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Wilmington, United States
$102K–$149K/yr
Estimate — the employer hasn't published pay.
Based on 10 similar mid-level RN Supervisor of UM jobs in United States that show pay. The range is the middle half of their posted pay (25th to 75th percentile), not an offer — ask the employer for the real range.
Nursing & Care salaries →Daily Responsibilities RN Supervisor of UM:
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
Requirements:
Must be Registered Nurse
3 – 5 years UM experience, Either PA or CR
Thorough knowledge of utilization management and clinical nursing.
Familiarity with Medicaid managed care practices and policies, CHIP, and SCHIP preferred
Case Management Certification (CCM) preferred.
Managed Care Experience STONGLY preferred
Supervisory Experience a must!
Hours for this Position:
Mon-Fri 8a-5p
Advantages of this Opportunity:
Competitive salary
Fun and positive work environment
Benefits start 1st of the month after hire
Want More Information?
• If you are interested in applying to this position, please contact Ashley Greene @ 407-478-0332 ext 169 or email and click the Green "I’m Interested" Button to email your resume.
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