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Utilization Management Manager

Utilization Management Manager

Looking for a Utilization Management Manager who will manage a team of UM Coordinators and varied projects with the goal of making decisions that can increase efficiency in delivery of services.

 

PRIMARY RESPONSIBILITIES: 

-Manages a team of Care Coordinators
-Audits to assess the quality of documentation and provides feedback to Coordinators on areas for improvement
-Assess timelines of authorization to ensure protocols are met
-Troubleshoots any issues that Coordinators are experiencing during the authorization process.
-Participates in company meetings as requested
-Ensure that all projects are delivered on-time, within scope and within budget
-Create process and workflow documents, as necessary
-Communicates regularly with the Director regarding outcomes, challenges and all other essential issues
-Other duties as assigned

 

Education:

Required:   High School Diploma

Preferred:    BA/BS degree in healthcare management or equivalent experience

 

-1-2 years of management experiences

-Excellent written and verbal communication skills

-Solid organizational skills including attention to detail and multi-tasking skills

-Effective Analytical and presentation skills

-Strong working knowledge of Microsoft Office

-Utilization Management or healthcare industry experience preferred

 

 

Please send a resume with cover letter to: Debbie Lin,  Recruiter, Centers Plan for Healthy Living LLC at dlin@centersplan.com.  Interviews will be held at our corporate office which is located at 75 Vanderbilt Avenue 6th floor, Staten Island NY 10304. Only qualified applicants will be considered.

 

We are an Equal Opportunity Employer –M/F/D/V

 

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