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
