IntusCare is seeking a Utilization Management (UM) Manager to lead the UM nurse team supporting a PACE program. You will own end-to-end UM delivery, ensure SLA compliance, and apply clinical decision support criteria across cases to optimize care and efficiency.
The role blends hands-on UM work (approx. 25%) with 75% focused on staffing, coaching, QA, and cross-functional coordination with clients and the contracted physician, ensuring high-quality service delivery.
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