Manager - Clinical Utilization

Company Name:
Somerset Medical Center
Assist in coordination, planning, implementation and goal achievement of Care Management services and functions.
Five or more years job related experience including utilization and case management experience including three years supervisory/management experience. Knowledge of managed care utilization review criteria and an understanding of claims and denial process.
Bachelors Degree in Nursing or related field required.
Preferred qualifications include a Master''s Degree in Nursing. Additional preferred experience including working for a managed care payor with supervisory responsibilities.
Strong interpersonal and negotiating skills. Proven written and verbal communication skills. Leadership attributes. Assessment, planning and intervention skills. Case management / utilization management skills. Must be able to communicate effectively by speaking clearly and distinctly in English.
Date: 2014-05-21
Country: US
State: NJ
City: Somerville
Postal Code: 08876
Job Type: Full-Time

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