Utilization Management Supervisor - SWHR CIN - Days - Farmers Branch

The ideal candidate will possess the following qualifications:

•  Associate’s degree in nursing required.

•  Bachelor's degree nursing preferred.
•  2 years of expereince in managed care required And

•  3 years of Utilization management experience in an acute or post-acute provider, health plan or other care company experience required And

•  2 years experience in direct patient care as an RN, preferred acute care (Ortho, Cardiology, Chemo/ Radiology) required And

•  Previous experience with managed care data systems and reports required.
•  RN - Registered Nurse upon hire required.
•  CCM - or equivalent URAC Recognized Case Management certification must be obtained within 18 months of employment or transfer into position required.

Skills
•  Strong analytical and organizational skills

•  Ability to apply professional standards of practice in work environment

•  Knowledge of specific regulatory, managed care requirements preferred

•  Must be proficient in various word processing, spreadsheet, graphics, and database programs including Microsoft Word, Excel, Access, PowerPoint, Outlook, etc. 

Southwestern Health Resources Clinically Integrated Network (SWHR CIN) is an affiliated company of Texas Health and UT Southwestern. If hired for this position, you will become a SWHR CIN employee rather than a Texas Health or UT Southwestern employee.