Supervisor, Utilization Management
Position Purpose: Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management team. • Monitors and tracks UM resources to ensure adherence to performance, compliance, quality, and efficiency standards • Collaborates with utilization management team to resolve complex care member issues • Maintains knowledge of regulations, accreditation...
- Workday