Care and Utilization Review Nurse Manager Salary in Pennsylvania

The Care and Utilization Review Nurse Manager oversees staff that process referrals, authorizations, billing, utilization review, and capitation for hospital services. Supervises and coordinates activities of personnel in the managed care operations department of a healthcare facility. Being a Care and Utilization Review Nurse Manager requires a bachelor's degree. Experienced in utilization review techniques and protocols. In addition, Care and Utilization Review Nurse Manager typically reports to a manager or head of a unit/department. May require Registered Nurse (RN). Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. The Care and Utilization Review Nurse Manager supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/ production environments. Working as a Care and Utilization Review Nurse Manager typically requires 3-5 years experience in the related area as an individual contributor. Thorough knowledge of functional area and department processes. (Copyright 2024 Salary.com)

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