Top 43390 Utilization manager Jobs

Director, Member Advocate Center
Costco Auto Program —Reno, NV
- $100,000 - $110,000 a year
- Full-time
- 7 years
- Microsoft Outlook
- Bachelor's degree
Quick Apply
Manager Inpatient Case Management
Clinical Management Consultants —Durango, CO
- $109,560 - $134,690 a year
- Full-time
- Acute care
- Hospital
- Acute care experience
- Health insurance
Utilization Review Supervisor - FT - Day - Utilization Resource Management Pennington NJ
Capital Health —Pennington, NJ
- $86,964.80 - $113,672.00 a year
- 8 hour shift
- Nursing
- RN License
- Computer literacy
- AD&D insurance
- Disability insurance
Clinical Operations Manager
PWP Health —Illinois
- $110,500 - $120,000 a year
- Full-time
- 5 years
- Bachelor's degree
- Psychology
- Health insurance
- Dental insurance
Quick Apply
Nurse Manager Case Management and Utilization Review
Clinical Management Consultants —Tucson, AZ
- $128,660 - $154,700 a year
- Full-time
- Acute care
- Nursing
- Acute care experience
- Tuition reimbursement
- Paid time off
Remote Nurse Case Manager - Utilization Review SNF
LTC Ally —Remote
- From $30 an hour
- Full-time
- Remote
- LVN
- RN License
- Mid-level
- Health savings account
- Health insurance
Quick Apply
Program Manager EHR Trainer
SCA Health —Remote
- $112,000 - $125,000 a year
- Full-time
- 3 years
- Continuous improvement
- Mentoring
- Disability insurance
- Health insurance
8d
Utilization Review Nurse
Cobalt Benefits Group LLC —Dallas, TX
- $90,000 - $98,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- AD&D insurance
Quick Apply
Denials & Appeals Administrator (RN)
Boston Medical Center —Remote
- $43.03 - $62.50 an hour
- Full-time
- Remote
- Nursing
- RN License
- 5 years
- Health insurance
- Dental insurance
RN Case Manager, Per Diem (SMH)
UCLA Health —Santa Monica, CA
- $93.83 - $98.52 an hour
- Per diem
- Nursing
- RN License
- BLS Certification
RN Case Manager
MedStar Health —Washington, DC
- $89,065 - $162,801 a year
- Full-time
- Nursing
- Microsoft Excel
- RN License
RN Case Manager - Complex Cases
UCLA Health —Santa Monica, CA
- $65.53 - $84.75 an hour
- Nursing
- RN License
- BLS Certification
Case Manager
SSM Health Rehabilitation Hospital —St. Louis, MO
- $77,000 - $105,000 a year
- 8 hour shift
- RN License
- Hospital
- Inpatient
- Dental insurance
- Paid time off
Quick Apply
11d
Utilization Management Clinician I
Community Health Plan of Washington —Seattle, WA
- $35.92 - $55.67 an hour
- Full-time
- Mid-level
- Analysis skills
- Critical & Intensive Care
- Paid jury duty
- Health savings account
Quick Apply
Care Manager, Concurrent Review (Remote)
EmblemHealth —New York, NY
- $68,040 - $118,800 a year
- Remote
- Nursing
- Microsoft Outlook
- RN License
Director, Utilization Management Operations
Devoted Health —Remote
- $182,000 - $248,000 a year
- Full-time
- Remote
- Travel
- In-person
- Senior level
- Dental insurance
- 401(k)
9d
Care Manager-New Bedford/Fall River
Point32Health —Remote
- $87,073.33 - $130,609.99 a year
- Full-time
- Nursing
- RN License
- 5 years
- Disability insurance
- Health insurance
Mgr Denials Management
Brown University Health —Providence, RI
- $97,718.40 - $195,436.80 a year
- 8 hour shift
- Remote
- RN License
- 5 years
- Writing skills
Nurse Specialist II
Qlarant —Remote
- $56,055 - $83,665 a year
- Full-time
- Remote
- RN License
- Mid-level
- Bachelor's degree
Quick Apply
Oncology Prior Authorization Case Manager, Non-RN - Remote
University of Miami —Miami, FL
- Full-time
- Remote
- Mid-level
- Bachelor's degree
- Experience equivalent to degree accepted
- Health insurance
- Dental insurance

