Manager of Utilization Management | Health Plan | RN

Job Overview:

Job Title: Manager of Utilization Management |Health Plan
Employer: Managed Care Health Plan
Location: Pasadena, California
Job Type: Full-Time
Profession: Registered Nurse
Career Level: Experienced
Experience: 1-2 years
Education Level: Bachelor’s Degree (or equivalent experience)

Job Description:

Manager, UM – Greater Los Angeles – Health Plan (also interviewing for Manager, CM)

Growing healthcare enterprise is very committed to employee growth and development.  Headquartered in California and operating in two other states, our client is committed to delivering value based care that is clinically effective, sustainable, and achieves exceptional outcomes.  This is full service (HMO and HMO SNP) Medicare Advantage Prescription Drug and Special Needs Plan.

As the manager of Utilization Management you will lead an innovative, progressive team caring for members with complex and chronic conditions.  This is a position that will call upon your clinical, management, mentoring, leadership, organizational, strategic, and problem-solving skill.

Brilliant leadership team!

Manager will report to a Sr. Director and will be the hands on leader for the team of RN’s handling UM and Prior Auth.


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Job Requirements:

  • 3+ years of UM | Prior Auth – preferably in a health plan
  • Current California RN license
  • Experience in leading and mentoring a team
  • Salary + discretionary bonus opportunities!


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