Nurse Leader in Utilization Management

4 days ago


Montebello, California, United States AltaMed Full time

About AltaMed

AltaMed is a leading community clinic that provides exceptional care to its patients. With a strong commitment to quality and innovation, we strive to make a meaningful difference in the lives of those we serve.

Job Overview

The Supervisor, Utilization Management Denials plays a crucial role in ensuring the integrity and effectiveness of our utilization management process. This individual will oversee the review of patient care services, process denial notifications, and collaborate with clinical staff, health plan partners, and stakeholders to ensure compliance with regulatory standards.

Main Responsibilities

  • Provide leadership and support to the denials team
  • Facilitate communication between various departments
  • Ensure compliance with all relevant regulations and standards

Requirements

  • Licensed Vocational Nurse (LVN) with an active license
  • Associate degree or equivalent work experience preferred
  • A minimum of 5 years of experience in utilization management or a related role required

Compensation and Benefits

$83,399.68 - $104,249.60 annually

We offer a comprehensive benefits package, including medical, dental, and vision insurance, 403(b) retirement savings plans, flexible spending accounts, and paid time off. Additionally, we provide opportunities for career advancement, professional development, and tuition reimbursement.

Join Our Team

At AltaMed, we value diversity, equity, and inclusion. We are committed to creating a work environment that promotes collaboration, innovation, and growth. If you are passionate about making a difference in the lives of others, we encourage you to apply for this exciting opportunity.



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