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LEAD UTILIZATION MANAGEMENT NURSE
Jefferson City, MOWelcome to Centurion Health, a leading force in healthcare dedicated to serving special populations. We specialize in providing healthcare services to multi-site large populations. At Centurion Health, we’re not just setting the standard; we’re going beyond patient care and redefining it with excellence in healthcare nationwide.
Overview
Position Type: Full-Time
Job Shift: Day
Education Level: Bachelor's Degree
Travel Percentage:
jobCategory: Nursing Professional & Support
Description
Centurion is proud to be the provider of comprehensive healthcare services to the Missouri Department of Corrections.
We are currently seeking a full-time Lead Utilization Management Nurse to join our team at MO Regional Office located in Jefferson City, Missouri.
The Lead Utilization Management Nurse is responsible for managing and supporting the utilization management review process and centralized scheduling programs within a statewide contract, offering support and direction to the UM Team and assisting staff in the processes and documentation associated with the statewide evidence-based utilization management review program. The UM Manager engages in prospective review, concurrent review, retrospective review, complex case management, and continuity of quality medical services to include office, hospital, and free-standing diagnostic services, specialty care services, surgical services, and inpatient care. This professional contributes to the evaluation of the UM program and staff through review of data, inter-rater reliability, and other standard program evaluation tools.
Qualifications
Education/Credentials/Experience
- Bachelor's degree in nursing or related field required
- Master's degree in nursing or related field preferred
- Registered Nurse (RN) license required
- Minimum of five (5) years of experience in utilization management, case management, disease management, health information management, nursing management, healthcare quality monitoring/auditing, or related field required
- Medical management, case management, disease management, quality management, or CCHP certification preferred
- Knowledge of statistics, data collection, analysis, and data presentation
- Experience working with a correctional institution or agency preferred
- Must be able to pass background investigation and obtain agency security clearance
Full-Time Day Shift
We offer excellent compensation and comprehensive benefits for our full-time team members including:
- Health, dental, vision, disability and life insurance
- 401(k) with company match
- Generous paid time off
- Paid holidays
- Flexible Spending Account
- Continuing Education benefits
- Much more...
For more information, please contact Nefretiri Spicer at 615.237.7113 or nspicer@teamcenturion.com
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