Join Martin Luther King, Jr. Community Hospital as an RN Utilization Management Lead, where you'll oversee the utilization management team to ensure quality patient care and compliance with clinical guidelines. This role offers the opportunity to lead process improvements and mentor staff in a collaborative healthcare environment.
Key Responsibilities
Oversee daily operations of the utilization management team
Ensure timely and compliant reviews for medical necessity and prior authorizations
Collaborate with medical directors and care teams
Mentor staff and monitor workflow
Participate in quality improvement initiatives
Required Qualifications
Associates Degree in Nursing or equivalent
Current California Registered Nurse License
Minimum 5 years recent experience in Case Management or Utilization Management or Prior Authorization