BCBSAZ
Supervisor, Utilization Review (TOC) - Hybrid
AZ Blue Phoenix, AZ 85021 · Full-time
Sponsorship not specifiedDetected 30 days ago
StatisticsExcelCustomer SupportLeadershipCommunication
About the role
- Our positions are classified as hybrid, onsite or remote.
- This position is hybrid within the state of AZ only.
- This hybrid work opportunity requires residency, and work to be performed, within the State of Arizona.
Responsibilities
- Manage day to day activity of assigned team. Directly supervises staff including participating in hiring, monitoring and evaluating performance, timecards, staff training.
- Perform all other duties as assigned
Requirements
- 2 years of direct clinical experience
- 1 year of experience in utilization review
- Associate's Degree in general field of study
- Required Work Experience
- Required Licenses
- Required Certifications
- Required Education
- Active, current, and unrestricted license to practice in the State of Arizona as a Registered Nurse (RN)
- 1 year of managed care/health plan experience
- Preferred Education
Nice to have
- 1 year of Medicaid and Medicare experience
- Bachelor's Degree in Nursing or related field of study
- Preferred Work Experience
- Preferred Licenses
- Preferred Certifications
- Ensures inpatient authorization requests are completed accurately, thoroughly, and in a timely fashion to meet contractual requirements and ensures all reviews are conducted using InterQual.
- Evaluating statistics on department's volumes, results, including approvals, denials, turnaround times for department and individual staff.
- Preparing and delivering reports to department and management staff.
Skills
- Required Professional Competencies
- Required Leadership Experience and Competencies
- oral and written
- Preferred Job Skills
- Preferred Professional Competencies
- Preferred Leadership Experience and Competencies
- Our Commitment
- For more information on our company, see azblue.com.
- If interested in this position, please apply.
Benefits
- Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy.
Company info
- At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work.
This listing is sourced directly from BCBSAZ's careers page and normalized into a canonical job model.