Nurse Manager Utilization Management in Lake Charles, LA

A company is looking for a Manager of Utilization Management Administration Operations & Correspondence. Key Responsibilities Manage regulatory requirements for member and provider notifications and ensure contractual compliance Oversee daily operations of the Utilization Admin Ops and Correspondence team, including staff management and template implementation Act as a liaison with external entities and maintain positive communication with customers, providers, and members Required Qualifications Bachelor of Science in Nursing (BSN) Minimum of 3 years of progressive experience in an acute care setting Minimum of 3 years of utilization management review experience in a managed care organization Experience managing a remote team of utilization management reviewers Current and unencumbered Nurse Licensure Compact (NLC)