Homestead, FL · On-site
$92K - $123K/yr
Functions as the lead member and supervisor of the care coordination team to ensure high quality ... Serves as a resource to the hospital for utilization management issues.Estimated salary range for ...
Homestead, FL · On-site
$92K - $123K/yr
Functions as the lead member and supervisor of the care coordination team to ensure high quality ... Serves as a resource to the hospital for utilization management issues.Estimated salary range for ...
Daily Responsibilities RN Supervisor of UM: Position Purpose ... Supervise the daily operations of the utilization management (UM) department Supervise the daily ...
Daily Responsibilities RN Supervisor of UM: Position Purpose ... Supervise the daily operations of the utilization management (UM) department Supervise the daily ...
Homestead, FL · On-site
$92K - $123K/yr
Serves as a resource to the hospital for utilization management issues. Estimated salary range for ... Functions as the lead member and supervisor of the care coordination team to ensure high quality ...
Homestead, FL · On-site
$92K - $123K/yr
Serves as a resource to the hospital for utilization management issues. Estimated salary range for ... Functions as the lead member and supervisor of the care coordination team to ensure high quality ...
Perform other duties as assigned by the supervisor including but not limited to processing ... Preferred ACM (Case Management) * Preferred CCM (Case Manager) Education: * Required Associates in ...
Perform other duties as assigned by the supervisor including but not limited to processing ... Preferred ACM (Case Management) * Preferred CCM (Case Manager) Education: * Required Associates in ...
PRIMARY FUNCTION The Supervisor, Healthcare Analytics will oversee delivery of analytics related to membership trends, panel management, quality metrics, cost, and utilization. This role requires a ...
PRIMARY FUNCTION The Supervisor, Healthcare Analytics will oversee delivery of analytics related to membership trends, panel management, quality metrics, cost, and utilization. This role requires a ...
PRIMARY FUNCTION The Supervisor, Healthcare Analytics will oversee delivery of analytics related to membership trends, panel management, quality metrics, cost, and utilization. This role requires a ...
PRIMARY FUNCTION The Supervisor, Healthcare Analytics will oversee delivery of analytics related to membership trends, panel management, quality metrics, cost, and utilization. This role requires a ...
... of Supervisory experience -AND- 3-5 years of Utilization management, case management and/or discharge planning experience and experience in a hospital setting. Preferred Experience: Experience ...
... of Supervisory experience -AND- 3-5 years of Utilization management, case management and/or discharge planning experience and experience in a hospital setting. Preferred Experience: Experience ...
... of Supervisory experience -AND- 3-5 years of Utilization management, case management and/or discharge planning experience and experience in a hospital setting. Preferred Experience: Experience ...
... of Supervisory experience -AND- 3-5 years of Utilization management, case management and/or discharge planning experience and experience in a hospital setting. Preferred Experience: Experience ...
Performs utilization review and management, including quality review, case review for third party ... department supervisor about admissions under review and study. · Reports data collected ...
Quick apply
Performs utilization review and management, including quality review, case review for third party ... department supervisor about admissions under review and study. · Reports data collected ...
... utilization management and care coordination team. 5. Monitor commercial payers accounts, to ... Office Supervisor and or Manager, to include but not limited to: faxing dictation to referring ...
... utilization management and care coordination team. 5. Monitor commercial payers accounts, to ... Office Supervisor and or Manager, to include but not limited to: faxing dictation to referring ...
... utilization management programs. The Supervisor ensures client and member notifications are accurate, timely, compliant, and generated in accordance with client-specific requirements, regulatory ...
New
... utilization management programs. The Supervisor ensures client and member notifications are accurate, timely, compliant, and generated in accordance with client-specific requirements, regulatory ...
New
Candidates should have 5+ years of senior level position(s) with supervisory responsibilities, and ... Basic job responsibilities include: medical leadership for utilization management, cost containment ...
Candidates should have 5+ years of senior level position(s) with supervisory responsibilities, and ... Basic job responsibilities include: medical leadership for utilization management, cost containment ...
Candidates should have 5+ years of senior level position(s) with supervisory responsibilities, and ... Basic job responsibilities include: medical leadership for utilization management, cost containment ...
Candidates should have 5+ years of senior level position(s) with supervisory responsibilities, and ... Basic job responsibilities include: medical leadership for utilization management, cost containment ...
Bay Pines, FL · On-site +1
$114K - $171K/yr
First-line supervisory authority and is responsible and accountable for the 24/7 operation of their ... Recent or prior experience in Case Management, Utilization Management, and/or Patient Flow.
New
Bay Pines, FL · On-site +1
$114K - $171K/yr
First-line supervisory authority and is responsible and accountable for the 24/7 operation of their ... Recent or prior experience in Case Management, Utilization Management, and/or Patient Flow.
New
Boca Raton, FL · On-site
Provision of comprehensive Utilization Management, incorporating the strategies of cost containment ... Performance is monitored daily by Supervisors and/or Branch Manager. • Initial review and ...
