Direct-Hire Opportunity! Manager, Medical UM Management

Location: Remote

Term: Direct-hire, Full time

Department: Utilization Management

Compensation: $150K-$175K

Required Qualifications:

1. At least 6 years of clinical nursing experience.
2. At least 4 years of leading staff or supervisory/management experience.
3. Minimum of 3 years of relevant health plan experience.
4. Bachelor's degree in nursing
5. Registered Nurse (RN) - Active, current, and unrestricted California License

JOB OVERVIEW

The Manager of Medical Management is responsible for the overall day-to-day operations of the staff and activities requiring clinical licensure in the Utilization Management (UM) department. This position will work closely with leaders to develop and organize the department’s work priorities and deliverables. This position will manage clinical personnel to orchestrate and oversee the completion of tasks requiring clinical determinations. This position will also be responsible for internal and external reporting, and managing the monthly data needed to ensure department metrics are met or exceeded, including but not limited to, productivity, and satisfaction of internal and external customers.