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Utilization Management Supervisor

Sunrise, FL

Post Date: 12/16/17 Job ID: 43349 Industry: Medical Administrator

This Fortune 500 company has been around for over 30 years! They primarily focus on providing various services to government sponsored healthcare programs, but also contract with other healthcare and commercial organizations to provide services such as behavioral health management, in-home health services, life and health management, etc. Currently, they are seeking a Utilization Management Supervisor to the team! The ideal candidate would be bilingual in English and Spanish with a solid health plan industry background.

Position: Direct Hire

Location: Sunrise, FL

Similar Positions: Project Manager, UM Department Supervisor, Quality Manager

Responsibilities of the Utilization Management Supervisor:
  • Ensure compliance with state program guidelines
  • Supervise daily operations and ensure that all resources are used appropriately
  • Train and educate staff regarding policies and procedures and ensure consistent extraordinary performance
  • Identify areas that may need improvement and provide information to upper management
  • Assist upper management with program and system implementation
  • Consistently collect and analyze data to ensure that the company is achieving goals and report to management if insufficient

Requirements for the Utilization Management Supervisor:
  • Bachelor s degree in Healthcare Administration preferred
  • Must have 3+ years of utilization management or quality improvement experience
  • Experience supervising or managing cross functional teams on a large-scale basis required
  • Must have current state s LPN, LVN, or RN license
  • Applicants must be currently authorized to work in the United States on full-time basis

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