Utilization Management Supervisor
United States
- Pay
- Not posted
- Unit and setting
- ICU · Case Management
- License
- RN licenseRegistered Nurse (RN) with a current, unrestricted license is required.
- Term
- Permanent
Do you qualify?
- License
- Registered Nurse (RN) with a current, unrestricted license is required.
- Experience
- Two or more years of experience in Managed Care, in a Utilization Review or Case Management role, is required.
- Experience
- Three or more years of clinical experience as a bedside nurse in NICU/PICU/Peds/ICU required.
- Also asks
- Must be available to stay late as needed to manage staff and caseloads.
- Also asks
- Must have demonstrated strong problem-solving skills.
- Also asks
- Must have proven track record of utilizing tact, diplomacy and strategic thinking in addressing issues and changes in company policy, etc.
- Also asks
- Must be self-motivated and willing to learn multiple tasks.
- Also asks
- Must be well organized and able to prioritize tasks.
- Also asks
- Must have good computer skills and be familiar with using Microsoft Office (Word, Outlook etc)
- Also asks
- Must demonstrate accuracy in spelling and documentation.
- Also asks
- Must have commitment to excellence in customer service.
Preferred
- Experience
- Experience in a team lead or supervisory role managing nursing staff is desired.
- Experience
- Experience with URAC standards preferred.
What it pays
Benefits
- Medical
- Dental
- Vision
- 401k/Retirement
- Disability Insurance
- Life Insurance
- Professional Development
Pay isn’t listed.
The workplace
You are looking at ProgenyHealth, a private company headquartered in Plymouth Meeting, Pennsylvania. It was founded in 2003, employs between 201 and 500 people, and is listed with one office. We do not have pay ranges, scheduling rules, or unit-level…
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Your fit
Questions to ask
- Can you walk me through base pay range and differentials?
- What should I expect for shifts, weekly hours, weekend, holiday, call, and rotation?
- What orientation, preceptor time, and ongoing unit support are included?
- How are patient load, floating, and staffing support handled day to day?
On your path
ICU / Critical Care is a specialty you move into. The classic route: base year, then transfer in.
Original listing
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Job Role
The Utilization Management Supervisor will primarily be responsible for managing the UM nursing staff in the day to day operations of the department. This includes oversight and adjustment of work queues, when needed, to maintain work flow balance; monitoring and implementing adherence to department and company metrics; training of new hires and on-going clinical; and various other responsibilities to support the clinical nursing staff and the company program. The incumbent will also be responsible for assessment of the UM program for opportunities to improve efficiencies and/or improve outcomes.
Reporting to the Director of Utilization Management, the Supervisor will work closely with the management staff and will play a key role in implementing the culture and work environment that promotes and inspires an active, continuous improvement philosophy regarding products and services in line with our company mission statement: To improve the health outcomes of infants in intensive care nurseries through partnership, care facilitation, continuous quality improvement and a firm commitment to excellence.
Requirements
Qualifications
- Registered Nurse (RN) with a current, unrestricted license is required.
- Two or more years of experience in Managed Care, in a Utilization Review or Case Management role, is required.
- Experience in a team lead or supervisory role managing nursing staff is desired.
- Three or more years of clinical experience as a bedside nurse in NICU/PICU/Peds/ICU required.
- Must be available to stay late as needed to manage staff and caseloads.
- Experience with URAC standards preferred.
- Must have demonstrated strong problem-solving skills.
- Must have proven track record of utilizing tact, diplomacy and strategic thinking in addressing issues and changes in company policy, etc.
- Must be self-motivated and willing to learn multiple tasks.
- Must be well organized and able to prioritize tasks.
- Must have good computer skills and be familiar with using Microsoft Office (Word, Outlook etc)
- Must demonstrate accuracy in spelling and documentation.
- Must have commitment to excellence in customer service.
Benefits
Some of the benefits we offer our team are
- Paid Time Off
- Paid Parental Leave
- Medical, dental, vision benefits
- 401K with company match
- Short- and Long-Term Disability
- Group Life Insurance
- Tuition reimbursement
- Professional development opportunities
- Business Casual work environment
ProgenyHealth positively recruits people from diverse backgrounds, including individuals with disabilities - if you need an accommodation to interview, please contact us by email: careers@progenyhealth.com All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.