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 · On-site
$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 · On-site
$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 ...
Lancaster, CA · On-site
$27 - $37.18/hr
Under the direction of the UM Manager and Supervisor, provide training and education to other UM Coordinators, Nurses, and Phisician Reviewers. * Assist with department coverage for lunches, breaks ...
Lancaster, CA · On-site
$27 - $37.18/hr
Under the direction of the UM Manager and Supervisor, provide training and education to other UM Coordinators, Nurses, and Phisician Reviewers. * Assist with department coverage for lunches, breaks ...
Lancaster, CA · On-site
$27 - $37.18/hr
Under the direction of the UM Manager and Supervisor, provide training and education to other UM Coordinators, Nurses, and Physician Reviewers. * Assist with department coverage for lunches, breaks ...
Lancaster, CA · On-site
$27 - $37.18/hr
Under the direction of the UM Manager and Supervisor, provide training and education to other UM Coordinators, Nurses, and Physician Reviewers. * Assist with department coverage for lunches, breaks ...
$27 - $37.18/hr
Under the direction of the UM Manager and Supervisor, provide training and education to other UM Coordinators, Nurses, and Phisician Reviewers. * Assist with department coverage for lunches, breaks ...
$27 - $37.18/hr
Under the direction of the UM Manager and Supervisor, provide training and education to other UM Coordinators, Nurses, and Phisician Reviewers. * Assist with department coverage for lunches, breaks ...
Port Huron, MI · On-site
Essential Functions The Access-UM Manager position is a program and administrative management position providing operational oversight and direction for behavioral health services utilization across ...
Port Huron, MI · On-site
Essential Functions The Access-UM Manager position is a program and administrative management position providing operational oversight and direction for behavioral health services utilization across ...
The UM Manager spends approximately 25% of their time working directly on UM cases and provider disputes-maintaining clinical currency, modeling best practices, and handling escalated or complex ...
The UM Manager spends approximately 25% of their time working directly on UM cases and provider disputes-maintaining clinical currency, modeling best practices, and handling escalated or complex ...
The Lead UM Case Manager demonstrates understanding of the UM Review Process and acts as a resource for UM staff. The Lead UM Case Manager, under the direction of the Director of UM, develops ...
New
The Lead UM Case Manager demonstrates understanding of the UM Review Process and acts as a resource for UM staff. The Lead UM Case Manager, under the direction of the Director of UM, develops ...
New
The Lead UM Case Manager demonstrates understanding of the UM Review Process and acts as a resource for UM staff. The Lead UM Case Manager, under the direction of the Director of UM, develops ...
New
The Lead UM Case Manager demonstrates understanding of the UM Review Process and acts as a resource for UM staff. The Lead UM Case Manager, under the direction of the Director of UM, develops ...
New
The Lead UM Case Manager demonstrates understanding of the UM Review Process and acts as a resource for UM staff. The Lead UM Case Manager, under the direction of the Director of UM, develops ...
New
The Lead UM Case Manager demonstrates understanding of the UM Review Process and acts as a resource for UM staff. The Lead UM Case Manager, under the direction of the Director of UM, develops ...
New
Rockford, IL · On-site +1
$85K - $91K/yr
With the assistance of the Clinical Compliance Manager, UM Manger, and PHM Manager you will create and develop annual goals to show clinical compliance is being met in real time by cross ...
Rockford, IL · On-site +1
$85K - $91K/yr
With the assistance of the Clinical Compliance Manager, UM Manger, and PHM Manager you will create and develop annual goals to show clinical compliance is being met in real time by cross ...
Rockford, IL · Remote
$85K - $91K/yr
With the assistance of the Clinical Compliance Manager, UM Manger, and PHM Manager you will create and develop annual goals to show clinical compliance is being met in real time by cross ...
Rockford, IL · Remote
$85K - $91K/yr
With the assistance of the Clinical Compliance Manager, UM Manger, and PHM Manager you will create and develop annual goals to show clinical compliance is being met in real time by cross ...
Manhattan, NY · On-site
Is responsible and accountable for the overall operations of their assigned department, in conjunction with UM manager and the department Director. Overall operations of the department including ...
Manhattan, NY · On-site
Is responsible and accountable for the overall operations of their assigned department, in conjunction with UM manager and the department Director. Overall operations of the department including ...
Alhambra, CA · On-site
$23/hr
... 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 ...
Alhambra, CA · On-site
$23/hr
... 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 ...
White Plains, NY · On-site
Is responsible and accountable for the overall operations of their assigned department, in conjunction with UM manager and the department Director. Overall operations of the department including ...
White Plains, NY · On-site
Is responsible and accountable for the overall operations of their assigned department, in conjunction with UM manager and the department Director. Overall operations of the department including ...
Los Angeles, CA · On-site
$132K - $163K/yr
This role also assists UM Educator/Manager/Director in identification of training needs including, but not limited to, collaborating in development of programs, training materials, competency ...
Los Angeles, CA · On-site
$132K - $163K/yr
This role also assists UM Educator/Manager/Director in identification of training needs including, but not limited to, collaborating in development of programs, training materials, competency ...
Los Angeles, CA · On-site
$132K - $163K/yr
This role also assists UM Educator/Manager/Director in identification of training needs including, but not limited to, collaborating in development of programs, training materials, competency ...
Los Angeles, CA · On-site
$132K - $163K/yr
This role also assists UM Educator/Manager/Director in identification of training needs including, but not limited to, collaborating in development of programs, training materials, competency ...
$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 ...
Concord, NC · Remote
$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 ...
Concord, NC · Remote
$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 ...
Concord, NC · Remote
$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 ...
Concord, NC · Remote
$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 ...
$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