Supervisor - Utilization Management
Salary: $85K-$90K + 8% Bonus
No Relocation Assistance Available
Supervise the daily operations of the utilization management (UM) department.
This Supervisor will have 8-10 direct reports in the NH office.
The Manager of UM sits in the MA office and comes to the NH office once a week so this is a true leadership position.
Will not have cases to review on the day to day but will be more involved in mentorship, and keeping the senior leadership up to date.
Prefer RN/Supervisory Experience/3+ years of utilization management/quality improvement experience.
Working knowledge and understanding of basic utilization management and quality improvement concepts.
Strong Leadership Skills.
Manager does not want to micro-manage.
This is not a work from home-8-5pm hours.
Supervise the daily operations of the UM staff.
Ensure appropriate usage of resources in order to facilitate the UM process.
Ensure compliance within applicable state program guidelines.
Evaluate compliance policies and procedures and analyze/recommend enhancements.
Assist with ensuring consistent data collection from UM staff that is used to assist the company in achieving corporate goals to improve monitoring and reporting in order to meet external requirements.
Identify opportunities for process improvements necessary to facilitate department functions.
Educate staff as necessary to ensure consistent performance and adhere to standards.
Assist UM Manager and Director with coordinating and facilitating system processes with providers, partners, vendors, and subcontractors as necessary.
*3+ years of utilization management/quality improvement experience.
*Working knowledge and understanding of basic utilization management and quality improvement concepts.
*Previous experience as a lead in a functional area or managing cross functional teams on large scale projects.
*Current state's LPN, LVN, or RN license.
Equal opportunity employer that is committed to diversity, and values the ways in which we are different.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.