Utilization Management Manager

PRIDE Health
Published
November 11, 2021
Location
Philadelphia, PA
Category
Job Type

Description

Pride Health is seeking a Utilization Management Manager for an opening in Philadelphia. 

Job Duties: 

  • Implementation and management of the Utilization Review and Denials Prevention Program in acute hospital setting 
  • Utilization review and authorization management services 
  • Manage daily operations including supervision of staff
  • Act as a resource for escalations in regard to utilization review and management 

Qualifications

  • Nursing license in PA 
  • 5 years of hospital nursing experience or with healthcare leadership
  • MSN, MBA or MHA preferred 
  • Prior experience with Case Management or Utilization Review 
  • Knowledge of payor contracts and regulatory requirements.

Interested? Apply today!

Apply
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