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 ...
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 ...
Manager, Utilization Operations - Remote
Pearland, TX · On-site
$73 - $130/hr
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
$73 - $130/hr
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
$73 - $130/hr
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
$73 - $130/hr
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
$73 - $130/hr
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
$73 - $130/hr
Oversees supervisors and administrative staff while ensuring timely, accurate, compliant, and efficient operational support for Utilization Management services. Provides leadership for operational ...
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 ...
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 ...
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 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.
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
Waco, TX · On-site
$19/hr
Job Title Location 301 Schroeder Drive, Waco, TX, 76710, United States Base Pay $19.00 / Hour Employee Type SC2 - Supplemental Contact Information Name Elitania Contreras Phone 254-296-8057 Email ...
New
Hourly Supervisor
Waco, TX · On-site
$19/hr
Job Title Location 301 Schroeder Drive, Waco, TX, 76710, United States Base Pay $19.00 / Hour Employee Type SC2 - Supplemental Contact Information Name Elitania Contreras Phone 254-296-8057 Email ...
New
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 ...
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 ...
Key Employee / Hourly Supervisor
Pasadena, TX · On-site
$12 - $18/hr
Fat Boys Pizza/Savvy Sliders is hiring for a key employee/hourly supervisor position ... This position will support the operating partner and management team in helping oversee day-to-day ...
Key Employee / Hourly Supervisor
Pasadena, TX · On-site
$12 - $18/hr
Fat Boys Pizza/Savvy Sliders is hiring for a key employee/hourly supervisor position ... This position will support the operating partner and management team in helping oversee day-to-day ...
Key Employee / Hourly Supervisor
Pasadena, TX · On-site
$15 - $20/hr
Fat Boys Pizza/Savvy Sliders is hiring for a key employee/hourly supervisor position ... This position will support the operating partner and management team in helping oversee day-to-day ...
Key Employee / Hourly Supervisor
Pasadena, TX · On-site
$15 - $20/hr
Fat Boys Pizza/Savvy Sliders is hiring for a key employee/hourly supervisor position ... This position will support the operating partner and management team in helping oversee day-to-day ...
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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Supervisor Utilization Review RN
University Park, TX • On-site
Baylor Scott & White Health •
Outpatient Health Care • 10K+ employees10,000+ employees
7.5
Based on 772 frontline employees who took The Breakroom Quiz
233rd of 895 rated healthcare providers
People enjoy working here
Good employer
Recommended by students
Recommended by parents
Respectful managers
Full-time
Posted 16 days ago
Job description
Job Summary
You supervise utilization review for RNs. You oversee processes daily. Guide on complex cases. Identify staff education opportunities. Connect departments through communication.
Essential Functions of the Role
- Supervising Utilization Review Department, assigning tasks, assessing productivity, conducting quality reviews, and advising team on peer-to-peer appeals. Also conducting denial research.
- Collecting data to generate weekly reports that aid in improving staff outcomes and enhancing quality metrics.
- Collaborate with the Medical Director and Care Coordination when patients don't meet criteria. Updating Clinical Resource Manager as needed.
- Assigning daily tasks to staff members to ensure service levels are maintained at an optimal level.
- Monitors daily observation reports to identify and address any potential problems.
- Handling escalations from Utilization Review Nurses and other staff members.
- Conducting quality reviews as needed.
- Responding to inquiries from staff members and stakeholders regarding Utilization Review.
- Serve as a Subject Matter Expert (SME) for Utilization Review workflow issues, complex cases, denials, and customer interactions, both internal and external.
Key Success Factors
- Possessing a helpful nature that assists others in identifying and solving challenges.
- Skilled in mentoring and encouraging colleagues for the enhancement of their clinical proficiency.
- Exceptional written and conversational abilities.
- Proficient at collaborating effectively with employees of varying ranks, including those at the highest level of leadership.
- Familiarity with discharge planning, case management, and utilization review. processes, case handling and the review of resource usage.
- Experience in strategically directing work among team members based on established policies and protocols.
- Aptitude in making sound hiring and termination suggestions.
- Proficiency in training colleagues and assessing their performance.
- Basic digital skills like using Microsoft Office, information security, managing schedules and payroll, electronic medical documentation, and email use
Qualification
- EDUCATION - Associate's Degree
- MAJOR - Nursing
- EXPERIENCE - (4) Four Years of Experience
About Baylor Scott White Health
Sourced by ZipRecruiter
Industry
Outpatient health care and health care and social assistance
Company size
10,000+ Employees
Headquarters location
Dallas, TX, US
Website
What Baylor Scott & White Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom