RN Supervisor of UM
Sunrise, FL · On-site
Supervise the daily operations of the utilization management (UM) department Supervise the daily operations of the UM staff Ensure appropriate usage of resources in order to facilitate the UM process ...
Sunrise, FL · On-site
Supervise the daily operations of the utilization management (UM) department Supervise the daily operations of the UM staff Ensure appropriate usage of resources in order to facilitate the UM process ...
Sunrise, FL · On-site
Supervise the daily operations of the utilization management (UM) department Supervise the daily operations of the UM staff Ensure appropriate usage of resources in order to facilitate the UM process ...
Pasadena, CA · Remote
$150K - $170K/yr
Utilization Management REPORTS TO: Chief Medical Officer AUTHORITY : Clinical and non-clinical staff JOB SUMMARY: Responsible for providing operational leadership to the day-to-day function of the UM ...
Quick apply
Pasadena, CA · Remote
$150K - $170K/yr
Utilization Management REPORTS TO: Chief Medical Officer AUTHORITY : Clinical and non-clinical staff JOB SUMMARY: Responsible for providing operational leadership to the day-to-day function of the UM ...
Essential Functions The UM Manager position is an administrative position with responsibility in providing direction for clinical service delivery of behavioral health services across the region ...
Essential Functions The UM Manager position is an administrative position with responsibility in providing direction for clinical service delivery of behavioral health services across the region ...
... UM Manager and provide support when needed Qualifications: LVN Preferred Must have medical background and medical terminology knowledge Must be committed to a long-term stay with the company Must ...
... UM Manager and provide support when needed Qualifications: LVN Preferred Must have medical background and medical terminology knowledge Must be committed to a long-term stay with the company Must ...
Hanover, VA · On-site
We need an aggressive UM manager quick with acute inpatient services including NICU, ICU, CCU and Transplants. * We need current high volume experience with Maryland hospitals, on straight medical ...
Hanover, VA · On-site
We need an aggressive UM manager quick with acute inpatient services including NICU, ICU, CCU and Transplants. * We need current high volume experience with Maryland hospitals, on straight medical ...
$35 - $40/hr
Works with UM Manager and other clinical leadership to ensure that departmental and organizational policies and procedures as well as regulatory and contractual requirements are met * Additional ...
$35 - $40/hr
Works with UM Manager and other clinical leadership to ensure that departmental and organizational policies and procedures as well as regulatory and contractual requirements are met * Additional ...
$35 - $40/hr
Works with UM Manager and other clinical leadership to ensure that departmental and organizational policies and procedures as well as regulatory and contractual requirements are met * Additional ...
$35 - $40/hr
Works with UM Manager and other clinical leadership to ensure that departmental and organizational policies and procedures as well as regulatory and contractual requirements are met * Additional ...
Summary The UM Nurse Lead is responsible for conducting and overseeing clinical utilization management activities to ensure medically appropriate, high-quality, and cost-effective care for members.
Summary The UM Nurse Lead is responsible for conducting and overseeing clinical utilization management activities to ensure medically appropriate, high-quality, and cost-effective care for members.
OR · Remote
Summary The UM Nurse Lead is responsible for conducting and overseeing clinical utilization management activities to ensure medically appropriate, high-quality, and cost-effective care for members.
OR · Remote
Summary The UM Nurse Lead is responsible for conducting and overseeing clinical utilization management activities to ensure medically appropriate, high-quality, and cost-effective care for members.
... UM Manager to conduct Physicians' annual Interrater reliability testing • Serve as a Subject Mater Expert (CME) to Regional Medical Officers and/or Extensivists during concurrent reviews. • Serve ...
... UM Manager to conduct Physicians' annual Interrater reliability testing • Serve as a Subject Mater Expert (CME) to Regional Medical Officers and/or Extensivists during concurrent reviews. • Serve ...
The Director, System Utilization Management (UM) provides strategic and operational leadership for utilization review, and resource management functions across the health system. This role ensures ...
The Director, System Utilization Management (UM) provides strategic and operational leadership for utilization review, and resource management functions across the health system. This role ensures ...
Land O Lakes, FL · On-site +1
The Manager, UM Preservice Review oversees the daily operations of preservice utilization management activities, leading a team of nurse clinicians. This role is responsible for workload management ...
New
Land O Lakes, FL · On-site +1
The Manager, UM Preservice Review oversees the daily operations of preservice utilization management activities, leading a team of nurse clinicians. This role is responsible for workload management ...
New
Tampa, FL · On-site +1
The Manager, UM Preservice Review oversees the daily operations of preservice utilization management activities, leading a team of nurse clinicians. This role is responsible for workload management ...
Tampa, FL · On-site +1
The Manager, UM Preservice Review oversees the daily operations of preservice utilization management activities, leading a team of nurse clinicians. This role is responsible for workload management ...
Palmetto, FL · On-site +1
The Manager, UM Preservice Review oversees the daily operations of preservice utilization management activities, leading a team of nurse clinicians. This role is responsible for workload management ...
New
Palmetto, FL · On-site +1
The Manager, UM Preservice Review oversees the daily operations of preservice utilization management activities, leading a team of nurse clinicians. This role is responsible for workload management ...
New
Balm, FL · On-site +1
The Manager, UM Preservice Review oversees the daily operations of preservice utilization management activities, leading a team of nurse clinicians. This role is responsible for workload management ...
New
Balm, FL · On-site +1
The Manager, UM Preservice Review oversees the daily operations of preservice utilization management activities, leading a team of nurse clinicians. This role is responsible for workload management ...
New
Tampa, FL · On-site +1
The Manager, UM Preservice Review oversees the daily operations of preservice utilization management activities, leading a team of nurse clinicians. This role is responsible for workload management ...
Tampa, FL · On-site +1
The Manager, UM Preservice Review oversees the daily operations of preservice utilization management activities, leading a team of nurse clinicians. This role is responsible for workload management ...
Riverview, FL · On-site +1
The Manager, UM Preservice Review oversees the daily operations of preservice utilization management activities, leading a team of nurse clinicians. This role is responsible for workload management ...
New
Riverview, FL · On-site +1
The Manager, UM Preservice Review oversees the daily operations of preservice utilization management activities, leading a team of nurse clinicians. This role is responsible for workload management ...
New
Thonotosassa, FL · On-site +1
The Manager, UM Preservice Review oversees the daily operations of preservice utilization management activities, leading a team of nurse clinicians. This role is responsible for workload management ...
New
Thonotosassa, FL · On-site +1
The Manager, UM Preservice Review oversees the daily operations of preservice utilization management activities, leading a team of nurse clinicians. This role is responsible for workload management ...
New
Hudson, FL · On-site +1
The Manager, UM Preservice Review oversees the daily operations of preservice utilization management activities, leading a team of nurse clinicians. This role is responsible for workload management ...
New
Hudson, FL · On-site +1
The Manager, UM Preservice Review oversees the daily operations of preservice utilization management activities, leading a team of nurse clinicians. This role is responsible for workload management ...
New
Dunedin, FL · On-site +1
The Manager, UM Preservice Review oversees the daily operations of preservice utilization management activities, leading a team of nurse clinicians. This role is responsible for workload management ...
New
Dunedin, FL · On-site +1
The Manager, UM Preservice Review oversees the daily operations of preservice utilization management activities, leading a team of nurse clinicians. This role is responsible for workload management ...
New
$24.5K - $32.8K
9% of jobs
$32.8K - $41.1K
15% of jobs
$41.8K is the 25th percentile. Wages below this are outliers.
$41.1K - $49.5K
17% of jobs
The median wage is $52.3K / yr.
$49.5K - $57.8K
27% of jobs
$62.9K is the 75th percentile. Wages above this are outliers.
$57.8K - $66.1K
12% of jobs
$66.1K - $74.4K
8% of jobs
$74.4K - $82.7K
4% of jobs
$82.7K - $91K
3% of jobs
$91K - $99.4K
2% of jobs
$99.4K - $107.7K
2% of jobs
$107.7K - $116K
1% of jobs
$24.5K
$59.5K
$116K
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Daily Responsibilities RN Supervisor of UM:
Position Purpose: Supervise the daily operations of the utilization management (UM) department
Supervise the daily operations of the UM staff
Ensure appropriate usage of resources in order to facilitate the UM process
Ensure compliance within applicable state program guidelines
Evaluate compliance policies and procedures and analyze/recommend enhancements
Assist with ensuring consistent data collection from UM staff that is used to assist the company in achieving corporate goals, to improve monitoring and reporting in order to meet external requirements
Identify opportunities for process improvements necessary to facilitate department functions
Educate staff as necessary to ensure consistent performance and adhere to standards
Assist UM Manager and Director with coordinating and facilitating system processes with providers, partners, vendors, and subcontractors as necessary
Requirements:
Must be Registered Nurse
3 - 5 years UM experience, Either PA or CR
Thorough knowledge of utilization management and clinical nursing.
Familiarity with Medicaid managed care practices and policies, CHIP, and SCHIP preferred
Case Management Certification (CCM) preferred.
Managed Care Experience STONGLY preferred
Supervisory Experience a must!
Hours for this Position:
Mon-Fri 8a-5p
Advantages of this Opportunity:
Competitive salary
Fun and positive work environment
Benefits start 1st of the month after hire
Want More Information?
If you are interested in applying to this position, please contact Ashley Greene @ 407-478-0332 ext 169 or email and click the Green "I'm Interested" Button to email your resume.
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Recruiting and staffing services
201 - 500 Employees
Maitland, FL, US
2003