Providing direct leadership and oversight to the UM nursing team, the full-time Utilization Management Nurse Supervisor will manage team performance, conduct performance evaluations, and ensure compliance with regulatory standards in a remote work environment. Key responsibilities Supervise daily operations of UM nurses, ensuring productivity and adherence to policies Conduct regular coaching sessions and performance evaluations to support staff development Monitor team productivity and quality of work through reporting and audits Required qualifications Active, unrestricted Registered Nurse, Licensed Vocational Nurse, or Licensed Practical Nurse license Minimum 3 years of nursing experience in an acute, outpatient, or managed care setting At least 2 years of utilization management experience in a payer or managed care environment Strong understanding of utilization review, authorizations, and appeals processes Prior leadership, supervisory, or team lead experience in a UM setting
Utilization Management Nurse Supervisor in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.