Location: Irvine, CA

Utilization Management Supervisor Job in Irvine, California

Utilization Management Supervisor Job in Irvine, California

Primary Responsibilities:

  • Provides direct day to day supervision of UM Nurse staff including licensed and unlicensed staff  12 RNs, LVNs and Coordinators.
  • Develops and implements new policies and procedures
  • Orients / trains UM nurse staff on UM processes
  • Provides senior management with analysis of case management reports
  • Provides input and feedback on employee performance and conducts counseling and disciplinary actions as necessary
  • Performs UM duties as necessary

Required Qualifications:  

  • Current, unrestricted California RN license
  • 1+ years clinical in ambulatory, hospital, or SNF setting
  • 3+ years prior authorization experience
  • 2+ years of leadership experience 
  • Computer proficiency, must be able to type, toggle between multiple screens and use MS Word, Outlook and navigate in Windows environment.  

Preferred Qualifications:  

  • Bachelor’s Degree in Nursing
  • 1+ Lead, supervisory / management experience
  • Prior experience with Government Programs such as Medicare, Medicaid and MediCal
  • Knowledge of special needs programs

For more information please forward your resume to:

Lena Stebleva

National Hiring Manager



Nursing - RN - Other Permanent 02/21/2018

Equal Opportunity Employer Minorities/Women/Veterans/Disabled

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