Supervisor of Utilization Management RN

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POST DATE 8/30/2016
END DATE 11/24/2016

ALL's WELL Fort Lauderdale, FL

Company
ALL's WELL
Job Classification
Full Time
Company Ref #
23105175.21602206
AJE Ref #
576019808
Location
Fort Lauderdale, FL
Job Type
Regular
Required Licenses/Certifications
df-aj

JOB DESCRIPTION

APPLY
Direct Hire
Salary- $80,000

Job description

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

Qualifications:

Education/Experience: 3+ years of utilization management/quality improvement experience. Working knowledge and understanding of basic utilization management and quality improvement concepts. Previous experience as a lead in a functional area or managing cross functional teams on large scale projects.

License/Certification: Current state's RN license. We are an equal employment opportunity employer and will consider all qualified candidates without regard to disability or protected veteran status.