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
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...SuggestedWork at office$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$110.24k - $181.9k
...Laboratory Services Supervisor The Laboratory Services Supervisor... ...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
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) compliance, documentation, and resource...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$275k - $300k
The Oncology Institute of Hope and Innovation is seeking a Utilization Management Medical Director Oncology to work remotely from California,... ...certification in oncology, along with at least 5 years of clinical experience in the field. The position offers a competitive...Remote job$206.31k
...Medical Director, Utilization Management Job 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...Full timeLocal area$78.39k - $97.99k
...of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care... ...that drives us forward every day. Job Overview The Supervisor, Utilization Management - Clinical position is responsible for overseeing and managing...Work experience placementFlexible hours$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
$81.12k - $133.01k
Overview Manages all clinical operations under the direction of the Director. Manages clinical... ...including directing the work of clinical supervisors, administrative and medical staff of... ..., and services. Supervises the utilization of resources and the application of new...Full timeWork at officeLocal areaFlexible hours- ...Responsibilities: Provide daily utilization oversight and external... ...to peer conversations for the clinical case reviews, as needed Conduct... ...effectively with network and non-network providers to ensure the... ...guidance to maximize cost management through close coordination with...Remote jobLocal areaWeekend workAfternoon shift
- ...Job Description Job Description Job Description: Manager of Clinical Utilization Management - Denial Compliance Location: Burbank, CA Position... .... Key Responsibilities: 1. Oversee both licensed and non-licensed denial unit staff, managing daily tasks,...Permanent employmentFull timeTemporary workRemote workFlexible hours
$179.5k - $307.73k
...on bonus: $10, 000 Clinical Operations Associate Medical... ...Medical Benefits Management Post Acute Care Benefit Utilization Management Schedule... ...decisions. Brings to their supervisors attention, any case... ...a number of legitimate, non-discriminatory factors set...Full timeTemporary workPart timeWork experience placementLocal areaRelocation packageShift workWeekend work1 day per week- ...Health System Specialist, in the Quality Management Service in Los Angeles, California. The... ...to provide cost effective manpower utilization. Manage and coordinate of all online communication... ...analytical or administrative, or clinical management or supervisory experience in...Permanent employmentSeasonal workWork at officeRemote workTrial periodRelocation packageMonday to FridayFlexible hours
- ...What You Will be Doing The Supervisor of Clinical Operations RN supports the... ...collaboration with senior management. Oversees, and as... ...facilities management, pharmacy, utilization management, quality management... .... Controls wage and non-wage expenses, including pharmacy...Work experience placement
- ...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
$22.74 - $25.15 per hour
...University Corporation is a non-profit auxiliary... ...change. Overview: The Clinical Mental Health Case Manager is responsible for conducting... ...FP) program. The MHCM will utilize a strengths-based model to... ...required/suggested by the Supervisor; (10) attend required meetings...Hourly payFull timeWork at officeWeekend workAfternoon shift- ...coordinating delivery of services to managed care residents in... ...and suspected incidences of non-compliance including but not... ...improvement activities. Recommends to Supervisor any equipment and supplies... ...departmental improvements. 30. Utilizes most efficient, safe and cost...Contract workWork at officeShift workWeekend work
- 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...
$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$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- Healthcare Plans Finance Director, Managed Care Full-time Southern... ..., ER, OR, Physicians, Clinics, Outpatient, Service Line Administrators... ...providers, for profit and non profit health care... ...maximum efficiencies in the utilization of human and financial resources...Full timeContract workWork at officeRelocation package
$50 - $55 per hour
Remote BCBA Supervisor & Clinical Consultant — California About CCBS CCBS is... ...our clinical standards are non-negotiable. The Role 100% remote... ...hours per week; 90% utilization of recommended treatment hours... ...based practice independently Manage your time and documentation...Remote job- ...Permanent Supportive Housing/Intensive Case Management Services, Shared Housing, and Enhanced... ...individuals we serve. OPPORTUNITY: CLINICAL SUPERVISOR JOB DESCRIPTION CLASSIFICATION... ...Class C Driver License or the ability to utilize an alternative method of transportation...Permanent employmentContract workWork experience placementWork at office
$72.41k - $84.6k
Licensed Clinical Team Supervisor - Bob Hope Patriotic Hall / OC Level: Management Job Location: USVETS Bob Hope Patriotic Hall - Los... ...appropriate supervision of any non-clinical/non-licensed... ...with clients and partners alike Utilize clinical judgement and collaborate...Full timeFor contractorsLocal areaFlexible hoursShift work$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- Your Role The MCS Clinical Service Intake team is responsible for... ...will report to the Supervisor of Clinical Services Intake... ...the Medical Care Solutions' Utilization Management Department or a similar medical... ...authorization and/or concurrent review non-clinical business rules and...Full timeWork experience placementWork at office
$138k - $172.5k
...Description As a Healthcare Process Risk Manager, you will have the opportunity to grow... ...and/or Cerner, including implementation, utilization, and operational experience. ~... ...licensed CPA firm), which exclusively provides non-attest offerings, including tax and...InternshipSeasonal workWork at officeLocal areaFlexible hours3 days per week$140k - $250k
Description WTW is creating a new Mid-Market Absence, Disability Management and Life Insurance (ADML) practice focused on delivering... ...management, coaching, and mentoring of consultants. Employment-based non-immigrant visa sponsorship and/or assistance is not offered for...Temporary workLocal areaVisa sponsorshipWork visaFlexible hours
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