Available Positions

Utilization Management Nurse at Health Insurance in Springfield, Massachusetts, United States —

  • Healthcare
  • Health Insurance
  • Springfield, Massachusetts, United States
  • 8/3/20

Job ID: 149049

Job Description

  • Insurance company in Springfield looking for a full time utilization management supervisor to join their team as soon as possible
  • Full time case load: Monday – Friday 9am – 5pm
  • Responsibilities will include:
    • Develop, document, and implement policies to ensure departmental compliance with regulations and accreditations
    • Develop, revise, and administer quality programs
    • Provide individual performance summaries and data for review with individuals
    • Maintain monthly tracking and reporting system for quality and productivity components
    • Investigate trends, identify problems, and work collaboratively with specific individuals to resolve issues
    • Provide coaching to associates based on results and develop improvement plan
    • Collaborate with department manager in hiring, staff development, evaluations, and training to ensure cohesive department
    • Identify and analyze current workflow and procedures to recommend process improvements, system enhancements, and benefit changes

Qualifications

Bachelor’s Degree in Nursing and current MA RN license required

3-5 relevant experience required

Apply

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