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 ...
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 ...
Supervising Utilization Review Department, assigning tasks, assessing productivity, conducting ... Updating Clinical Resource Manager as needed. * Assigning daily tasks to staff members to ensure ...
Supervising Utilization Review Department, assigning tasks, assessing productivity, conducting ... Updating Clinical Resource Manager as needed. * Assigning daily tasks to staff members to ensure ...
Supervising Utilization Review Department, assigning tasks, assessing productivity, conducting ... Updating Clinical Resource Manager as needed. * Assigning daily tasks to staff members to ensure ...
Supervising Utilization Review Department, assigning tasks, assessing productivity, conducting ... Updating Clinical Resource Manager as needed. * Assigning daily tasks to staff members to ensure ...
Supervising Utilization Review Department, assigning tasks, assessing productivity, conducting ... Updating Clinical Resource Manager as needed. * Assigning daily tasks to staff members to ensure ...
Supervising Utilization Review Department, assigning tasks, assessing productivity, conducting ... Updating Clinical Resource Manager as needed. * Assigning daily tasks to staff members to ensure ...
Supervising Utilization Review Department, assigning tasks, assessing productivity, conducting ... Updating Clinical Resource Manager as needed. * Assigning daily tasks to staff members to ensure ...
Supervising Utilization Review Department, assigning tasks, assessing productivity, conducting ... Updating Clinical Resource Manager as needed. * Assigning daily tasks to staff members to ensure ...
... supervising MH providers. * Working knowledge of behavioral health systems of care, Texas ... Utilization Management functions. * Proficient professional oral and written communication.
... supervising MH providers. * Working knowledge of behavioral health systems of care, Texas ... Utilization Management functions. * Proficient professional oral and written communication.
Supervising Utilization Review Department, assigning tasks, assessing productivity, conducting ... Updating Clinical Resource Manager as needed. * Assigning daily tasks to staff members to ensure ...
Supervising Utilization Review Department, assigning tasks, assessing productivity, conducting ... Updating Clinical Resource Manager as needed. * Assigning daily tasks to staff members to ensure ...
Supervising Utilization Review Department, assigning tasks, assessing productivity, conducting ... Updating Clinical Resource Manager as needed. * Assigning daily tasks to staff members to ensure ...
Supervising Utilization Review Department, assigning tasks, assessing productivity, conducting ... Updating Clinical Resource Manager as needed. * Assigning daily tasks to staff members to ensure ...
Responsibilities: * Provide Utilization Management functions in Mental Health Services ... Communicate information to supervisor and other agency employees or vendors. * Assist with special ...
Responsibilities: * Provide Utilization Management functions in Mental Health Services ... Communicate information to supervisor and other agency employees or vendors. * Assist with special ...
Manager, Utilization Operations - Remote
Pearland, TX · On-site +1
Oversees supervisors and administrative staff while ensuring timely, accurate, compliant, and efficient operational support for Utilization Management services. Provides leadership for operational ...
Manager, Utilization Operations - Remote
Pearland, TX · On-site +1
Oversees supervisors and administrative staff while ensuring timely, accurate, compliant, and efficient operational support for Utilization Management services. Provides leadership for operational ...
Oversees supervisors and administrative staff while ensuring timely, accurate, compliant, and efficient operational support for Utilization Management services. Provides leadership for operational ...
Oversees supervisors and administrative staff while ensuring timely, accurate, compliant, and efficient operational support for Utilization Management services. Provides leadership for operational ...
Utilization Management Nurse Consultant
Mountain Home, TX · On-site
$26.01 - $68.55/hr
Position Summary As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... hourly rate or base annual full-time salary for all positions in the job grade within which this ...
Utilization Management Nurse Consultant
Mountain Home, TX · On-site
$26.01 - $68.55/hr
Position Summary As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... hourly rate or base annual full-time salary for all positions in the job grade within which this ...
Utilization Management Reviewer FT
Lubbock, TX · On-site
$21.54/hr
Responsibilities: * Provide Utilization Management functions in Mental Health Services ... Communicate information to supervisor and other agency employees or vendors. * Assist with special ...
Utilization Management Reviewer FT
Lubbock, TX · On-site
$21.54/hr
Responsibilities: * Provide Utilization Management functions in Mental Health Services ... Communicate information to supervisor and other agency employees or vendors. * Assist with special ...
Five years of experience in a management/supervisory capacity required. Strong background in ... Experience with utilization review, clinic operations, and data collection and analysis preferred.
Five years of experience in a management/supervisory capacity required. Strong background in ... Experience with utilization review, clinic operations, and data collection and analysis preferred.
Five years of experience in a management/supervisory capacity required. Strong background in ... Experience with utilization review, clinic operations, and data collection and analysis preferred.
