Overseeing day to day operations for Utilization Management - Clinical in healthcare settings. Mentoring team and ensuring compliance with internal policies and procedures.
Responsibilities
Serves as a content model expert and mentor to the team regarding practice standards, quality of interventions, problem resolution and critical thinking
Monitor transactions with an ongoing basis and take corrective steps where necessary or make incremental improvements.
Assist new hires such that they are productive on the floor in the shortest possible time frame
Provides inputs on process and system to the team members.
Client Interaction, where required at the level of Supervisors.
Ensure compliance with internal policies and procedures, external regulations and information security standards.
Requirements
Registered nurse with at least 1 year of clinical and/or UM experience
Ability to interpret assignments and understand department strategy
Adaptable with the ability to thrive in a fast paced environment with strong attention to detail
Capacity to multi-task, including use of multiple computer applications simultaneously
Effective verbal and listening communication skills
Experience making decisions and working independently with little supervision
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Benefits
Ability to work in a continually challenging environment
Good written and verbal communication skills
Good leadership skills
Customer Service oriented
Quality oriented
Empathy for effective on the job coaching and feedback
Understanding of end-to-end processes and appreciation of critical parameters
Job title
Lead Assistant Manager – Healthcare Operations Management, Utilization Management
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