Job Summary
A company is looking for a Team Lead, Clinical Care Review with Utilization Management experience.
Key Responsibilities
- Oversee day-to-day workflow and performance of Clinical Care Review employees
- Monitor healthcare service delivery and ensure compliance with regulatory standards
- Assist in process improvement activities and act as a liaison between various departments
Required Qualifications, Training, and Education
- Graduate degree as a mental health professional or Bachelor of Science in Nursing, or equivalent experience required
- One year of Utilization Management/Utilization Review experience required
- Preferred minimum of five years clinical experience
- Current, unrestricted license as a Registered Nurse or mental health professional required
- MCG Certification preferred