Clinical Supervisor for UM Denial Compliance
2 weeks ago
Vivo HealthStaff is seeking a skilled Clinical Supervisor to oversee the UM Denial Compliance process. This role is critical in ensuring a high-quality, efficient, and compliant denial process, adhering to all regulatory, accreditation, and health plan standards.
Key Responsibilities:- Supervise licensed and non-licensed denial unit staff, managing daily tasks, performance reviews, and disciplinary actions.
- Collaborate effectively with physician reviewers, medical directors, and other departments.
- Ensure prompt responses to requests and uphold high standards of compliance and privacy.
- Assist in preparing departmental reports, audits, and surveys.
- Monitor the internal quality of the denial process.
- Design and conduct training sessions for the denial unit staff to ensure compliant communication.
- Ensure alignment with regulatory and health plan requirements related to the denial process.
- Oversee daily departmental operations, including reporting, staffing, and supervision.
- Communicate effectively with medical professionals regarding denial issues.
- Assess compliance with regulatory and quality measures, implementing strategies for improvement.
- Review performance reports, identify deficiencies, and implement corrective action plans.
- Report departmental performance to leadership and provide guidance to team members.
- Stay updated with state and federal regulations related to the department.
- Implement procedures to ensure alignment with company policies and influence process improvements.
- Graduate from an accredited Registered Nursing Program; RN preferred.
- Minimum of five years in prior-authorization, appeals & grievance, or health plan compliance.
- Proven experience in project development, staff supervision, and performance monitoring.
- Strong communication skills, both verbal and written.
- Ability to manage multiple projects in a high-stress environment and adapt to changing priorities.
- Proficiency in MS Office and a computerized environment.
- Valid CA driver's license and car insurance.
- Comprehensive healthcare coverage.
- Competitive 401k plan.
-
Clinical Supervisor for UM Denial Compliance
3 days ago
Burbank, California, United States Vivo HealthStaff Full timeJob OverviewVivo HealthStaff is seeking a skilled Clinical Supervisor to lead our UM Denial Compliance team. This role is critical in ensuring a high-quality, efficient, and compliant denial process, adhering to all regulatory, accreditation, and health plan standards for associated medical groups.Key ResponsibilitiesSupervise licensed and non-licensed...
-
Burbank, California, United States Vivo HealthStaff Full timeJob OverviewPosition: Clinical Supervisor, Utilization Management Denial ComplianceLocation: Remote with occasional onsite presenceCompany: Vivo HealthStaffAbout Us:Vivo HealthStaff specializes in healthcare staffing and recruitment, providing a range of permanent and temporary employment solutions across the United States.Role Summary:We are looking for a...
-
Clinical Utilization Management Specialist
3 days ago
Burbank, California, United States Vivo HealthStaff Full timeJob OverviewVivo HealthStaff is seeking a highly skilled Clinical Utilization Management Specialist to join our team. This role is crucial in ensuring a streamlined and compliant denial process, aligning with regulatory, accreditation, and health plan standards.Key ResponsibilitiesOversee denial unit staff, managing daily tasks, performance reviews, and...
-
Clinical Laboratory Supervisor
5 days ago
Burbank, California, United States Providence Service Full timeJob SummaryWe are seeking a highly skilled Clinical Laboratory Supervisor to join our team at Providence Saint Joseph Medical Center in Burbank, California. As a Clinical Laboratory Supervisor, you will be responsible for providing laboratory services to meet the needs of patients in accordance with accepted standards and practices. You will direct,...
-
Clinical Laboratory Supervisor
5 days ago
Burbank, California, United States Providence Service Full timeJob SummaryWe are seeking a highly skilled Clinical Laboratory Supervisor to join our team at Providence Saint Joseph Medical Center-Burbank. As a Clinical Laboratory Supervisor, you will be responsible for directing and supervising the functions and activities of the Clinical Laboratories, ensuring that laboratory services are provided to meet the needs of...
-
Clinical Unit Supervisor
1 month ago
Burbank, California, United States Martin Luther King, Jr. Community Hospital Full timeJob SummaryWe are seeking a skilled and experienced Registered Nurse (RN) to serve as a Clinical Unit Supervisor for our Medical Surgical and Telemetry nursing care unit. As a Clinical Unit Supervisor, you will be responsible for providing high-quality, individualized patient-centered care, while also managing the unit's operations and staff.Key...
-
Clinical Unit Supervisor
1 month ago
Burbank, California, United States Martin Luther King, Jr. Community Hospital Full timeJob SummaryWe are seeking a skilled and experienced Registered Nurse (RN) to serve as a Clinical Unit Supervisor for our Medical Surgical and Telemetry nursing care unit. As a Clinical Unit Supervisor, you will be responsible for providing high-quality, individualized patient-centered care, while also managing the unit's operations and staff.Key...
-
Clinical Unit Supervisor
1 month ago
Burbank, California, United States Martin Luther King, Jr. Community Hospital Full timeJob SummaryWe are seeking a skilled and experienced Registered Nurse (RN) to serve as a Clinical Unit Supervisor for our Medical Surgical and Telemetry Nursing care unit. As a Clinical Unit Supervisor, you will be responsible for providing high-quality, individualized patient-centered care, while also managing the unit's operations and staff.Key...
-
Clinical Unit Supervisor
1 month ago
Burbank, California, United States Martin Luther King, Jr. Community Hospital Full timeJob SummaryWe are seeking a skilled and experienced Registered Nurse (RN) to serve as a Clinical Unit Supervisor for our Medical Surgical and Telemetry nursing care unit. As a Clinical Unit Supervisor, you will be responsible for providing high-quality, individualized patient-centered care, while also managing the unit's operations and staff.Key...
-
Clinical Unit Supervisor
1 month ago
Burbank, California, United States Martin Luther King, Jr. Community Hospital Full timeJob SummaryWe are seeking a skilled and experienced Registered Nurse (RN) to serve as a Clinical Unit Supervisor for our Medical Surgical and Telemetry nursing care unit. As a Clinical Unit Supervisor, you will be responsible for providing high-quality, individualized patient-centered care, while also managing the unit's operations and staff.Key...
-
Clinical Unit Supervisor
1 month ago
Burbank, California, United States Martin Luther King, Jr. Community Hospital Full timeJob SummaryWe are seeking a skilled and experienced Registered Nurse (RN) to serve as a Clinical Unit Supervisor for our Medical Surgical and Telemetry nursing care unit. As a Clinical Unit Supervisor, you will be responsible for providing high-quality, individualized patient-centered care, while also managing the unit's operations and staff.Key...
-
Clinical Unit Supervisor
1 month ago
Burbank, California, United States Martin Luther King, Jr. Community Hospital Full timeJob SummaryWe are seeking a skilled and experienced Registered Nurse (RN) to serve as a Clinical Unit Supervisor for our Medical Surgical and Telemetry nursing care unit. As a Clinical Unit Supervisor, you will be responsible for providing high-quality, individualized patient-centered care, while also managing the unit's operations and staff.Key...
-
Clinical Unit Supervisor
1 month ago
Burbank, California, United States Martin Luther King, Jr. Community Hospital Full timeJob SummaryWe are seeking a skilled and experienced Registered Nurse (RN) to serve as a Clinical Unit Supervisor for our Medical Surgical and Telemetry Nursing care unit. As a Clinical Unit Supervisor, you will be responsible for providing high-quality, individualized patient-centered care, while also managing the unit's operations and staff.Key...
-
Clinical Unit Supervisor
4 weeks ago
Burbank, California, United States Martin Luther King, Jr. Community Hospital Full timeJob SummaryWe are seeking a skilled and experienced Registered Nurse (RN) to serve as a Clinical Unit Supervisor for our Medical Surgical and Telemetry nursing care unit. As a Clinical Unit Supervisor, you will be responsible for providing high-quality, individualized patient-centered care, while also managing the unit's operations and staff.Key...
-
Clinical Unit Supervisor
4 weeks ago
Burbank, California, United States Martin Luther King, Jr. Community Hospital Full timeJob SummaryWe are seeking a skilled and experienced Registered Nurse (RN) to serve as a Clinical Unit Supervisor for our Medical Surgical and Telemetry nursing care unit. As a Clinical Unit Supervisor, you will be responsible for providing high-quality, individualized patient-centered care, while also managing the unit's operations and staff.Key...
-
Clinical Unit Supervisor
1 month ago
Burbank, California, United States Martin Luther King, Jr. Community Hospital Full timeJob SummaryWe are seeking a skilled and experienced Registered Nurse (RN) to serve as a Clinical Unit Supervisor for our Medical Surgical and Telemetry Nursing care unit. As a Clinical Unit Supervisor, you will be responsible for providing high-quality, individualized patient-centered care, while also managing the unit's operations and staff.Key...
-
Clinical Unit Supervisor
1 month ago
Burbank, California, United States Martin Luther King, Jr. Community Hospital Full timeJob SummaryWe are seeking a skilled and experienced Registered Nurse (RN) to serve as a Clinical Unit Supervisor for our Medical Surgical and Telemetry Nursing care unit. As a Clinical Unit Supervisor, you will be responsible for providing high-quality, individualized patient-centered care, while also managing the unit's operations and staff.Key...
-
Clinical Unit Supervisor
1 month ago
Burbank, California, United States Martin Luther King, Jr. Community Hospital Full timeJob SummaryWe are seeking a skilled and experienced Registered Nurse (RN) to serve as a Clinical Unit Supervisor for our Medical Surgical and Telemetry Nursing care unit. As a Clinical Unit Supervisor, you will be responsible for providing high-quality, individualized patient-centered care, while also managing the unit's operations and staff.Key...
-
Clinical Unit Supervisor
1 month ago
Burbank, California, United States Martin Luther King, Jr. Community Hospital Full timeJob SummaryWe are seeking a skilled and experienced Registered Nurse (RN) to serve as a Clinical Unit Supervisor for our Medical Surgical and Telemetry nursing care unit. As a Clinical Unit Supervisor, you will be responsible for providing high-quality, individualized patient-centered care, while also managing the unit's operations and staff.Key...
-
Clinical Unit Supervisor
1 month ago
Burbank, California, United States Martin Luther King, Jr. Community Hospital Full timeJob SummaryWe are seeking a skilled and experienced Registered Nurse (RN) to serve as a Clinical Unit Supervisor for our Medical Surgical and Telemetry Nursing care unit. As a Clinical Unit Supervisor, you will be responsible for providing high-quality, individualized patient-centered care, while also managing the unit's operations and staff.Key...
