RN - Supervisor, Utilization Mgmt

Cook Children's Health Care System

$80K — $95K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's of Science in Nursing (BSN) required
  • RN License in Texas
  • Minimum of 5 years clinical experience
  • 2 years of Utilization Management experience required
  • 1 to 2 years' experience in a supervisory role preferred
  • Proficient in computer applications with typing speed of at least 35 words per minute
  • Strong oral and written communication, problem-solving, organization, and customer service skills
  • Bilingual (English/Spanish) is a plus

Responsibilities

  • Supervise, coach, and mentor STAR/CHIP/STAR Kids workgroups
  • Act as process owner and subject matter expert for program benefits and LTSS
  • Motivate and provide resources to team members to achieve goals
  • Assist team members in setting and accomplishing individual goals
  • Train and certify team members on Utilization Management processes
  • Assess team member abilities and provide customized skills training
  • Offer constructive feedback to guide the team towards objectives

Benefits

  • Standard work hours from Monday to Friday, 8am-5pm
  • Opportunity to work in a supportive team environment
  • Engagement in mentoring and developing future nursing leaders
  • Possibility for professional growth within Utilization Management
  • Chance to build valuable skills in a supervisory capacity
Full Job Description
Location:

Calmont Operations Building

Department:

Utilization

Shift:

First Shift (United States of America)

Standard Weekly Hours:

40

Summary:

Responsible for supervising/ coaching/ mentoring STAR/ CHIP/ or STAR Kids workgroups (Pods) comprised of UM/ECM RN and support staff to achieve department goals and objectives. Acts as process owner and subject matter expert for program benefits and long term supports and services (LTSS).

Additional Information:

The RN Supervisor, Utilization Management is responsible for supervising/ coaching/ mentoring STAR/ CHIP/ or STAR Kids workgroups (Pods) comprised of UM/ECM RN and support staff to achieve department goals and objectives. Acts as process owner and subject matter expert for program benefits and long term supports and services (LTSS). The Supervisor will offer motivation, encouragement, and resources to the team members. Assists individual team members to set and accomplish goals. Train and certify team members on all applicable processes and essential skills related to Utilization Management. Assesses individual team member's existing abilities and provides customized skills training to ensure each team member can properly perform job functions. Provide positive and constructive feedback to direct team towards goals.

Hours: Mon-Fri 8am-5pm

Required Education, Experience and Licensure:
  • Bachelor's of Science in Nursing (BSN) required.
  • RN License in Texas.
  • Minimum of 5 years clinical experience.
  • 2 years of Utilization Management experience required.
  • 1 to 2 years' experience in a supervisory role preferred.
  • Proficiency in use of computer applications and typing speed (35 words per minute minimum).
  • Strong skills in the following areas: Oral and written communication, Problem-solving, Organization and time management, Customer service, Knowledge of adult teaching and learning, coaching.
  • Bilingual (English/Spanish) a plus.


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