Responsible for overseeing workflow and performance of lower level Utilization Management Managers. Ensures compliance with departmental policies and procedures. Primary duties may include, but are not limited to: Implements short/long-term objectives and monitors results to assure attainment of goals. Performs audits to monitor efficiency and compliance with policies. Hires, trains, coaches, counsels, and evaluates performance of direct reports. Requires 5 years progressively complex customer service or call-center experience and supervisory experience; or any combination of education and experience, which would provide an equivalent background. BA/BS in a clinical area plus RN, MFT or LCSW license preferred. For URAC accredited areas the following applies: Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
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