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Manager Utilization Review RN
JOB SUMMARYThe Manager Utilization Review RN provides leadership, strategic oversight, and monitoring of Utilization Review (UR) staff and programs, including the delivery of care coordination in all lines of business, management of targeted populations, expediting movement of members through appropriate levels of care, the evaluation of programs, improving programs, and creating new programs. Ability to assess and improve workflow and system configuration to meet regulatory and business requirements.ESSENTIAL FUNCTIONS OF THE ROLEDirects the daily operations of the Care Coordination Division related to all aspects of Utilization Management, Case Management, Disease Management, to include the staff, system, supplies, budget.Ensures that


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