Utilization Management Supervisor
$67.68k - $105.77kFranciscan Health
Work From Home
Work From Home Work From Home, Indiana 46544 The Supervisor Utilization Management is responsible for the direct supervision of the daily operations of the Centralized Utilization Management department in order to assure that utilization management needs are addressed. This position ensures appropriate staffing levels, ongoing educational opportunities, and employee satisfaction to maintain operational commitment. The Supervisor maintains and enhances relationships with internal and external customers and peers across the continuum in order to facilitate excellent outcomes for patients and Franciscan. WHO WE AREWith 11 ministries and access points across Indiana, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
WHAT YOU CAN EXPECT
- 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.
- 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
TRAVEL IS REQUIRED: Up to 20% JOB RANGE: Supervisor Utilization Management: $67,683.20 - $105,768.00 INCENTIVE: Not Applicable EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Utilization Management Supervisor in United States vacancy
- Within our brand new state-of-the-art 600-person manufacturing facility in Lubbock, Leprino is seeking a Utilities Supervisor to lead critical plant utility systems, including ammonia refrigeration, steam, power, and compressed air, while supporting larger levels of cheese...SuggestedLocal area
- TriWest Healthcare Alliance seeks a Nurse to supervise daily Utilization Management operations under the TRICARE contract. You will coordinate across teams to meet contractual metrics and ensure quality, efficient care delivery. The role builds staff capability and supports...SuggestedRemote jobContract work
- ...Managing the daily operations of the Utilization Management Coordinator team, the full-time remote Utilization Management Supervisor will ensure timely processing of prior authorization requests, provide staff coaching, and maintain compliance with regulatory requirements...SuggestedFull timeRemote work
- ...overseeing and coordinating all aspects of utility billing and collections operations,... ...environment. The role ensures the effective management of workflow for billing and collections... ...-offs, and in-house collections. The Supervisor serves as a key liaison between internal...SuggestedWork at office
- ...Directional Drill experience. The ideal candidate must have at least three years of experience operating excavation equipment in the utility industry. Candidates should have strong technical skills and be physically capable of handling demanding conditions. This role...Suggested
- Blue Cross Blue Shield of Arizona is seeking a Utilization Review Supervisor in Phoenix, AZ. This hybrid role requires coordination of medical necessity reviews and supervision of the UR team to ensure compliance with standards. Qualified candidates must have 2 years of...
- Cambia Health Solutions is seeking a Supervisor Utilization Management in Vancouver, WA. This hybrid position involves leading a team in the clinical services department to ensure cost-effective and quality care. The successful candidate will have a nursing background and...
- Cambia Health Solutions is seeking a Supervisor Utilization Management to lead a team in Portland. The role involves overseeing team activities to ensure top-quality health care for members, emphasizing leadership and clinical expertise. Qualified candidates should possess...
- The University of California - Los Angeles Health is looking for a Utilization Management Supervisor (Non-Clinical) to oversee daily operations of non-clinical patient navigation services. This position supervises a team, ensuring efficient workflow and high-quality service...
$92.7k - $125.4k
...Who We Are Looking For Every day, Cambia’s dedicated team of Utilization Management (UM) Leaders are living our mission to make health care... ...As a member of the Clinical Services leadership team, our Supervisor Utilization Management supervises the team and acts as a resource...Full timeContract workWork at officeImmediate startRemote workWork from homeRelocationFlexible hours3 days per week$107.95k
...better - advancing our mission to transform healthcare and serve as a leader of positive change. The Supervisor, Care Management role integrates and coordinates utilization management, care coordination, discharge planning functions and performance improvement activities...Hourly payFull timePart timeApprenticeshipWork experience placementWork at office- Medica is a nonprofit health plan serving Minnesota, Nebraska, Wisconsin, Missouri, and beyond. This Supervisor, Utilization Management - Ops role leads the review coordinator team to ensure efficient triage, provider inquiries, and end-to-end operational processes. It...
