Food Service Manager supervising kitchen operations at Bradford Health Services. Ensuring quality food service and compliance with healthcare regulations in a dynamic team environment.
About the role
- Utilization Review Manager overseeing daily review operations and compliance at Saint Alphonsus in Boise, Idaho. Providing supervisory leadership and collaborating with medical teams for optimal outcomes.
Responsibilities
- Oversee daily utilization review operations, serving as first point of escalation for issue resolution.
- Ensure compliance with payer and regulatory requirements.
- Provide supervisory leadership through scheduling, performance management, and guiding staff development.
- Direct utilization review workflows and medical necessity evaluations.
- Manage denial prevention, expedited appeals, and payer communication to secure authorizations.
- Collaborate closely with Physician Advisors, CRM Managers, and the multidisciplinary team to maintain reporting and optimize departmental processes.
Requirements
- Licensed in the State of Idaho as a Registered Nurse as defined by the Idaho State Board of Nursing.
- BSN required
- 5 or more years of experience in utilization review or case management or similar required.
- 2 or more years of supervisory experience required.
- American Heart Association Basic Life Support for HealthCare Provider (BLS/HCP) certification required
Benefits
- Day 1 Benefits – colleagues are eligible for our plans from their very first day of work.
- Market-competitive pay
- Generous PTO
- Retirement planning and matching
- College savings plans for your family
- Multiple life insurance plans
- Employee Assistance Programs
- Tuition reimbursement
- Educational opportunities
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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