Maine Licensed Utilization Review Supervisor

Job Summary

A company is looking for a Supervisor Utilization Review - Remote.

Key Responsibilities

• Manage daily operations of the utilization review team, including referral and authorization requests
• Mentor team members and assist with onboarding, training, and development
• Ensure compliance with regulatory requirements and maintain standards of practice

Required Qualifications

• Associates degree in nursing; Bachelor's degree (BSN) preferred
• 3 years of medical management experience in a managed care setting
• RN experience in a clinical setting required
• Current Licensure as an RN in Maine and other jurisdictions as necessary
• Certification in Managed Care Nursing preferred