Florida Licensed Utilization Management VP
Company: VirtualVocations
Location: Riverside
Posted on: February 4, 2025
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Job Description:
A company is looking for a VP of PHCO Utilization Management -
Medicare & Duals.
Key Responsibilities
Oversee operations of utilization management, including referral
management and prior authorization across multiple product
lines
Develop and implement training programs for clinical and
non-clinical staff in centralized and regional settings
Ensure compliance with NCQA standards and collaborate with
management on policies regarding prior authorization and concurrent
review
Required Qualifications
Bachelor's degree in Nursing or a related field, or equivalent
experience
10+ years of experience in nursing, utilization management, or case
management in an acute care setting
Experience in a managed care environment
Previous management experience, including hiring and training
responsibilities
Current nursing license in the state of practice
Keywords: VirtualVocations, Corona , Florida Licensed Utilization Management VP, Executive , Riverside, California
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