Supervisor, Referral Services

The Supervisor, Referral Services is responsible for managing the Referral Services staff to ensure timely processing of incoming authorizations, referrals, and review of post-service issues such as claims. Additionally, they will have regulatory oversight responsibilities for annual audits and participation in QI activities/committees.

Requirements

• Minimum of three years recent acute clinical experience
• Minimum of three years utilization review/manage care experience
• Prior supervisory experience with the ability to manage a large team of diverse employees with differing job descriptions
• Managed care experience in medical management desirable, preferably in an HMO or IPA setting
• Experience with ICD-9, CPT and HCPCS codes preferred