Manager of Utilization Management
The Judge Group Inc.

New York, New York

This job has expired.

Location: REMOTE
Description: Judge Healthcare is currently seeking a Manager of Utilization Management for our client, a large managed care company in the nation. This role will be REMOTE, candidates should live in the Pacific time zone.

Full time, direct hire opportunity offering a competitive compensation package!

This job will have the following responsibilities:

  • Manages processes related to potential quality issues and grievances.
  • Provides supervision and technical guidance to the clinics' RN Managers (subcontracted staff) on clinical matters.
  • Monitors and manages the medical records documentation, i.e., clinical reminders.
  • Oversees the performance improvement program including preparation of contractually required reports.
  • Trains staff on clinically related operational policies and procedures.
Qualifications & Requirements:
  • BSN or higher required
  • Active Registered Nursing license
  • 5+ years of Utilization Management experience in managed care


This job and many more are available through The Judge Group. Find us on the web at

This job has expired.
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