Mississippi Licensed Utilization Manager - Anaheim California

Company: VirtualVocations
Location: Anaheim, California
Posted On: 02/05/2025

A company is looking for a Utilization Management Market Operations Manager who must live in Mississippi.



Key Responsibilities

Oversee operational activities of Utilization Management and Appeals, including policy development and team metrics review
Drive process improvement and manage policy changes in compliance with regulatory requirements
Educate and mentor staff on operational procedures and collaborate with internal and external partners


Required Qualifications, Training, and Education

Degree or diploma in nursing is required
A minimum of five (5) years of experience in Utilization Management or related operations is required
Managed Care experience is required
Experience with analysis, data, and reporting is required
Current, unrestricted Registered Nurse (RN) licensure is required More...

Register an account with us and set up job agents! We'll email you immediately when jobs like this are posted on our site.