Supervisor, UM Coordinator

1 week ago

Chapel Hill, United States Brighton Health Plan Solutions Full time

About The Role The UM Coordinator Supervisor manages the daily operations of the UM Coordinator team providing direct guidance and support with authorization creation, caller escalation and investigation of complex cases. The UM supervisor interacts with the clinical team to support the plan’s clinical operations. The Supervisor of the UM Coordinator reports to the UM Manager and/or Director of Clinical Programs. Primary Responsibilities • Supervises and supports the UM Coordinators’ daily activities. • Provides mentoring and ongoing training of staff to enhance performance. • Manages departmental UM Coordinator activity and ensures appropriate staffing levels and scheduling to meet department KPI’s (Key Performance Indicators). • Collaborates with the clinical team and clinical leadership to address concerns and operational gaps in day- to-day activities. • Supports and mentors the UM Coordinator team. Handles caller escalations and resolves as needed. • Serves as subject matter expert (SME) for non-clinical authorization activities within the utilization management department. • Conducts quality call monitoring audits and case file audits with clinical leadership to coach performance and identify additional training needs. • Provides support to UM Coordinator team through regular monthly coaching sessions and team meetings. • Manages special projects and allocates resources as needed. • Collaborate with Network management team, Account Managers and Sales teams to gather feedback to enhance service performance. • Participate in activities designed to improve member and client satisfaction and business performance. • Works with UM Manager and/or Director to identify performance improvement initiatives and executes strategies accordingly. • Support projects and other departments in completing tasks when directed by management. Essential Qualifications • HS diploma or GED. • Team leadership experience required. • Strong medical record review skills. • Previous experience in quality monitoring, coaching, counseling, and progressive discipline strongly preferred. • Prior experience in another healthcare plan or third-party payor environments strongly preferred. • Ability to create staffing schedules and analyze workload volumes. • Basic computer operations knowledge. • Intermediate knowledge of Microsoft Office (Word, Excel, Access, PowerPoint, and Outlook. • Strong time management skills. • Previous knowledge of plan authorization activities and managed care procedures and workflows strongly preferred. • Courteous with strong customer service orientation. • Bachelor’s degree preferred (not required). • Familiarity with medical terminology required. About At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you’ll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion and a sense of belonging at every level. Here, you’ll be encouraged to bring your authentic self to work with all of your unique abilities. Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today’s healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today’s challenges into tomorrow’s solutions. Come be a part of the Brightest Ideas in Healthcare™. Company Mission Transform the health plan experience – how health care is accessed and delivered – by bringing outstanding products and services to our partners. Company Vision Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways. DEI Purpose Statement At BHPS, we encourage all team members to bring your authentic selves to work with all of your unique abilities. We respect how you experience the world and welcome you to bring the fullness of your lived experience into the workplace. We are building, nurturing and embracing a culture focused on increasing diversity, inclusion and a sense of belonging at every level. *We are an Equal Opportunity Employer Powered by JazzHR

  • Administrative Coordinator

    4 days ago

    Chapel Hill, United States UNC Health Full time

    Administrative Coordinator is needed for the Children's Surgery . This position is located in the Medical Center and is 40 hrs./week. Monday-Friday Responsibilities for this role will include scheduling and the manipulation of surgical cases as needed on a daily basis, coordinating patient throughput while maintaining proper communication with both...

  • Experienced Registered Nurse Supervisor Wanted

    6 days ago

    Chapel Hill, North Carolina, United States Liberty Health Full time

    Job Title: Experienced Registered Nurse SupervisorWe are currently seeking an experienced Registered Nurse Supervisor to join our team at Liberty Health and Rehabilitation Services.About Us:We promote a challenging but rewarding opportunity in a caring environment. With compassion, we strive to provide the best patient care possible.Job Description:Supervise...

  • Supervisor of Support Services

    1 week ago

    Chapel Hill, United States Residential Services, Inc.RSI Full time

    $2,000 Hiring Bonus! BASED IN CHAPEL HILL, NC Residential Services, Inc. (RSI) is currently seeking dedicated professionals to join our team as supervisors in providing clinical support to adults with intellectual and developmental disabilities and supervise the employees in a community-based residential setting. Established in 1974, RSI has been a trusted...

  • Residential Support Services Supervisor

    1 week ago

    Chapel Hill, North Carolina, United States Residential Services, Inc.RSI Full time

    Job OverviewAt Residential Services, Inc. (RSI), we are committed to empowering individuals with intellectual and developmental disabilities to lead fulfilling lives.We are currently seeking a dedicated supervisor to join our team in providing clinical support and supervision in a community-based residential setting.ResponsibilitiesDevelop and coordinate...

  • Nursing Supervisor Role for Experienced Professionals

    4 days ago

    Chapel Hill, North Carolina, United States Liberty Health Full time

    Liberty Healthcare and Rehabilitation Services offers a unique opportunity for a Registered Nurse Supervisor to join our team in a part-time, weekend capacity. With a focus on delivering exceptional patient care, we seek an experienced professional to lead our nursing staff.About Liberty Healthcare and Rehabilitation ServicesWe promote a challenging yet...

