Job Summary
A company is looking for a Utilization Management Nurse Supervisor.
Key Responsibilities
- Provide day-to-day supervision of UM nurses, ensuring productivity and adherence to policies
- Conduct regular coaching sessions and performance evaluations to support staff growth
- Ensure compliance with regulatory standards and manage team performance through reporting and audits
Required Qualifications
- Active, unrestricted Registered Nurse, Licensed Vocational Nurse, or Licensed Practical Nurse license
- Minimum 3 years of nursing experience in acute, outpatient, or managed care settings
- Minimum 2 years of utilization management experience in a payer or managed care environment
- Strong understanding of utilization review, authorizations, and appeals processes
- Prior leadership or supervisory experience in a utilization management setting
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