September 21, 2016

Supervisor, Utilization Management

Confidential Company - Maitland, FL

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  • Company
    Confidential Company Confidential Company
  • Location
    Maitland, FL
  • Job Type
  • Job Classification
    Full Time
  • Company Ref #
  • AJE Ref #
  • Number of Positions

Job Description

Location Sunrise, FL Job Id#: 1034946

RN license

Supervisor, Utilization Management Lenexa KS Job Id #: 1034826

RN license

Supervisor, Utilization Management Maitland FL Job Id #: 1034011

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