Utilization Management Nurse-Team Lead

Overview

Role involves managing utilization management processes and ensuring efficient care coordination.

Ideal candidate should have 3-5 years of utilization management experience and a current RN license.

Locations

• United States

Requirements

• Current RN license
• 3-5 years of utilization management experience
• Experience in risk-based integrated care models

Responsibilities

• Manage utilization management processes
• Coordinate claim disputes
• Mentor UM team
• Ensure adherence to service authorization policies

Benefits

• Competitive salary
• Comprehensive health benefits
• Collaborative work environment
• Opportunities for professional growth