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Manager of Utilization  Management – Dental Hygienist – RDH

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Location
TAMPA, FL
Salary
$80,000 - $110,000
Job Type
Direct Hire
Degree
Bachelor
Date
Aug 10, 2017
Job ID
2510939
Manager of Utilization  Management – Dental Hygienist – TAMPA - FLORIDA 
RDH


Salary is generous!  Fortune 100 dental health insurance – so much room to grow – WONDERFUL benefits!
Active Registered Dental Hygienist – any state
Must work in Tampa – NICE relocation package!

 
Perform duties to conduct and manage the day to day operations of the utilization management function. Communicate with staff to facilitate daily department functions.
  • Review analyses of activities, costs, operations and forecast data to determine progress toward stated goals and objectives.
  • Promote compliance with federal and state regulations and contractual agreements.
  • Develop, implement and maintain compliance, policies and procedures regarding medical utilization management functions.
  • Develop, implement, and maintain utilization management programs to facilitate the use of appropriate medical resources and decrease the business unit's financial exposure.
  • Compile and review multiple reports on work function activities for statistical and financial tracking purposes to identify utilization trends and make recommendations to management.
  • Facilitate on-going communication between utilization management staff and contracted providers.
  • Develop staff skills and competencies through training and experience. Available to non-clinical staff as a resource for clinical questions.
Required:
- Bachelor's Degree in Dental Hygiene.
- 3+ years of Dental Utilization Review experience
- 7-10+ years of clinical Dental Hygiene experience.
- Active Registered Dental Hygienist - any state. RDH
- Currently in a Supervisor or Manager role now with 3-5 years in a leadership role total.