  • Administrative Coordinator

    7 days ago

    Chapel Hill, United States UNC Health Care Full time

    **Description** Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Performs a variety of administrative functions in support of a program or an administrative official in carrying out departmental financial and operating procedures and/or a...

  • Licensed Practical Nurse

    3 months ago

    Forest Hill, United States University of Maryland Medical Center Baltimore Washington Full time

    Job Description JOB SUMMARY: Under general supervisor, this role utilizes the nursing process to deliver care to adult to geriatric population as defined in the unit-specific structural standards of the assigned area. Work in a residential hospice facility as an UCH employee dedicated to providing compassionate end of life care in Forest Hill,...

  • Administrative Coordinator

    6 days ago

    Chapel Hill, United States UNC Health Full time

    Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Performs a variety of administrative functions in support of a program or an administrative official in carrying out departmental financial and operating procedures and/or a program's...

  • Administrative Coordinator

    6 days ago

    Chapel Hill, United States UNC HEALTH Full time

    Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.Summary:Performs a variety of administrative functions in support of a program or an administrative official in carrying out departmental financial and operating procedures and/or a program's...

  • Administrative Coordinator

    7 days ago

    Chapel Hill, United States UNC Health Care Full time

    Job Description Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.Summary:Performs a variety of administrative functions in support of a program or an administrative official in carrying out...

  • Hotel Front Desk Supervisor

    6 months ago

    Chapel Hill, United States Hampton Inn & Suites Full time

    Job title: Front Office Supervisor Reports to: General Manager Job purpose The role of the Front Office Supervisor is to assist the Front Office Manager in directing and coordinating the activities of the front desk, reservations, guest services and shuttle services, maximize revenues and ensure guest satisfaction while maintaining associate morale. Duties...

  • REGISTERED NURSE SUPERVISOR

    6 days ago

    Chapel Hill, United States Liberty Health Part time

    Job DescriptionJob DescriptionLiberty CaresWith CompassionAt Liberty Healthcare and Rehabilitation Services, we promote a challenging but rewarding opportunity in a caring environment.We are currently seeking an experienced:REGISTERED NURSE SUPERVISOR (RN)Part Time, WeekendsJob Description:Assures the best patient care possible by supervising the Facility...

  • Administrative Coordinator

    3 weeks ago

    Chapel Hill, United States UNC Health Care Full time

    Job Description Description Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Performs a variety of administrative functions in support of a program or an administrative official in carrying out departmental financial and operating...

  • Administrative Coordinator

    3 weeks ago

    Chapel Hill, United States UNC Health Care Full time

    Description Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Performs a variety of administrative functions in support of a program or an administrative official in carrying out departmental financial and operating procedures and/or...

  • Maintenance Supervisor

    4 days ago

    Rock Hill, United States Cirtec Medical Full time

    **Job Summary:** We are seeking a Maintenance Supervisor to oversee the maintenance operations of our facilities. The ideal candidate will be responsible for coordinating and supervising the maintenance team, ensuring all equipment and systems are properly maintained to prevent downtime and ensure efficient operations.**Responsibilities:** 1. Supervise and...

  • Patient Logistics Access Coordinator

    1 week ago

    Chapel Hill, United States UNC Health Full time

    Job Description Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.Summary:The purpose of this position is to provide direct coordination of inter-hospital transfers through comprehensive assessment, planning,...

  • Experienced Registered Nurse Leader

    6 days ago

    Chapel Hill, North Carolina, United States Liberty Health Full time

    Job SummaryWe are seeking an experienced Registered Nurse Supervisor to join our team at Liberty Healthcare and Rehabilitation Services.This part-time, weekend position offers a challenging but rewarding opportunity in a caring environment.Responsibilities:Supervise nursing staff to ensure high-quality patient care during shifts.Collaborate with the Director...

  • Apartment Maintenance Technician

    1 month ago

    Chapel Hill, United States Grubb Properties Full time

    Job DescriptionJob DescriptionPosition Summary:Link Apartments® Linden and Link Apartments® Calyx are looking for a full-time Service Technician to join their team. The Service Technician handles all phases of maintenance relating to the completion of work orders, preparation of apartments for occupancy and implementation of preventative maintenance...

  • Apartment Maintenance Technician

    1 week ago

    Chapel Hill, United States Grubb Properties Full time

    Job DescriptionJob DescriptionPosition Summary:Link Apartments® Linden and Link Apartments® Calyx are looking for a full-time Service Technician to join their team. The Service Technician handles all phases of maintenance relating to the completion of work orders, preparation of apartments for occupancy and implementation of preventative maintenance...

  • Maintenance Technician

    1 week ago

    Chapel Hill, United States Disability Solutions Full time

    Position Summary:Link Apartments® Linden and Link Apartments® Calyx are looking for a full-time Service Technician to join their team. The Service Technician handles all phases of maintenance relating to the completion of work orders, preparation of apartments for occupancy and implementation of preventative maintenance programs. Understands all...