Manager, Medical Utilization and Care Management
Judi Health
Location: Charlotte, North Carolina, United States; Denver, Colorado, United States; New York, New York, United States, United States
Manager, Medical Utilization and Care Management at Judi Health in Charlotte, Denver, or New York **What you'll do** - Provide oversight for vendors conducting utilization management and care management - Oversee vendor execution of utilization reviews to ensure medical necessity - Monitor vendor documentation practices to support risk adjustment and compliance - Ensure vendor compliance with regulatory and accreditation standards **What they're looking for** - Active unrestricted RN license (BSN preferred) - 5+ years of experience in utilization management or care coordination - Experience with URAC and NCQA requirements - Strong leadership skills for managing vendor relationships **Details** - Location: Charlotte, Denver, or New York, United States (Hybrid) - Type: Not specified - Salary: null
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