California Licensed Utilization Supervisor

Job Summary

A company is looking for a Supervisor, Utilization Management.

Key Responsibilities

• Supervises the utilization management team to ensure appropriate care for members
• Monitors compliance with performance, quality, and efficiency standards
• Collaborates with the team to resolve complex member care issues and identifies process improvement opportunities

Required Qualifications, Training, and Education

• Graduate of an Accredited School of Nursing or Bachelor's degree
• 4+ years of related experience in utilization management
• Must have a California RN License
• Certified Managed Care Nurse (CMCN) within 1.5 years required for specific services
• US citizenship and current National Agency Check government security clearance required for specific services