Manager, Utilization Management

Business Area: Clinical & Care Management Job Type: Full time Position Purpose: Manages Prior Authorization, Concurrent Review, Retrospective Review Clinical Review and/or Appeals team to ensure appropriate care to members. Manages utilization management issues related to member care, provider interactions, and facilitates operations within utilization management. Key Details: This is a remote position, but candidates must reside in Oklahoma and hold an active RN license. The ideal candidate mu…