Lead Utilization Management Nurse (77166)

Centurion is proud to be the provider of comprehensive healthcare servicesto theMissouri Department of Corrections.

We are currently seeking a full-timeLead Utilization Management Nurse to join our team at MO Regional Officelocated inJefferson City Missouri.

The Lead Utilization Management Nurse is responsible for managing and supporting the utilization management review process and centralized scheduling programs within a statewide contract offering support and direction to the UM Team and assisting staff in the processes and documentation associated with the statewide evidence-based utilization management review program. The UM Manager engages in prospective review concurrent review retrospective review complex case management and continuity of quality medical services to include office hospital and free-standing diagnostic services specialty care services surgical services and inpatient care. This professional contributes to the evaluation of the UM program and staff through review of data inter-rater reliability and other standard program evaluation tools.

Education/Credentials/Experience

• Bachelors degree in nursing or related field required
• Masters degree in nursing or related field preferred
• Registered Nurse (RN) license required
• Minimum of five (5) years of experience in utilization management case management disease management health information management nursing management healthcare quality monitoring/auditing or related field required
• Medical management case management disease management quality management or CCHP certification preferred
• Knowledge of statistics data collection analysis and data presentation
• Experience working with a correctional institution or agency preferred
• Must be able to pass background investigation and obtain agency security clearance

Full-Time Day Shift

We offer excellent compensation and comprehensive benefits for our full-time team members including:

• Health dental vision disability and life insurance
• 401(k) with company match
• Generous paid time off
• Paid holidays
• Flexible Spending Account
• Continuing Education benefits
• Much more...

For more information please contact Nefretiri Spicer at 615.237.7113 or

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