Utilization Management Supervisor, Non-Clinical
$70.9k - $145.2kUCLA Outpatient Clinics
Description Under the direction of the Utilization Management Assistant Director, the Utilization Management Supervisor (Non-Clinical) oversees the daily operations of non-clinical patient navigation services supporting high-risk and high-utilizer patient populations within the Utilization Management Department. This role supervises a team of coordinators, patient navigators and concurrent nurses, ensuring efficient workflow management, timely access to care, effective care transitions, and high-quality service delivery. Key Responsibilities Supervise and provide leadership to Patient Navigators and Coordinators supporting UM, SNF, ED follow-up, and Home Health workflows. Oversee patient navigation activities, including appointment scheduling, transportation coordination, DME coordination, and community resource referrals. Monitor operational work queues, referrals, discharge tracking, and care transition activities to ensure timely follow-up and service delivery. Support effective transitions of care through post-discharge outreach, appointment adherence, and coordination of services. Collaborate with interdisciplinary teams to identify and address barriers to care and support patient engagement initiatives. Manage staff performance, scheduling, attendance, payroll/timekeeping, training, and professional development. Analyze operational and utilization data to support quality improvement, compliance, and strategic decision-making. Lead process improvement initiatives and support the development and optimization of departmental workflows, policies, and procedures. Support system-related functions and operational activities related to care coordination, authorizations, and utilization management workflows. Salary Range: $70,900 - $145,200/Annually #J-18808-Ljbffr UCLA Outpatient Clinics
$70.9k - $145.2k
UCLA Health is seeking a Utilization Management Supervisor to oversee daily operations of non-clinical patient navigation services in Los Angeles. The role involves supervising a dedicated team, ensuring efficient workflow, and providing high-quality services to high-risk...Suggested$151.42k - $249.85k
The Laboratory Services Manager performs a variety of... ...sections of the bi-campus Clinical Laboratory. As Manager,... ...with input from direct Supervisor. Actively participates... ...ability to utilize effective, appropriate... ...permitted by law.Notice of Non-discriminationEmployment...SuggestedFull timeWork experience placementLocal area$114.65k - $189.17k
The Laboratory Services Supervisor performs a variety of standardized... ...a specific section of the Clinical Laboratory. As Supervisor, the... ...supervision, administrative management of the section and for... ...space/resource requirements and utilization of outside resources. Assures...SuggestedFull timeWork experience placementLocal area$250k - $410k
...the First to Apply Job Description Overview: The Associate Medical Director, Physician Advisor supports Utilization Management by providing clinical oversight, education, and guidance on medical necessity, Centers for Medicare and Medicaid Services (CMS)...SuggestedFull timeContract workPart timeRelocation package$110k
Overview The Nurse Clinical Supervisor, UM Denial Compliance oversees the denial process within the utilization management (UM) department, ensuring that all denials are handled efficiently... ...Supervise licensed and non-licensed denial unit staff, including work...SuggestedCasual workRelocation package$250k - $410k
...an Associate Medical Director, Physician Advisor, to lead Utilization Management. This position involves ensuring compliance with medical necessity... ...$250,000 to $410,000 annually. The role demands strong clinical oversight, effective communication skills, and a commitment...- ...Description Your Role The Medical Management team ensures that Blue Shield is on the... ...in California. The Medical Director, Utilization Management - will report to the Sr.... ...role you will deliver and collaborate on clinical review activities, which includes management...Full timePart timeWork at officeLocal areaWork from homeHome office2 days per week
- ...listed in order of importance.Manage the day to day operations.... ...competitors in the area of service and clinical experience.Promote open,... ...agencies; effective utilization of personnel, materials, space... ...goals for capital, payroll and non-payroll expenses.Performs financial...Full timeWork experience placementLocal areaFlexible hours
$95k - $140k
...Description Job Description Title: Clinical Program Manager III (Hollywood) Division: APAIT... ...of evidence-based practices utilized in the program. 4. Oversee data... ...Abilities # Experience working in a non-profit community-based organization....Permanent employmentFull timeContract workWork at officeWeekend workAfternoon shift- ...Job Description Job Description Job Description: Manager of Clinical Utilization Management - Denial ComplianceLocation: Burbank, CAPosition... ...standards.Key Responsibilities:1. Oversee both licensed and non-licensed denial unit staff, managing daily tasks,...Permanent employmentFull timeTemporary workRemote workFlexible hours
- ...Education, ER, OR, Physicians, Clinics, Outpatient, Service Line... ...healthcare providers, for profit and non for profit health care... ...Healthcare Plans experience, managed care and insurance a must.Finance... ...maximum efficiencies in the utilization of human and financial...Contract workWork at officeRelocation package
$195k - $245k
...This is a dual role: you'll manage your own patient panel, delivering... ...care, and you'll hold clinical and regulatory oversight of the... ...program, including chart review, utilization review, and quality... ...Who You Are Must-Haves (Non-Negotiables) ~ MD or DO with...Full timeWork at office- ...Position Summary: The Nurse Manager for Neonatal Intensive Care... ...requires strong leadership skills, clinical knowledge, and the ability to... ...budget, ensuring efficient utilization of resources. Collaborate... ...protocols. Any deviations or non-compliance are identified and...Full timeWork experience placementLocal areaShift work
- Role: Clinical Program Manager Reports to: Director, Mental Health Administration... ...In collaboration with supervisor, monitor all administrative... ...of community resources and utilize these to provide services to... ...opportunity employer dedicated to non‑discrimination in...Full timeContract workInterim roleWork at officeLocal areaMonday to Friday
- ...Clinical Case Manager, Permanent Supportive Housing- Downtown Reports To: Program Manager Location... ...0 am - 4:30 pm Status : Full time, Non-Exempt Benefits : Medical, Dental... ...knowledge of community resources and utilize them to provide comprehensive, wrap-...Permanent employmentFull timeTemporary workWork at officeLocal areaMonday to FridayFlexible hours
- APLA Health in Los Angeles is seeking a Clinic Manager II responsible for overseeing non-clinical operations across Medical, Dental, and Behavioral Health services. This role includes supervising staff, coordinating patient care, and ensuring compliance with health standards...
