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Remote MRU Clinical Supervisor

Lead statistical analysis of utilization data for strategic decision-making.
Arizona, United States
Senior
$67,400.00 - $121,300.00 per year
1 week ago
Centene

Centene

Transforming the health of the communities we serve, one person at a time

✨ About The Role

- Supervise the day-to-day operations of medical management, utilization, and case management functions - Oversee changes to medical service functions and performance in relation to company mission, philosophy, objectives, and policies - Ensure compliance with established onsite and concurrent review, case management, referral, pre-authorization policies, procedures, and processes - Coordinate Medical Services functions and responsibilities with other operating departments of the Plan and Corporate - Participate in NCQA accreditation of the Plan and case review with Medical Directors

⚡ Requirements

- Experienced nursing professional with a state registered nursing license and advanced degree preferred - Skilled in quality improvement, case/utilization management in a healthcare environment, preferably managed care - Previous experience leading in a functional area or managing cross functional teams on large scale projects - Strong analytical skills with the ability to conduct statistical analysis of utilization data - Ability to balance current and future needs effectively and assist in strategic planning and key initiatives
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Remote MRU Clinical Supervisor
Various
$67,400.00 - $121,300.00 per year
Healthcare Administration
About Centene
Transforming the health of the communities we serve, one person at a time