Sendero Health Plans is seeking a Manager, Utilization Review Nursing to lead the Utilization Review Nursing team, ensuring timely, accurate, and compliant review processes across HMO, Commercial, Medicare, Medicaid, and Self-Funded plans.
You will guide staffing, policy updates, audits, and performance metrics, collaborate with Medical and operations, and ensure readiness for regulatory, accreditation, and InterQual guideline adherence.
#J-18808-LjbffrSenior Nursing Utilization Review Manager in Remote at Unknown Company
This position is listed as full time and onsite.