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utilization manager jobs near

Director, Member Advocate Center

Costco Auto Program
Reno, NV

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Job Details

Full-time
$100,000 - $110,000 a year

Qualifications

Optimizing workflow processes
Staff performance monitoring
Staff supervision
Microsoft Outlook
Team supervision
Managing teams in a customer support role
Phone communication
Coaching
Customer satisfaction tracking
Employee relationship building
Metrics Reporting
Talent development
Team development
Quality performance measurement
Mentoring
Data interpretation
Process improvement planning
Call center management
Senior leadership
Client interaction via phone calls

Full Job Description

Description:

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Provide strong, dynamic leadership that mentors, develops, and guides team members of all levels
Planning and management of staff, with an emphasis on recruiting and retaining all promotional staff through strategic workforce planning.
Organizes, oversees and assumes responsibility for contact center operations such as customer phone calls and emails, daily personnel activities, schedules and training, customer service and other administrative duties.
Manages performance to meet and exceed team and company performance goals and KPI’s such as Service Level, Average Speed of Answer, Abandon percentage, etc.
Tracking and reporting performance metrics to include call efficiency, satisfaction rates, staffing utilization and turnover.
Monitoring results of Quality Assurance (QA) programs fostering continuous performance improvement
Develop and maintain effective organization of responsibility, including efficient recruiting, training, coaching, recognition, workflow patterns, performance standards, delegation of duties, staffing levels and supervision
Works with the department Managers and Supervisors to fulfill department staffing objectives by reviewing headcount, workload and shift requirements.
Collaborates with Managers and Supervisors on ensuring job expectations are communicated appropriately to all staff.
Ensures that all Managers and Supervisors are continually monitoring, appraising, coaching and reviewing all staff.
Planning and reviewing compensation
Maintains professional and technical knowledge by tracking emerging trends in call center operations management; attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies
Ensuring detailed records of communications are kept in database.
Conduct cross- departmental training sessions before, during, and after the launch of a promotion.
Contribute towards the completion of projects as work volume requires. Including, but not limited to escalated member and dealer issues.
Other duties as assigned

Requirements:

10 years of Call center experience in a managerial role (customer service preferred)
Bachelor's degree preferred or equivalent combination of education and experience.
Minimum of 7 years’ experience leading high performing team
Proficient in MS Office Suite (Outlook, Word, PowerPoint, Excel)
Proven leadership and management skills
Proven experience managing KPI’s (metrics related to member satisfaction, performance levels related to inbound/outbound calls)
Ability to mentor, empower and develop employees
Superb decision making and problem-solving skills
Strong analytic skills
Takes initiative with strong planning and organizational skills
Excellent oral and written communication skills
Excellent customer service skills and phone etiquette
Flexible and able to adapt to change in a fast-paced environment
Positive thinker, able to stay calm under pressure
Excellent interpersonal skills with ability to work with all levels of Senior Management
Takes initiative towards process improvement to gain efficiencies within the department
Ability to establish and maintain effective working relationships with all levels of managers and staff
Must possess strong work ethic for success in a fast-paced dynamic work environment

Quick Apply

Refine Your Search

utilization manager jobs

Director, Member Advocate Center

Manager Inpatient Case Management

Utilization Review Supervisor - FT - Day - Utilization Resource Management Pennington NJ

Clinical Operations Manager

Nurse Manager Case Management and Utilization Review

Remote Nurse Case Manager - Utilization Review SNF

Program Manager EHR Trainer

Utilization Review Nurse

Denials & Appeals Administrator (RN)

RN Case Manager, Per Diem (SMH)

RN Case Manager

RN Case Manager - Complex Cases

Case Manager

Utilization Management Clinician I

Care Manager, Concurrent Review (Remote)

Director, Utilization Management Operations

Care Manager-New Bedford/Fall River

Mgr Denials Management

Nurse Specialist II

Oncology Prior Authorization Case Manager, Non-RN - Remote

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