Utilization Management Supervisor

Job not on LinkedIn

🕒 June 2

🇺🇸 United States – Remote

💵 $67.7k - $105.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Franciscan Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1875

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare • Healthcare Insurance • Non-profit

Franciscan Health is a healthcare organization committed to providing high-quality medical care grounded in the Franciscan tradition. They offer a range of medical services, including clinical and allied health, home health and hospice, nursing, physicians and advanced practice providers, and non-clinical and administrative roles. With a focus on embracing the values of St. Francis to care for those in need, they provide a supportive and fulfilling work environment for their employees, emphasizing a mission of compassion and community engagement. Franciscan Health is dedicated to offering a variety of employment opportunities across different medical specialties and locations.

📋 Description

• Maintain inter- and intra-departmental communications, special projects, programs, policies, and procedures as well as care management services. • Participate and educate team in performance improvement initiatives. • Implement processes to satisfaction with those we are privileged to serve. • Coordinate and maintain compliance with HFAP, state and federal agencies pertaining to Utilization/Denial management activities. • Supervise direct reports and manage the performance of individuals through ongoing coaching, feedback, and development to motivate, engage and drive a high performing team. • Make decisions for direct reports in assigned function and performs people management activities, such as, performance evaluations, disciplinary actions, staff planning, and interviews. • Supervise and maintain Utilization Management operations in collaboration with the Manager and Director, including ensuring appropriate utilization and denial management.

🎯 Requirements

• Bachelor's Degree in Nursing required • Active Indiana Registered Nurse (RN) license required • 5 years of Nursing/Patient Care required • 2 years of Utilization or Case Management experience preferred