Boca Raton, FL · On-site
Provision of comprehensive Utilization Management, incorporating the strategies of cost containment ... Performance is monitored daily by Supervisors and/or Branch Manager. • Initial review and ...
Boca Raton, FL · On-site
Provision of comprehensive Utilization Management, incorporating the strategies of cost containment ... Report to Branch Manager/Supervisor potential problems identified during reviews or data collection ...
Boca Raton, FL · On-site
Provision of comprehensive Utilization Management, incorporating the strategies of cost containment ... Report to Branch Manager/Supervisor potential problems identified during reviews or data collection ...
Provision of comprehensive Utilization Management, incorporating the strategies of cost containment ... Report to Branch Manager/Supervisor potential problems identified during reviews or data collection ...
Provision of comprehensive Utilization Management, incorporating the strategies of cost containment ... Report to Branch Manager/Supervisor potential problems identified during reviews or data collection ...
Orlando, FL · On-site
... Supervisor Case Management RN, the Case Management (CM) RN is responsible for coordinating all ... Communicate and collaborate with Utilization Management regarding patient status, changes in plan ...
Orlando, FL · On-site
... Supervisor Case Management RN, the Case Management (CM) RN is responsible for coordinating all ... Communicate and collaborate with Utilization Management regarding patient status, changes in plan ...
... Utilization Management staff regarding patients who are "high utilizers" of the Emergency ... supervised by him/her. The incumbent reports to the Assistant Chief, Mental Health Service. VA ...
... Utilization Management staff regarding patients who are "high utilizers" of the Emergency ... supervised by him/her. The incumbent reports to the Assistant Chief, Mental Health Service. VA ...
... Utilization Management staff regarding patients who are "high utilizers" of the Emergency ... supervised by him/her. The incumbent reports to the Assistant Chief, Mental Health Service. VA ...
New
... Utilization Management staff regarding patients who are "high utilizers" of the Emergency ... supervised by him/her. The incumbent reports to the Assistant Chief, Mental Health Service. VA ...
New
$29.1K - $37.9K
9% of jobs
$44.3K is the 25th percentile. Wages below this are outliers.
$37.9K - $46.6K
22% of jobs
$46.6K - $55.3K
11% of jobs
The median wage is $60.7K / yr.
$55.3K - $64.1K
14% of jobs
$64.1K - $72.8K
12% of jobs
$78.2K is the 75th percentile. Wages above this are outliers.
$72.8K - $81.5K
13% of jobs
$81.5K - $90.3K
13% of jobs
$90.3K - $99K
5% of jobs
$99K - $107.7K
2% of jobs
$107.7K - $116.4K
0% of jobs
$116.4K - $125.2K
0% of jobs
$29.1K
$68K
$125.2K
A Supervisor Utilization Management oversees the utilization review process to ensure healthcare services are used efficiently and appropriately. They manage a team of utilization review staff, monitor case reviews, and ensure compliance with policies and regulations. Their role includes coordinating with healthcare providers, optimizing resource use, and improving patient care outcomes.
To thrive as a Supervisor Utilization Management, you need in-depth knowledge of healthcare utilization review, case management, and compliance regulations, typically supported by a clinical background and relevant licensure or certification. Familiarity with utilization management software, claims processing systems, and data analysis tools such as Microsoft Excel or SQL is often required. Strong leadership, effective communication, and problem-solving abilities are critical soft skills for leading teams and collaborating with physicians and payers. These capabilities ensure efficient workflow management, regulatory adherence, and improved patient outcomes within healthcare organizations.
A Supervisor Utilization Management typically oversees a team of utilization review nurses or specialists, monitors case workloads, and ensures that medical necessity and regulatory standards are met during patient care reviews. On a daily basis, you might review complex cases, coordinate with physicians and insurance companies regarding care determinations, and implement departmental process improvements. Supervisors also provide staff training, audit case files for quality assurance, and manage departmental reporting and metrics. Collaborating with interdisciplinary teams and adapting to changing regulations are essential aspects of the role, offering variety and opportunities to influence patient care delivery.
Homestead, FL • On-site
$92K - $123K/yr
Full-time
Posted 13 days ago
8.1
Based on 99 frontline employees who took The Breakroom Quiz
1st of 24 rated health and beauty retailers
Get the full story on Breakroom
Sourced by ZipRecruiter
Baptist Health South Florida is the largest healthcare organization in the region, with 12 hospitals, more than 27,000 employees, 4,000 physicians and 100 outpatient centers, urgent care facilities and physician practices spanning across Miami-Dade, Monroe, Broward and Palm Beach counties. Baptist Health has internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences. A not-for-profit organization supported by philanthropy and committed to its faith-based charitable mission of medical excellence, Baptist Health has been recognized by Fortune as one of the 100 Best Companies to Work For in America and by Ethisphere as one of the World's Most Ethical Companies.
Health care and social assistance
10,000+ Employees
Miami, FL, US
