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Weekend Supervisor Utilization Management Jobs in Arizona

Provides education to staff and physicians pertaining to utilization management. * Personal ... Management experience and one year supervisory experience * Licensure/Certifications: PALS ...

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Phoenix, AZ · On-site

$71K/yr

Under the general direction of the Medical Management (MM) Manager and Supervisor, this position ... Preferred: • Experience in Prior Authorization, Utilization Management, claims review, auditing ...

Management experience and one year supervisory experience * Licensure/Certifications:PALS ... Provides education to staff and physicians pertaining to utilization management. * Personal ...

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Management experience and one year supervisory experience * Licensure/Certifications:PALS ... Provides education to staff and physicians pertaining to utilization management. * Personal ...

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Weekend Supervisor Utilization Management information

What are the primary challenges a Weekend Supervisor in Utilization Management faces, and how can they be addressed?

Weekend Supervisors in Utilization Management often encounter challenges such as limited staff availability, high patient volume, and the need for rapid decision-making with less direct access to physicians or ancillary services. To address these, strong organizational skills, proactive communication, and the ability to prioritize urgent cases are essential. Supervisors should foster a collaborative atmosphere, leverage digital tools for efficient workflow, and ensure clear escalation protocols for complex cases, all while maintaining regulatory compliance and quality patient care.

What are the key skills and qualifications needed to thrive as a Weekend Supervisor Utilization Management, and why are they important?

To thrive as a Weekend Supervisor Utilization Management, you need a comprehensive understanding of clinical guidelines, utilization review processes, and healthcare regulations, typically supported by a nursing degree (RN) or related clinical licensure. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of relevant accreditation standards (such as URAC or NCQA) are essential. Strong leadership, decision-making, and effective communication skills help navigate team dynamics and complex case reviews during weekend shifts. These skills ensure efficient resource management, compliance with healthcare standards, and consistent quality of care even outside regular business hours.

What is the difference between Weekend Supervisor Utilization Management vs Weekend Utilization Review Coordinator?

AspectWeekend Supervisor Utilization ManagementWeekend Utilization Review Coordinator
CredentialsTypically requires a healthcare-related license or certification (e.g., RN, LPN, or case management certification)Often requires similar healthcare credentials, such as RN or case management certification
Work EnvironmentSupervises utilization management staff, oversees case reviews, and ensures compliance during weekendsPerforms case reviews, evaluates medical necessity, and coordinates utilization decisions during weekends
Employer & IndustryHospitals, insurance companies, healthcare organizationsHospitals, insurance providers, healthcare organizations

The main difference is that the Weekend Supervisor Utilization Management role involves supervising staff and managing utilization processes, while the Weekend Utilization Review Coordinator focuses on conducting case reviews and making utilization decisions during weekends. Both roles require healthcare credentials and operate within similar environments, but their responsibilities differ in scope and leadership level.

What does a Weekend Supervisor in Utilization Management do?

A Weekend Supervisor in Utilization Management oversees the review and coordination of patient care services during weekends to ensure appropriate use of healthcare resources. They manage a team of utilization review staff, ensure compliance with policies, and facilitate communication between healthcare providers and insurance companies. Their role is critical in making timely decisions about patient admissions, continued stays, and discharges, focusing on quality care and cost efficiency. They also handle escalations and provide support to staff working outside of regular business hours.
What are the most commonly searched types of Supervisor Utilization Management jobs in Arizona? The most popular types of Supervisor Utilization Management jobs in Arizona are:
What are popular job titles related to Weekend Supervisor Utilization Management jobs in Arizona? For Weekend Supervisor Utilization Management jobs in Arizona, the most frequently searched job titles are:
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Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

