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

• 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.
• Care Coordination and Oversight:
  • Oversee the development and implementation of individ...