Summary:
The Manager of Utilization Management supervises and leads the Utilization Management Department, including planning, organizing, and coordinating the activities of the Utilization Management program. Requirements include demonstrating knowledge of the managed care environment, Utilization Management and Medical Necessity Review standards and programs. Ability to develop and manage within budgetary guidelines. This Job includes daily clinical discretionary capacity that has potential to affect the financial well being of the health plan.
Responsibilities:
Job Requirements:
Education/Skills
BSN preferred.
Experience
Department of Defense experience preferred.
Licenses, Registrations, or Certifications
Work Type:
Full Time
EEO is the law - click below for more information:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.
Apply Now248071
Manager Utilization Management - Health Plan Admin
FULL TIME
Revenue Cycle
CHRISTUS Ministry System Office
5101 North O Connor Boulevard
Irving, TX 75039
View on a map