New


Job description

Position Summary
Single departmental function supervision and/or shift supervision in accordance with hospital policy. Responsible for the daily administration of tasks, scheduling and problem solving related to assigned areas. Position provides leadership to the hospital staff in the absence of the Department Directors and Administration. Responsible for the coordination of care resources, problem resolution, adequate staffing and communication to Department Directors and Administration with issues of concern. Serves as an administrative representative for the hospital. Serves as liaison with Staff , Management and the Medical Staff.
  • Interprets and implements organizational goals. Identifies and prioritizes what needs to be done in terms of patient care and unit tasks. Estimates patient workloads and ensures staffing reflects workloads. Interprets and ensures compliance with policies & procedures, standards of practice and standards of care necessary and relevant to the department. Assists with ensuring quality, customer service focused care is delivered from pre-admission to post-discharge of patients. Provides data, information and reports in a timely manner. Coordinates all patient admissions to include transfers to and from other facilities, bed assignments, and physician orders; obtains clinical, demographic and third party payor information and authorization as necessary.
  • Management: Responsible for Acuity Management. Resolves team conflict by helping staff focus on what is best for the patient and the unit. Applies team-building skills and develops self-directed teams. Assists in new employee orientation teaching customer service goals, efficiency, accountability, clinical skills and conflict resolution. Identifies poor and positive performance and acts as first line coach providing feedback and counseling. Keeps staff informed by frequent communication of policy changes, organizational goals, customer service issues, and department performance issues. Assists in maintaining productivity guidelines. Assists case managers and staff in discharge planning (from a resource consumption perspective) Provides an adequate number of competent staff to meet patient care needs in a fiscally responsible manner. Ensures staff compliance with regulatory agency requirements. Mentors staff on the day-to-day resolution of issues and concerns.
  • Interpersonal: Acts as liaison between physicians, staff, patients, family members, administration and other departments. Interacts with admitting physician, provides alternatives to inpatient admission when appropriate.
  • Assists physicians in matters relative to the admission process, discharge planning and utilization management.
  • Problem Solving: Identifies, proposes solutions, and assists in implementation of ideas for improvements in patient care and department/hospital operations. Functions as a patient advocate. Participates in the successful implementation of changes. Participates in hospital activities to improve efficiency, customer service, and program development/revenue enhancement. Identifies opportunities and implements strategies to decrease waste in supplies, equipment and linen use. Assists staff in identifying patient problems and making good patient care decisions. Directs staff in maintaining a safe environment and customer satisfaction when staffing or resources need to be stretched. Analyzes a complex problem or project and is able to identify the consequences of various solutions. Participates in hospital wide process improvement activities. Reviews patient admissions, including observation charts for medical necessity and appropriateness. Provides education to staff and physicians pertaining to utilization management.
  • Personal Performance: Provides leadership and role models a standard of excellence for the staff. Educates and mentors staff and acts as resource person on unit and elsewhere in hospital. Accepts and completes projects/assignments as requested by CNO and/or director. Recognizes the need for and obtains additional resources or guidance as necessary. Serves as hospital representative to employees to ensure continuous communication and support with hospital administrators and department directors.

  • Special Skills:"
    • Demonstrated professional development over time.
    • Effective interpersonal and communication skills.
    • Computer skills preferred.
    • Ability to effectively implement change and manage departmental budgets.
    • Must be able to independently make decisions in high-stress situations.
    • Minimal degree of supervision required.
  • Minimum Requirements
    • Education: Graduate from a Nursing School
    • Experience: Three years of relevant clinical nursing experience.
    • Licensure/Certifications:
      • Must have License to practice as a Registered Nurse in the State of Arizona.
      • CPR required and ACLS required or must obtain within six months of hire.
  • Preferred Requirements
    • Education: BSN
    • Experience: Management experience and one year supervisory experience
    • Licensure/Certifications: PALS certification/registration also preferred.

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Embark on a rewarding career with Abrazo Arrowhead Campus hospital. If you are a compassionate healthcare professional eager to contribute to patient care, this is your opportunity where your skills make a difference every day. Join us in delivering exceptional healthcare with a personal touch.
At Abrazo Arrowhead Campus, we understand that our greatest asset is our dedicated team of professionals. That's why we offer more than a job - we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:
  • Medical, dental, vision, and life insurance
  • 401(k) retirement savings plan with employer match
  • Generous paid time off
  • Career development and continuing education opportunities
  • Health savings accounts, healthcare & dependent flexible spending accounts
  • Employee Assistance program, Employee discount program
  • Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status
A 217-bed hospital, Abrazo Arrowhead Campus has been serving the Glendale community since 1988. The hospital is recognized for providing advanced services, including cardiovascular, orthopedic, obstetrics and emergency care. Join our team!