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Utilization Management Manager

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Posted By:
Ashleigh Caplan
Posting ID:
5720o2840
Location:
Redlands, California
Telephone:
561-686-6800
Tags:
 healthcare 
Category:Medical / Health
Listing Type:Job

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Seeking a Utilization Management Manager. Apply Today!

Beaver Medical Group is one of the most comprehensive medical groups in Southern California with 250 doctors in 25 specialties, offering many on-site services, such as laboratory drawing, radiology, optical shops and more. Founded 70 years ago, Beaver Medical Group has maintained a reputation for quality medical service. The Beaver Medical Clinic supports the community and its many local events, and regularly grants scholarships to schools throughout the Inland Empire.

Utilization Management Manager
Redlands, California

In this essential role, you will oversee and coordinate staff activities in the UM Department to ensure that effective services are provided and quality standards are met. As UM Manager, you will also assist the UM Executive Director, the CMO and the client Medical Directors in the execution of a comprehensive UM Program to meet all regulatory requirements. Importantly, you will assume day-to-day supervisory responsibilities of all Utilization Management Department Case Managers, UM Nurses and UM Specialists, in conjunction with the Executive Director of UM and EPIC Medical Director.

To qualify, you should be a graduate of an accredited school of nursing (a Bachelor’s degree or current, related work experience is preferred) and hold current and valid RN licensure in the state of California. At least two years’ experience as an RN in an acute care or ambulatory setting is required. Additionally, you’ll need working knowledge of guidelines and regulations relevant to case management and utilization management, including Medicare, DMHC, NCQA and Milliman Care Guidelines. Finally, you should be computer proficient and able to work collaboratively with a multidisciplinary team.

EPIC Management, L.P. employs Beaver Medical Group’s medical and administrative staff. EPIC offers a competitive base salary, excellent bonus incentives, profit sharing, generous vacation time, health insurance, disability and term life insurance, a 401(k) plan with matching funds, and much more.

Grow your talents and expertise with a top-quality community healthcare organization! Send your resume for immediate consideration. Please be sure to specify “Utilization Management Manager – 37113” in the subject line.

Beaver Medical Group is an Equal Opportunity Employer.

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