Franciscan Health

Utilization Management Supervisor

Franciscan Health$67K — $105K *
US-AnywhereRemote in United States
Healthcare
5 - 7 years of experience
Job Overview by Ladders

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

Responsibilities

  • Maintain inter- and intra-departmental communications and oversee care management services.
  • Educate team members on performance improvement initiatives to enhance patient satisfaction.
  • Coordinate compliance with HFAP, state, and federal regulations related to Utilization Management.
  • Supervise team members and manage their performance through coaching and development.
  • Make people management decisions, including performance evaluations and staff planning.
  • Collaborate with management to ensure effective Utilization Management operations.

Benefits

  • Work from home flexibility
  • Ongoing educational opportunities for career development
  • Opportunity to participate in performance improvement initiatives
  • Supportive environment aimed at employee satisfaction
  • Engagement in collaborative relationships with customers and peers
Full Job Description

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.

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: $67,683.20 – $105,768.00

INCENTIVE:

Not Applicable

About Franciscan Health

Franciscan Health is a Catholic healthcare system with 14 hospitals and numerous clinics located in Indiana, Illinois, and Michigan. The system is a member of the Mishawaka-based Franciscan Alliance, which is one of the largest Catholic healthcare systems in the United States. Franciscan Health provides a wide range of medical services, including cancer care, heart and vascular care, orthopedics, neurology, women's health, and pediatrics.
Learn more about Franciscan Health
Size
18,000 employees
Industry
Net Income
$200 million
5 Year Trend
-2%
Revenue
$3 billion

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