Supervisor, Utilization Management
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POST DATE 8/19/2016
END DATE 12/19/2016
JOB DESCRIPTIONLocation Sunrise, FL Job Id#: 1034946
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License/Certification: Current state's LPN, LVN, or RN license.
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 necessar