$179.5k - $307.73k
Clinical Operations Associate Medical Director Carelon Medical Benefits Management Post Acute Care Benefit Utilization Management Schedule: 11:00AM-8:00PM CT. Will... ...decisions. Brings to their supervisors attention, any case... ...number of legitimate, non-discriminatory factors...Full timeTemporary workWork experience placementLocal areaShift workWeekend work1 day per week$70.66k - $115.63k
...Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance... ...Previous experience in utilization management with a broad range of... ...based on a number of legitimate, non-discriminatory factors set by the...Full timeContract workTemporary workWork experience placementWork at officeLocal area1 day per week$117.69k - $143.85k
The Director of Clinical Systems, Analytics & Business Intelligence... ...making. The Director develops and manages the BHCS technology budget... ...for clinical systems utilization, documentation workflows, reporting... ...conditions: -1/3 Extreme cold (non-weather): None Extreme heat (...Contract workWork at officeFlexible hours- ...Responsibilities/Essential Functions Manage the day to day operations.... ...in the area of service and clinical experience. Promote open,... ...agencies; effective utilization of personnel, materials, space... ...goals for capital, payroll and non‑payroll expenses. Perform financial...Full timeWork experience placementFlexible hours
$50 - $55 per hour
...Remote BCBA Supervisor & Clinical Consultant — California About CCBS CCBS... ...our clinical standards are non-negotiable. The Role 10... ...clinical hours per week; 90% utilization of recommended treatment... ...based practice independently Manage your time and documentation...Remote work- ...lives of patients for generations to come.Clinical Operations is responsible for the... ...commercialization of Gilead’s products. You will manage a team of direct and potentially indirect... ...and expression, veteran status, or other non-job related characteristics or other...Full timeContract workFor contractorsLocal areaWorldwide
$206.31k
...Medical Director, Utilization ManagementJob Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $206,311.00 (Min.) - $278,520.00 (Mid.) - $350,729.00 (Max.) Established in 1997, L.A. Care Health...Full timeLocal area$21 per hour
Remote, Nationwide - Seeking Lead Clinical Care Coordinator Everybody Has... ...water, blankets, etc.) Stock non-medication supplies in the... ..., linen carts, equipment, and utility rooms. Organize equipment and... ...Care Coordinators. Complete and manage monthly schedules for the...Daily paidPart timeWork at officeLocal areaRemote workFlexible hours$100.3k - $160.4k
RN, Clinical Operations Supervisor - Urgent Care Jobs for Humanity is partnering with... ...collaboration with senior management. Oversees and as needed,... ...management, pharmacy, utilization management, quality management... .... Controls wage and non-wage expenses, including pharmacy...Full timeShift work- MAJOR RESPONSIBILITIES/ESSENTIAL FUNCTIONS1. Clinical Operations & Quality • Manages day-to-day operations of Telemetry and Med-Surg Telemetry units... ...labor productivity, overtime, premium pay, and agency utilization.• Conducts FTE and staffing variance analysis.• Implements...Work experience placement
- ...of our Water Business Group, you’ll help shape how communities manage water for generations to come. From delivering safe drinking water... ...and maintain strong relationships with key clients, utilities, regulators, and partner organizations, serving as a trusted advisor...
$104.16k - $109.64k
...Clinical Program Manager Location:North Hollywood, CA Job ID:5561 Salary:$104162.68 - $109644.92 Per Year Area of Interest:Clinical... ...Vulnerable Change Their Life Stories Volunteers of America is a non-profit human services organization committed to serving...Contract workLocal areaShift work$90k - $110k
...program or activity that it operates. Individuals may report concerns or questions to the Title IX Coordinator. The College’s statement of non-discrimination and Title IX Coordinator contact information is available on the website Internal Platt College Employees, please...Full timeLocal area$30 - $35 per hour
...Description Job Description Full job description Program Manager Full-time | Part-time Position Summary Miracles... ...analyze data from Behavior Technicians to assess client progress. Utilize a data-driven approach to make treatment recommendations and provide...Hourly payFull timePart timeRelocationMonday to FridayFlexible hoursWeekend work
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