$78.7k - $134.9k
...interacts regularly with other areas within Medica. In addition to the coaching and staff development responsibilities, the Utilization Management Supervisor must also build strong relationships with internal and external partners. More specifically, support the Manager,...Work experience placementWork at office3 days per week- The Utilization Review Supervisor oversees day to day functions of the department and staff. The Manager actively seeks areas for department to improve (i.e - reduction in denials) &/ or be more efficient. SUPERVISION: Reports directly to the Practice Manager RESPONSIBILITIES...Full timeWork experience placement
- ...Interim Utilization Management Supervisor We are seeking an experienced Registered Nurse to serve as an Interim Utilization Management Supervisor. The ideal candidate will have leadership experience at the supervisor level or above within Utilization Management, along...Contract workInterim roleImmediate startRemote work
- ...Utilization Review Supervisor The Utilization Review Supervisor coordinates the activities of the UR department as they relate to medical necessity... ...~ N/A Preferred Work Experience 1 year of managed care/health plan experience 1 year of Medicaid and Medicare...Full timeWork experience placement2 days per week
- Direct Jobs is looking for a Utilization Management Supervisor in Los Angeles to oversee non-clinical patient navigation services and ensure efficient workflow management. The role involves supervising a team to deliver high-quality service and effective care transitions...
- ...engineers, scientists, digital innovators, program and construction managers and other professionals delivering projects that create a... ...world. Join us.Job DescriptionAECOM is seeking an experienced Utility Coordinator to support roadway and infrastructure projects for...For contractorsWork at officeLocal areaWorldwideRelocationFlexible hours
- ...seeking a skilled Superintendent to lead field operations for utilities projects in Phoenix, Arizona. This role demands at least 5 years... ...ensure safety protocols are followed, and assist with project management tasks. You can expect competitive salary and full health...
$75.3k - $135.4k
...28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization... ...care to members. Supervises day-to-day activities of utilization management team. Responsibilities: Monitors and tracks...Full timePart timeWork at officeRemote workFlexible hours$17 per hour
...Grove by Erickson Senior Living Join our team as a Housekeeping Utility Team Leader who provides leadership, direction, and support to... ...Pennsylvania. We’re part of a growing national network of communities managed by Erickson Senior Living, one of the country’s largest and...Local area$180k - $250k
...Join Our Team at R-2 Contractors! R-2 Contractors is seeking an accomplished and visionary Utility-Scale Drilled Pier Foundation Division Manager to lead and grow our Drilled Pier Foundation Division. This executive-level leadership role is responsible for building...Full timeFor contractorsFor subcontractor$90k - $134k
...sweeteners, cocoa and chocolate.Job Purpose and ImpactThe Maintenance Supervisor - Utilites will coordinate the deployment of leading... ...a variety of medium complex activities to maintain capacity utilization and quality standards for reliable operations in the region.Key...For contractorsWeekend work- ...providers, members, and internal clinical staff to obtain required documentation for utilization reviews. Enter authorization requests, updates, and determinations into the utilization management system accurately and efficiently. Track and monitor pending authorizations...Full timeWork at officeRemote work
- ...communities in Minnesota and surrounding states. This role leads the Utilization Management team, supervising clinical staff, managing performance, and... ...compliance with Medicare/Medicaid regulations. The Supervisor collaborates with managers and vendor partners to...Work at office3 days per week
$77.96k - $120.37k
...Utilization Review Supervisor RN The Utilization Review Supervisor RN is responsible for directing the operations of their designated department... ...: human resources, customer service, and limited sales management. This is a remote position. ESSENTIAL FUNCTIONS &...Minimum wageFull timeWork at officeLocal areaRemote workFlexible hoursNight shift- TriWest Healthcare Alliance is seeking a Nurse Manager for Utilization Management to supervise daily UM operations under the TRICARE contract. You will coordinate across teams to meet contractual metrics, ensure standardized clinical care, and supervise staff performance...Remote jobContract work
- ## RN - Supervisor, Utilization MgmtApplylocations: Fort Worth, TXtime type: Full timeposted on: Posted 2 Days Agojob requisition id: JR-118... ...Additional Information:**The **RN Supervisor, Utilization Management** is responsible for supervising/ coaching/ mentoring STAR...Shift workDay shift
$102.18k
...low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations of the UM department, and monitoring the Care...Full time- Centene Corp. is seeking a Supervisor, Utilization Management (RN) to lead and supervise our Clinical Review team. This role focuses on ensuring appropriate care for our members and promotes adherence to compliance standards through effective team management and continuous...Remote jobFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Utilization Management Supervisor. Be the first to apply!
Related searches
- senior supervisor United States
- inspection supervisor United States
- supervisor work from home United States
- full time supervisor United States
- sanitation supervisor United States
- emt supervisor United States
- industrial supervisor United States
- lead supervisor United States
- recreation supervisor United States
- remote supervisor United States



