Utilization Management Nurse RN

3 weeks ago


Orlando, Florida, United States ALLMED Staffing Full time
Job Title: Utilization Management Nurse RN

ALLMED Staffing is seeking a skilled Utilization Management Nurse RN to join our team in the Arcadia, CA area.

Job Summary:

We are looking for a highly motivated and experienced Utilization Management Nurse RN to oversee all activities associated with regional care management programs. The ideal candidate will have a strong background in referrals, utilization management, and healthcare industry experience.

Key Responsibilities:
  • Supervise Nurse Reviewers, including selection, training, and performance evaluation
  • Monitor staff performance and provide mentorship to ensure efficient and effective care management activities
  • Develop and implement processes to ensure compliance with regulatory requirements and Optum policies
  • Collaborate with other departments to achieve quality audits and productivity metrics
  • Provide guidance and coaching to Nurse Reviewers to ensure accountable decision making
Requirements:
  • Bachelor's degree from a four-year college and/or a professional certification requiring formal education beyond a two-year college
  • Minimum 3 years of referrals, utilization management experience
  • Strong verbal and written communication skills
  • Time management skills
  • Computer literate with strong Excel skills
What We Offer:

ALLMED Staffing offers a competitive salary and benefits package, as well as opportunities for professional growth and development.



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