ElCentroRecruiter Since 2001
the smart solution for El Centro jobs

Supervisor, Utilization Management

Company: Centene Corporation
Location: El Centro
Posted on: September 18, 2019

Job Description:

Position Purpose: Supervise the daily operations of the utilization management (UM) department

  • Supervise the daily operations of the UM staff
  • Ensure appropriate usage of resources in order to facilitate the UM process
  • Ensure compliance within applicable state program guidelines
  • Evaluate compliance policies and procedures and analyze/recommend enhancements
  • Assist with ensuring consistent data collection from UM staff that is used to assist the company in achieving corporate goals, to improve monitoring and reporting in order to meet external requirements
  • Identify opportunities for process improvements necessary to facilitate department functions
  • Educate staff as necessary to ensure consistent performance and adhere to standards
  • Assist UM Manager and Director with coordinating and facilitating system processes with providers, partners, vendors, and subcontractors as necessary
    Education/Experience: 3+ years of utilization management/quality improvement experience. Working knowledge and understanding of basic utilization management and quality improvement concepts. Previous experience as a lead in a functional area or managing cross functional teams on large scale projects.

    For Arizona Complete Health-Behavioral Health UM Team:
    Licenses/Certifications: Licensed Clinical Social Worker (LCSW), Licensed Master Social Worker (LMSW), Licensed Marriage & Family Therapist (LMFT), Licensed Professional Counselor (LPC), Licensed Associate Marriage & Family Therapist (LAMFT), Licensed Associate Counselor (LAC), Licensed Associate Master Social Worker (LAMSW) or Registered Nurse (RN), LPN, LVN

    For Sunflower Behavioral Health UM Team:
    Licenses/Certifications: Licensed Specialist Clinical Social Worker (LSCSW), Licensed Clinical Professional Counselor(LCPC), Licensed Clinical Marriage and Family therapist (LCMFT), or Licensed Registered Nurse (RN)

    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.

Keywords: Centene Corporation, El Centro , Supervisor, Utilization Management, Executive , El Centro, California

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Other Executive Jobs

DMPK Exectuive Director / Director
Description: Inception Sciences in San Diego, CA is looking for an enthusiastic, hard-working and highly motivated Director/Executive Director of DMPK to join our multidisciplinary drug discovery team in developing (more...)
Company: Inception Sciences, Inc.
Location: San Diego
Posted on: 10/18/2019

Office Manager
Description: Seeking an Amazing Office Manager for Naturopathic Medical Center br Established naturopathic medical center has an excellent opportunity for an Office Manager. Summary of Role: We are seeking a dynamic (more...)
Company: Nourish Medical Center
Location: San Diego
Posted on: 10/18/2019

Assistant Business Manager
Description: Since opening in 2000, the culture at Alliance has been one with an entrepreneurial spirit that consistently pushes the evolution of the multifamily industry. As a result, we've revolutionized the apartment (more...)
Company: Alliance Residential Company
Location: Chula Vista
Posted on: 10/18/2019

Veterinary Practice Manager
Description: At Veterinary Specialty Hospital VSH our mission is to advance the veterinary profession through our leadership in medicine, education, business and promotion of the human-animal bond. We strive to (more...)
Company: Veterinary Specialty Hospital by Ethos Veterinary
Location: San Diego
Posted on: 10/18/2019

Assistant Director
Description: Be a difference maker, with Learning Care Group. We are a community of collaborative, bold, fun, dedicated individuals, whose passion is the many children we guide, teach, and protect every day. As early (more...)
Company: Learning Care Group
Location: Chula Vista
Posted on: 10/18/2019

Account Manager - San Diego - Perform At A Mid To Senior Level With Subcontract
Description: This Account Manager - San Diego Position Features: br Perform At A Mid To Senior Level With Subcontract br - japanese Language Ability Helpful. br Establish A Strong Team Presence
Location: San Diego
Posted on: 10/18/2019

Data Solutions Architect, Data Platforms, Vice President
Description: Discover your opportunity with Mitsubishi UFJ Financial Group MUFG , the 5th largest financial group in the world as ranked by S P Global, April 2018 with total assets of over 2.9 trillion 106.2 (more...)
Company: MUFG
Location: San Diego
Posted on: 10/18/2019

Asset Manager
Description: MUST be willing to relocate to Utah br br We are seeking an Asset Manager You will be responsible for the effective management
Company: Now CFO
Location: San Diego
Posted on: 10/18/2019

Lab Technician II - Floater
Description: Industry leading pharmaceutical technology company is seeking a Lab Tech II to work in San Diego, CA. br br This is a twelve 12 month contract position with the possibility of extension/temp to (more...)
Location: San Diego
Posted on: 10/18/2019

Pizza Hut Shift Leader/Shift Manager
Description: DescriptionBecome your best and make hungry people happy as a Shift Leader for Pizza Hut . You'll get the benefit of our award-winning training program while you develop your management skills. Interested (more...)
Company: Pizza Hut
Location: San Diego
Posted on: 10/18/2019

Log In or Create An Account

Get the latest California jobs by following @recnetCA on Twitter!

El Centro RSS job feeds