Utilization Management RN
Loyola Medicine(1 month ago)
About this role
The UM Lead oversees daily operations of the Utilization Management department, serving as the primary escalation point and partnering with clinical and administrative teams. The role supports clinical review processes, payer interactions, and staff development while collaborating with the Director of Care Coordination/Case Management.
Required Skills
- Leadership
- Delegation
- Staff Management
- Medical Review
- Appeals Management
- Payer Relations
- Clinical Documentation
- Precertification
- Communication
- Coaching
+1 more
Qualifications
- Bachelor’s Degree
- Registered Nurse License (Iowa)
- Utilization Management Certification (Preferred)
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