Management Lead (RN UM) is an onsite position responsible for overseeing the daily operations of the utilization management team... and regulatory requirements. The RN Utilization Management Lead (RN UM) coordinates care submission relating to the process...
and manages the delivery of nursing services and safe patient care which are integrated with business plans and meet or exceed... cost, quality,clinical and utilization standards and performance measures. Ensures that services meet members...
Director, Patient Safety & Clinical Risk Management Downey, CA, US $170,400 – $205,100 + Performance Bonus... below, this position is also responsible for overseeing critical risk management projects such as cybersecurity, changes to the...