Five years of experience in a management/supervisory capacity required. Strong background in ... Experience with utilization review, clinic operations, and data collection and analysis preferred.
Utilization Management Director, El Paso Health
El Paso, TX · On-site
$80 - $110/hr
Work Experience Five years of experience in a management/supervisory capacity required. Strong ... Experience with utilization review, clinic operations, and data collection and analysis preferred.
Utilization Management Director, El Paso Health
El Paso, TX · On-site
$80 - $110/hr
Work Experience Five years of experience in a management/supervisory capacity required. Strong ... Experience with utilization review, clinic operations, and data collection and analysis preferred.
Five years of experience in a management/supervisory capacity required. Strong background in ... Experience with utilization review, clinic operations, and data collection and analysis preferred.
Five years of experience in a management/supervisory capacity required. Strong background in ... Experience with utilization review, clinic operations, and data collection and analysis preferred.
Hourly Supervisor
Georgetown, TX · On-site
With guidance from your manager, you'll learn on the job and make great connections with the people ... Completion of any task requested by a supervisor or member of the Aramark management team. * Lead ...
Hourly Supervisor
Georgetown, TX · On-site
With guidance from your manager, you'll learn on the job and make great connections with the people ... Completion of any task requested by a supervisor or member of the Aramark management team. * Lead ...
Hourly Supervisor
Georgetown, TX · On-site
With guidance from your manager, you'll learn on the job and make great connections with the people ... Completion of any task requested by a supervisor or member of the Aramark management team. * Lead ...
Hourly Supervisor
Georgetown, TX · On-site
With guidance from your manager, you'll learn on the job and make great connections with the people ... Completion of any task requested by a supervisor or member of the Aramark management team. * Lead ...
Utilization Review Nurse
Dallas, TX · Remote
$35 - $45.94/hr
You will report into the Supervisor, Utilization Review. Work Location: This is a remote position ... Previous experience conducting concurrent or inpatient reviews for a managed care plan This is an ...
Quick apply
Utilization Review Nurse
Dallas, TX · Remote
$35 - $45.94/hr
You will report into the Supervisor, Utilization Review. Work Location: This is a remote position ... Previous experience conducting concurrent or inpatient reviews for a managed care plan This is an ...
Hourly Supervisor Utilization Management information
What is the difference between Hourly Supervisor Utilization Management vs Utilization Review Nurse?
| Aspect | Hourly Supervisor Utilization Management | Utilization Review Nurse |
|---|---|---|
| Credentials | RN license, supervisory skills | RN license, certification in utilization review |
| Work Environment | Supervises staff, manages utilization processes | Reviews patient cases, assesses medical necessity |
| Employer & Industry | Hospitals, insurance companies, healthcare facilities | Insurance companies, healthcare providers |
Hourly Supervisor Utilization Management focuses on overseeing utilization review staff and processes, ensuring efficient case management. Utilization Review Nurse primarily conducts case assessments and medical necessity reviews. Both roles require RN licensure, but the supervisor role emphasizes leadership and management, while the review nurse role centers on clinical evaluation.
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RN - Supervisor, Utilization Mgmt
Fort Worth, TX • Hybrid
7.9
Based on 78 frontline employees who took The Breakroom Quiz
107th of 893 rated healthcare providers
People enjoy working here
Good employer
Recommended by students
Good schedule notice
Recommended by parents
Full-time
This job post has expired 3 days ago. Applications are no longer accepted.
Job description
Location:
Calmont Operations BuildingDepartment:
UtilizationShift:
First Shift (United States of America)Standard Weekly Hours:
40Summary:
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 Hybrid position, will require in office work 1-2 days per month in Fort Worth.
Required Education, Experience and Licensure:
Bachelor's of Science in Nursing (BSN).
RN License in Texas.
Minimum of 5 years clinical experience.
2 years of Utilization Management experience.
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.
Preferred Qualifications:
1 to 2 years' experience in a supervisory role.
Bilingual (English/Spanish) a plus.
About Us:
Cook Children's is an equal opportunity employer. As such, Cook Children's offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.
About Cook Children's Health Care System
Sourced by ZipRecruiter
Cook Children's Health Care System, based in Fort Worth, Texas, operates in the healthcare industry with a primary focus on pediatric health services. Established in 1918, the system has been committed to improving the health of children through the prevention and treatment of childhood diseases. This integrated pediatric healthcare system includes a medical center, physician network, home health company, research institute, and a health plan. At the core of its operations is the mission to 'Improve the Health of Every Child' in its community, reflecting its commitment to providing quality care, research, education, and prevention and wellness services.
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Fort Worth, TX, US
Year founded
1918
Website
What Cook Children's Health Care System employees say
Pay
Benefits
Hours and flexibility
Workplace
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