Loyola Medicine

Utilization Review Manager FT Days

Loyola Medicine(26 days ago)

Boise, IdahoOnsiteFull TimeManager$74,349 - $99,940 (estimated)Utilization Management
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About this role

A Utilization Review Manager at Saint Alphonsus Health System leads the Utilization Review team in Boise, Idaho. The role provides supervisory leadership for utilization review operations and serves as the primary liaison with payers and clinical leadership to support reimbursement and regulatory compliance. It contributes to organizational goals by overseeing programs that impact utilization, readmission prevention, and payer relations.

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Required Skills

  • Utilization Review
  • Leadership
  • Case Management
  • Denial Management
  • Insurance Authorization
  • Communication
  • Regulatory Compliance
  • Scheduling
  • Clinical Review
  • Documentation

+1 more

Qualifications

  • Registered Nurse (Idaho)
  • BSN
  • BLS/HCP

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