Manager, Clinical Services Utilization Management/Case Management

Provides oversight to the Utilization Management/Case Management (UM/CM) staff and works with Director to promote the development of the UM/CM program. The Manager of Utilization Management/Case Management provides direct supervision and support to the UM/CM staff under the direction of the Director Clinical Services including performing utilization management and/or case management for individual members throughout the continuum of care. Acts as an active member of the leadership team participating in daily operations, audits, process change and program development. Facilitates the development and engagement of clinical personnel, and understanding of the program among department leaders, staff and providers.

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