Texas Licensed RN Utilization Review Manager
A company is looking for a RN Utilization Review Manager to oversee utilization management processes and staff in a healthcare organization. Key Responsibilities Conduct monthly audits of UM staff and coordinate clinical rounds Manage daily operations and ensure compliance with turnaround times for UM processes Support staff development and contribute to departmental goals and initiatives Required Qualifications BSN degree with an active Texas RN license; MBA, MPH, MHA, or MSN preferred Two years of utilization management experience in a Managed Care environment Two years of supervisory or leadership experience Experience managing 10+ UM RNs and familiarity with Texas Medicaid, CHIP, and marketplace Moderate computer knowledge of MS Office applications
A company is looking for a RN Utilization Review Manager to oversee utilization management processes and staff in a healthcare organization.
Key Responsibilities
Conduct monthly audits of UM staff and coordinate clinical rounds
Manage daily operations and ensure compliance with turnaround times for UM processes
Support staff development and contribute to departmental goals and initiatives
Required Qualifications
BSN degree with an active Texas RN license; MBA, MPH, MHA, or MSN preferred
Two years of utilization management experience in a Managed Care environment
Two years of supervisory or leadership experience
Experience managing 10+ UM RNs and familiarity with Texas Medicaid, CHIP, and marketplace
Moderate computer knowledge of MS Office applications
