Supervisor, Utilization Management

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
 

**Applicants for this role have the flexibility to work remotely from their home anywhere in the Central time zone. The role supervises Prior Authorization Nurses and is primarily Monday - Friday, with rotating weekend / holiday coverage.**

Position Purpose: Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management team.

• Monitors and tracks UM resources to ensure adherence to performance, compliance, quality, and efficiency standards
• Collaborates with utilization management team to resolve complex care member issues...