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Supervisor, Medical Management (Clinical)

Company: Centene
Location: Little Rock
Posted on: November 11, 2019

Job Description:

Supervisor, Medical Management (Clinical) Position Purpose: Supervise the day-to-day operations of the medical management, utilization and case management functions for the corporate nursing clinical team and centralized transplant unit. - Oversee daily operations of specific areas within the Medical Management department - Assist senior management with input surrounding budgets and forecast for strategic planning and key initiatives. Balance current and future needs effectively. - Ensure compliance with established work processes related to concurrent review, case management, referrals, pre-authorization policies, procedures, and processes - Assure that Medical Management Operational Services functions and responsibilities are coordinated with other operating departments of health plans and Corporate teams - Assist senior management with statistical analysis of utilization data Education/Experience: Associate's degree in Nursing or equivalent experience. Bachelor's degree preferred. 3+ years nursing experience, case/utilization management or quality improvement in a healthcare environment, preferably managed care. Licenses/Certifications: Current state's RN license. Valid driver's license and automobile insurance. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Clinical & Nursing USA-Arkansas-Little Rock Arkansas Total Care Full-time

Keywords: Centene, Little Rock , Supervisor, Medical Management (Clinical), Healthcare , Little Rock, Arkansas

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