Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Utilization Management Supervisor

Franciscan 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 ARE


With 12 ministries and access points across Indiana and Illinois, 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.

QUALIFICATIONS
  • 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: $82,347.20 - $113, 235.20

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 20 hours 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... 
    Suggested
    Local area

    Leprino Foods Company

    Lubbock, TX
    12 hours ago
  • 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... 
    Suggested
    Remote job
    Contract work

    TriWest Healthcare Alliance

    Phoenix, AZ
    4 days ago
  •  ...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

    Primoris Services Corporation

    Phoenix, AZ
    3 days ago
  •  ...Job Description HealthPartners is hiring a Supervisor, Utilization Management. This position provides supervision to, and performance management of, the utilization management staff. Provide leadership in process management, provide technical support with excellent... 
    Suggested
    Local area

    HealthPartners

    Bloomington, MN
    2 days ago
  • $75.3k - $135.4k

     ...and/or Retrospective Review Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management team. Key Details: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or... 
    Suggested
    Full time
    Part time
    H1b
    Work at office
    Remote work
    Flexible hours

    Centene Corporation

    Missouri
    1 day ago
  • 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... 

    Blue Cross Blue Shield of Arizona

    Phoenix, AZ
    2 days ago
  • $79.66k - $116.12k

     ...Utilization Review Supervisor As a key leader within the Utilization Review Services, this role is responsible for assisting and supervising a multidisciplinary team with the day-to-day management of the Utilization Review Services and team members. This position will... 
    Weekend work
    Weekday work

    ECU Health

    Greenville, NC
    1 day ago
  •  ...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 work
    Interim role
    Immediate start
    Remote work

    Impresiv Health

    Oakland, CA
    2 days ago
  •  ...Utilization Review Supervisor Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and...  ...Nurse (RN) Preferred Qualifications ~1 year of managed care/health plan experience ~1 year of Medicaid and Medicare... 
    Full time
    Remote work
    2 days per week
    1 day per week

    Blue Cross Blue Shield of Arizona

    Phoenix, AZ
    1 day ago
  • Mass General Brigham Health Plan Holding Company, Inc. is seeking a supervisor to oversee DSNP utilization management staff, including coaching and evaluating licensed clinicians. The role focuses on adherence to national and MA regulations and quality reviews. Qualified... 
    Remote job
    Casual work

    your Jared

    Somerville, MA
    2 days ago
  •  ...Job Title Effective and consistent management of the site engineering practice and operation. Job Description At Dreyer's Grand...  ...is on the factory floor definitely a hands-on role technical utilities skills required to train, teach and develop employees. 25% - 3... 
    Flexible hours
    Shift work

    Dreyer's Grand Ice Cream

    Laurel, MD
    2 days ago
  • 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 time
    Work experience placement

    Lake Charles Memorial Hospital

    Louisiana, MO
    4 days ago
  •  ...Behavioral Health and Recovery Division (BHRD) of DCHS is seeking a Hospital and Mental Health Residential (HMHR) Treatment Utilization Management Supervisor (Project/Program Manager III). This position holds direct responsibility for the overall utilization management... 
    Contract work
    Remote work
    Monday to Friday

    King County

    Seattle, WA
    3 days ago
  • Mass General Brigham Health Plan Holding Company, Inc. seeks a Supervisor, Clinical to oversee the DSNP utilization management team and coach licensed staff. The role emphasizes quality reviews, adherence to regulations, and project participation to meet business needs.... 
    Remote job

    Mass General Brigham Incorporated

    Somerville, MA
    3 days ago
  • $99.47k - $144.64k

     ...flexible work options, career growth opportunities, and much more. The supervisor will work closely with the Manager, Clinical, to oversee the daily operations of the DSNP (SCO and OneCare products) utilization management staff. The supervisor will be responsible for the... 
    Work at office
    Remote work
    Monday to Friday
    Flexible hours
    Shift work
    Weekend work

    Mass General Brigham Incorporated

    Somerville, MA
    3 days ago
  • 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... 

    Medica

    Minnetonka, MN
    1 day ago
  • Judi Health is seeking a healthcare utilization management supervisor in New York to lead a team of prior authorization technicians in a hybrid setting with local ties to Denver, Charlotte or NYC. You will drive staffing, workflows, and quality in a fast-paced startup environment... 
    Local area

    Triwill Group

    New York, NY
    12 hours ago
  • Beyond Blue Job Posting Title: Supervisor, Utilization Review Requisition Number: R-000003688 Department Name: Director, Utilization Review...  ...organizational standards. Provides oversight of utilization management processes to support appropriate levels of care, efficient... 
    Full time
    Part time
    Work experience placement
    Relief
    Internship
    Shift work

    BBSS Beyond Blue

    Brooklyn, NY
    2 days ago
  • $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 pay
    Full time
    Part time
    Apprenticeship
    Work experience placement
    Work at office
    Shift work
    Night shift
    Weekend work
    Afternoon shift

    Hackensack Meridian Health

    Brick, NJ
    1 day ago
  •  ...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... 

    LHH

    Phoenix, AZ
    4 days ago
  •  ...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 contractors
    Work at office
    Local area
    Worldwide
    Relocation
    Flexible hours

    AECOM

    Florence, SC
    12 hours ago
  • $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

    Erickson Senior Living

    Glen Mills, PA
    2 days ago
  • $78.4k - $85k

     ...PA functions. Work in conjunction with the pharmacy technician manager in analyzing available data and provide prior authorization...  ...enhancement recommendations. Support on-going training and coaching of utilization management pharmacy technicians. Participate in the goal... 
    Work at office
    Local area
    Flexible hours
    Shift work

    Triwill Group

    New York, NY
    12 hours ago
  • $78.4k - $85k

     ...functions. Work in conjunction with the pharmacy technician manager in analyzing available data and provide prior authorization staffing...  ...issues or problems from clients and providers. Works with utilization management manager on other responsibilities, projects,... 
    Contract work
    For contractors
    For subcontractor
    Work at office
    Local area
    Flexible hours
    Shift work

    Judi Health

    New York, NY
    12 hours ago
  • $102.18k - $163.49k

     ...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

    L.A. Care Health Plan

    Michigan
    1 day ago
  • L.A. Care Health Plan seeks a Supervisor of Utilization Management, RN, to oversee daily UM operations and staff performance. You will ensure staffing adequacy, monitor compliance with policies, and drive process improvements across the CM/UM teams in a large public health... 

    L.A. Care Health Plan

    Phoenix, AZ
    4 days ago
  • 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 job
    Flexible hours

    Centene Corp.

    California, MO
    4 days ago
  • Job Summary You supervise utilization review for RNs. You oversee processes daily. Guide on complex cases. Identify staff education opportunities...  ...when patients don't meet criteria. Updating Clinical Resource Manager as needed. Assigning daily tasks to staff members to ensure... 
    Work at office

    Baylor Scott & White Health

    Dallas, TX
    1 day ago
  • $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 contractors
    Weekend work

    Cargill

    Fort Morgan, CO
    3 days ago
  •  ...leading healthcare organization is seeking a Supervisor for Referral Services in San Francisco, California. This role involves managing staff, ensuring timely processing of...  ...least three years of acute clinical and utilization management experience, along with a current... 

    HealthCare Talent

    San Francisco, CA
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Utilization Management Supervisor. Be the first to apply!