the company in achieving corporate goals, to improve monitoring and reporting in order to meet external requirements

Identify opportunities for process improvements necessary to facilitate department functions

Educate staff as necessary to ensure consistent performance and adhere to standards

Assist UM Manager and Director with coordinating and facilitating system processes with providers, partners, vendors, and subcontractors as necessary

Qualifications:Education/Experience: 3+ years of utilization management/quality improvement experience. Working knowledge and understanding of basic utilization management and quality improvement concepts. Previous experience as a lead in a functional area or managing cross functional teams on large scale projects. License/Certification: Current state's LPN, LVN, or RN license.

Job Type: Full-time

Required education:

Bachelor's

Required experience:

Working knowledge and understanding of basic utilization management and quality improvement concepts: 3 years

utilization management/quality improvement experience: 4 years

experience as a lead in a functional area or managing cross functional teams on large scale projects: 3 years

Required license or certification:

RN, LPN, LVN