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Duke University Health System
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Senior Manager, Utilization Management
The Sr. Manager, Utilization Management is responsible for managing clinical and nonclinical team members and may oversee complex case management, concurrent review, prior authorization, call center and or letter teams. Identifies, implements, and evaluates relevant performance metrics that allow for objective evaluation of staff and/or departmental performance. Responsible for monitoring and facilitating the attainment of performance metrics to meet departmental expectations for productivity and quality. Responsible for managing staffing requirements for daily workload and auditing of letters to comply with all regulatory requirements. Responsible to ensure the auditing of staff monthly, and as needed to maintain compliance with state, federal and accreditation require
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