Manager Utilization Review - Registered Nurse / RN

Are you an experienced  RN / Registered Nurse with Utilization Review Management experience looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!

Daily Responsibilities of  RN / Registered Nurse Utilzation Review Manager: 

• Responsible for the oversight of concurrent and retrospective review for medical necessity, appropriateness of service and level of care
• Responsible for the day to day oversight of authorizations for outpatient services or ancillary services in preparation for the Member’s discharge or transition to lower level or higher level of care
• Responsible for ensuring that the concurrent or retrospective review process includes referring Members to Health Management, Health Education, Care Management, or other internal or external programs as needed

Requirements of the Registered Nurse / RN Utilization Review Manager:

• Bachelor’s in Nursing
• Must have an unencumbered California RN license
• 5+ years’ experience in concurrent review and utilization management from a managed care environment
• 1+ year(s) experience in a supervisory or management level role

Hours for this Position of the Registered Nurse / RN Utilization Review Manager: Monday – Friday, 8: 00 AM – 5:00 PM | Weekend on-call once a month

Advantages of this Opportunity for the Registered Nurse / RN Utilization Review Manager:

• Competitive salary, negotiable based on relevant experience
• Up to a 5% HEDIS bonus, Based on company performance

• 3 ½ weeks of PTO (18 days) and 11 Paid Holidays
• Tuition reimbursement after 1 year of employment
• 457(b) Retirement Plan
• Retirement Plan (i.e. pension plan for all employees) – full vesting after 5 years

Interested in being Considered for this Registerd Nurse / RN  Utilization Review Manager Opportunity?

If you are interested in applying to this position, please click Apply Now for immediate consideration.

bgreen@healthcaresupport.com
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Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.