Manager, Utilization Review

The Manager, Utilization Review is responsible for overseeing the daily operations of the Utilization Review for one of our clients and leading a team of Utilization Review Nurses. This role involves ensuring efficient care coordination, managing healthcare costs, and maintaining high‑quality patient care standards. The Manager, Utilization Review will collaborate with various healthcare professionals to improve patient outcomes and streamline care processes.

Key Responsibilities

1. Leadership and Team Management

• Supervise and mentor a team of Utilization Review Nurses, providing guidance and support to ensure excellent performance.
• Foster a collaborative and cohesive work environment within the department.
• Conduct regular staff meetings, performance evaluations, and staff development activities.

2. Care Coordination and Oversight

• Oversee the development and implementation of individualized care...