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RN Utilization Review Lead

2 months ago

Santa Rosa, California, United States ICONMA Full time
Lead Case Management Team

As a seasoned RN Utilization Review Lead, you will be responsible for leading a high-performing team with a strong focus on patient care and operational excellence. Your leadership skills will be put to the test as you make decisions that impact the entire team and drive business results.

Key Responsibilities
  • Team Leadership: Foster a culture of collaboration and open communication across the case management team, ensuring that all team members are empowered to make decisions and take ownership of their work.
  • Process Improvement: Develop and implement process improvements to enhance the efficiency and effectiveness of precertification, continued stay, authorization, and billing processes.
  • Project Management: Lead special projects and audits to ensure that internal controls are in place and the organization's process control culture is promoted.
  • Staffing and Development: Determine staffing levels and manage the interviewing, hiring, performance review, and termination of employees within the practice unit(s).
  • Departmental Systems: Develop departmental systems to promote an environment that emphasizes patient courtesy and responsive service delivery.

We are looking for a highly motivated and experienced RN Utilization Review Lead to join our team at ICONMA. If you have a passion for leadership and a commitment to excellence, we encourage you to apply for this exciting opportunity.