Utilization Management Team Supervisor
2 weeks ago
Utilization Management Team Supervisor
Company: Partnership HealthPlan of California
Overview:
The role involves overseeing and guiding a team of utilization management professionals to meet departmental objectives. This position is crucial in providing the necessary support and resources to ensure optimal productivity and quality of service.
Key Responsibilities:
- Deliver daily leadership and training to the utilization management team
- Coordinate staff schedules and manage work assignments
- Conduct performance assessments and provide constructive feedback
- Engage in recruitment and onboarding activities
- Maintain accurate patient documentation and assist in provider reporting
- Organize meetings with community healthcare providers
- Review and suggest improvements to departmental policies and procedures
- Address provider concerns and manage caseloads as necessary
- Assess the appropriateness of care and oversee special initiatives
Qualifications:
Education and Experience:
Possession of an Associate or Bachelor's degree in nursing with an active RN license. A minimum of 3-5 years in a supervisory role and at least 1 year of experience in managed care is required. Familiarity with utilization management practices is preferred.
Special Skills, Licenses, and Certifications:
Current RN license in California, with Case Management certification being advantageous. Strong organizational and communication abilities are essential.
Performance-Based Competencies:
Understanding of regulatory standards, exceptional organizational skills, proficiency in computer applications, and the capability to handle multiple projects and priorities effectively.
Work Environment and Physical Demands:
Ability to operate a computer, prioritize tasks, and travel occasionally. Must be capable of lifting items weighing up to 10 lbs.
Expectations:
- Deliver exceptional service to clients
- Encourage collaboration among team members
- Uphold safety standards
- Adhere to organizational policies and procedures
Compensation Range:
$120,000 - $156,735.06
Disclaimer:
This job description is representative and may be subject to modifications. The employer retains the right to adjust responsibilities based on organizational needs.
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