Evolving Solution Services is seeking a Director, UM - RN in Pasadena, CA to lead the UM, Prior Authorization and Inpatient teams. The role ensures compliance with federal, state, health plan and NCQA standards while driving operational excellence in daily activities.
The position requires a California RN with 5+ years of management experience in UM/Managed Care and strong leadership, communication, and problem-solving skills to manage staff and coordinate with clinical and non-clinical partners.
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