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Essentia Health Utilization Management Supervisor (80 hours per pay period) in Duluth, Minnesota

Job Description:

Supports the oversight of Essentia Health Utilization Management team including scheduling, orientation and new employee follow up. Will be responsible for resolving day to day inquiries, coding, billing and physicians on patient status assignment, review process, criteria application, second level review processes, monitoring and assuring quality and standard work, performing quality checks and providing feedback to UM staff. Supervisor will be knowledgeable of utilization management regulations and application of current utilization management review criteria and provides feedback on development of review standard work documents.

Work Experience: 3 years of experience. Experience should be in utilization management, nursing (acute care).

Education Qualifications:

No educational requirement.

Licensure/Certification Qualifications:

Current licensure by the applicable state board of nursing as an RN (Registered Nurse).

Equal Employment Opportunity (EEO) at Essentia

It is our policy to afford EEO to all individuals, regardless of race, religion, color, sex, pregnancy, gender identity, national origin, age, disability, family medical history, genetic information, sexual orientation, marital status, military service or veteran status, culture, socio-economic status, status with regard to public assistance, and other factors not related to qualifications, including employees or applicants who inquire about, discuss, or disclose their compensation or the compensation of other employees or applicants, or membership or activity in a local human rights commission, or any other category as defined by law.