Skip to content
RemoteRN
Post a job
← All jobs
10d ago Curated

Supervisor, Utilization Management (RN)

Centene
  • Utilization Review
  • Full-time
  • $70,000 – $126,000
  • License: Any US
  • 3+ years

Job description

Supervise a team of Utilization Management nurses performing prior authorization and medical necessity reviews. Oversee daily operations, ensure compliance with regulatory and accreditation standards, and provide coaching and development. Requires active RN license, 3+ years clinical experience, and 1+ year supervisory experience. Remote position with occasional travel for meetings.

Key responsibilities

  • Supervise UM nursing staff
  • Ensure compliance with NCQA, CMS, and state regulations
  • Conduct performance reviews and coaching
  • Monitor productivity and quality metrics

What you bring

  • Active RN license
  • 3+ years clinical experience
  • 1+ year supervisory experience
  • Knowledge of UM processes and regulations

Tags

RemoteUtilization ManagementSupervisorCentene

Related roles

More open utilization review positions.