System Supervisor Utilization Review

System Supervisor Utilization Review

Orlando Area

Our Client is a multiple hospital system that has tripled its size since it opened and has been recognized by Modern Healthcare as the fastest growing hospital in the nation. They are located in the heart of America’s largest retirement development. They were recently recognized for quality and safety as well as their dedication to Patient Safety Excellence.

The Utilization Supervisor supervises the utilization management division of the case management department, coordinates utilization review case management activities, and supports the organization’s mission in providing for quality reviews, admissions status accuracy, and clinical medical necessity review and submission to payers for all patients. The Utilization Review Supervisor works closely with the Administrative Director of Case Management focuses on a proactive, individualized approach to optimize utilization cost, reimbursement maximization, and reduce risks of take-backs when audited.

Qualifications:

·        Bachelors Degree Required

·        CCM Preferred

·        FL RN License required 

For prompt and confidential consideration, please apply to the link below: