Your Role The Utilization Management team reviews inpatient stays and prior authorization for our ... supervisor or project/program manager * Requires knowledge of regulatory requirements for ...
Your Role The Utilization Management team reviews inpatient stays and prior authorization for our ... supervisor or project/program manager * Requires knowledge of regulatory requirements for ...
Your Role The Utilization Management team reviews inpatient stays and prior authorization for our ... supervisor or project/program manager * Requires knowledge of regulatory requirements for ...
Your Role The Utilization Management team reviews inpatient stays and prior authorization for our ... supervisor or project/program manager * Requires knowledge of regulatory requirements for ...
Potential for on-call, weekend and holiday shifts. * Reviews designated requests for referral ... Previous inpatient Utilization Management (UM) experience strongly preferred * Experience with MCG ...
Potential for on-call, weekend and holiday shifts. * Reviews designated requests for referral ... Previous inpatient Utilization Management (UM) experience strongly preferred * Experience with MCG ...
Utilization Management RN
Bakersfield, CA · On-site
$57.37 - $85.33/hr
Potential for on-call, weekend and holiday shifts. * Reviews designated requests for referral ... Previous inpatient Utilization Management (UM) experience strongly preferred * Experience with MCG ...
Utilization Management RN
Bakersfield, CA · On-site
$57.37 - $85.33/hr
Potential for on-call, weekend and holiday shifts. * Reviews designated requests for referral ... Previous inpatient Utilization Management (UM) experience strongly preferred * Experience with MCG ...
Temp Medical Management Care Coordinator I
San Jose, CA · On-site
$55K - $81K/yr
Supervisor, Utilization Management General Description Of Position The Medical Management Care ... Work weekends and company holidays as needed based on business and regulatory requirements. (R)
Temp Medical Management Care Coordinator I
San Jose, CA · On-site
$55K - $81K/yr
Supervisor, Utilization Management General Description Of Position The Medical Management Care ... Work weekends and company holidays as needed based on business and regulatory requirements. (R)
... supervisor or project/program manager * Knowledge of regulatory requirements for government lines of business (Medi-Cal and Medicare) * Bachelor of Science in Nursing or advanced degree preferred
... supervisor or project/program manager * Knowledge of regulatory requirements for government lines of business (Medi-Cal and Medicare) * Bachelor of Science in Nursing or advanced degree preferred
... supervisor or project/program manager * Knowledge of regulatory requirements for government lines of business (Medi-Cal and Medicare) * Bachelor of Science in Nursing or advanced degree preferred
... supervisor or project/program manager * Knowledge of regulatory requirements for government lines of business (Medi-Cal and Medicare) * Bachelor of Science in Nursing or advanced degree preferred
Manager, Behavioral Health Utilization Management
El Dorado Hills, CA · On-site
$111K - $167K/yr
Three (3) years of management experience gained as a team leader, supervisor or project/program manager * Three (3) years conducting Utilization Management for a health plan preferred * Understands ...
Manager, Behavioral Health Utilization Management
El Dorado Hills, CA · On-site
$111K - $167K/yr
Three (3) years of management experience gained as a team leader, supervisor or project/program manager * Three (3) years conducting Utilization Management for a health plan preferred * Understands ...
Clinical Supervisor - Utilization Review (538)
Fresno, CA · On-site
$48.05 - $58.46/hr
Clinical Supervisor - Utilization Review (538) Fresno, CA The Clinical Supervisor is part of a 24/7 ... In the absence of the Clinical/Program Manager, provide selected administrative directions to the ...
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Clinical Supervisor - Utilization Review (538)
Fresno, CA · On-site
$48.05 - $58.46/hr
Clinical Supervisor - Utilization Review (538) Fresno, CA The Clinical Supervisor is part of a 24/7 ... In the absence of the Clinical/Program Manager, provide selected administrative directions to the ...
Your Role The Utilization Management team reviews inpatient stays and prior authorization for our ... supervisor or project/program manager * Requires knowledge of regulatory requirements for ...
Your Role The Utilization Management team reviews inpatient stays and prior authorization for our ... supervisor or project/program manager * Requires knowledge of regulatory requirements for ...
Temp Medical Management Care Coordinator I
San Jose, CA · On-site
$55K - $81K/yr
Supervisor, Utilization Management GENERAL DESCRIPTION OF POSITION The Medical Management Care ... Work weekends and company holidays as needed based on business and regulatory requirements. (R)
Temp Medical Management Care Coordinator I
San Jose, CA · On-site
$55K - $81K/yr
Supervisor, Utilization Management GENERAL DESCRIPTION OF POSITION The Medical Management Care ... Work weekends and company holidays as needed based on business and regulatory requirements. (R)
Temp Medical Management Care Coordinator I
San Jose, CA · On-site
$55K - $81K/yr
Supervisor, Utilization Management GENERAL DESCRIPTION OF POSITION The Medical Management Care ... Work weekends and company holidays as needed based on business and regulatory requirements. (R)
Temp Medical Management Care Coordinator I
San Jose, CA · On-site
$55K - $81K/yr
Supervisor, Utilization Management GENERAL DESCRIPTION OF POSITION The Medical Management Care ... Work weekends and company holidays as needed based on business and regulatory requirements. (R)
Temp Medical Management Care Coordinator I
San Jose, CA · On-site
$55K - $81K/yr
Supervisor, Utilization Management GENERAL DESCRIPTION OF POSITION The Medical Management Care ... Work weekends and company holidays as needed based on business and regulatory requirements. (R)
Temp Medical Management Care Coordinator I
San Jose, CA · On-site
$55K - $81K/yr
Supervisor, Utilization Management GENERAL DESCRIPTION OF POSITION The Medical Management Care ... Work weekends and company holidays as needed based on business and regulatory requirements. (R)
(RN) Manager - Utilization Management - 140306
San Diego, CA · On-site
$200K/yr
DESCRIPTION The Manager of Utilization Management supervises Nurse Case Manager and Referral ... Availability weekend/holidays as needed * Hybrid Schedule: The candidate selected will work in the ...
(RN) Manager - Utilization Management - 140306
San Diego, CA · On-site
$200K/yr
DESCRIPTION The Manager of Utilization Management supervises Nurse Case Manager and Referral ... Availability weekend/holidays as needed * Hybrid Schedule: The candidate selected will work in the ...
Temp Medical Management Care Coordinator I
San Jose, CA · On-site
$22 - $29.75/hr
Supervisor, Utilization Management GENERAL DESCRIPTION OF POSITION The Medical Management Care ... Work weekends and company holidays as needed based on business and regulatory requirements. (R)
Temp Medical Management Care Coordinator I
San Jose, CA · On-site
$22 - $29.75/hr
Supervisor, Utilization Management GENERAL DESCRIPTION OF POSITION The Medical Management Care ... Work weekends and company holidays as needed based on business and regulatory requirements. (R)
Job Title Utilization Management Team Leader The Utilization Management team independently manages ... Ability to work evenings and weekends as part of rotating on-call schedule Qualifications Your ...
Job Title Utilization Management Team Leader The Utilization Management team independently manages ... Ability to work evenings and weekends as part of rotating on-call schedule Qualifications Your ...
Utilization Management Assistant Director - RN
Los Angeles, CA · On-site
$116K - $264K/yr
... vary including weekends and holidays Posted Date 05/29/2026 Salary Range : $119700 - 272700 ... Minimum 3-5 years in a leadership or supervisory role * Experience in Managed Care Organization ...
Utilization Management Assistant Director - RN
Los Angeles, CA · On-site
$116K - $264K/yr
... vary including weekends and holidays Posted Date 05/29/2026 Salary Range : $119700 - 272700 ... Minimum 3-5 years in a leadership or supervisory role * Experience in Managed Care Organization ...
Job Title Utilization Management Team Leader The Utilization Management team independently manages ... Ability to work evenings and weekends as part of rotating on-call schedule Qualifications Your ...
Job Title Utilization Management Team Leader The Utilization Management team independently manages ... Ability to work evenings and weekends as part of rotating on-call schedule Qualifications Your ...
Job Title Utilization Management Team Leader The Utilization Management team independently manages ... Ability to work evenings and weekends as part of rotating on-call schedule Qualifications Your ...
Job Title Utilization Management Team Leader The Utilization Management team independently manages ... Ability to work evenings and weekends as part of rotating on-call schedule Qualifications Your ...
Job Title Utilization Management Team Leader The Utilization Management team independently manages ... Ability to work evenings and weekends as part of rotating on-call schedule Qualifications Your ...
Job Title Utilization Management Team Leader The Utilization Management team independently manages ... Ability to work evenings and weekends as part of rotating on-call schedule Qualifications Your ...
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 in 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?
| Aspect | Weekend Supervisor Utilization Management | Weekend Utilization Review Coordinator |
|---|---|---|
| Credentials | Typically 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 Environment | Supervises utilization management staff, oversees case reviews, and ensures compliance during weekends | Performs case reviews, evaluates medical necessity, and coordinates utilization decisions during weekends |
| Employer & Industry | Hospitals, insurance companies, healthcare organizations | Hospitals, 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 California? The most popular types of Supervisor Utilization Management jobs in California are:
What are popular job titles related to Weekend Supervisor Utilization Management jobs in California? For Weekend Supervisor Utilization Management jobs in California, the most frequently searched job titles are:
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Re-posted 17 days ago
Job description
Your Role
The Utilization Management team reviews inpatient stays and prior authorization for our members and correctly applies the guidelines for nationally recognized levels of care for both our Medi-Cal and Medicare populations. The Utilization Management Manager will report to the Director of Utilization Management. In this role you will lead and support a team of clinicians to ensure safe, timely, and appropriate care for members. You will apply advanced clinical knowledge and proven management skills to organize work, coach staff, and manage risk. Your leadership helps drive consistent, high-quality utilization management outcomes.
Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
Your Knowledge and Experience
- Requires maintaining an active, unrestricted RN license in assigned states or the ability to obtain required state (in addition to primary state license) RN license within 90 days of hire
- Requires 7 years of prior relevant experience including 3 years of management experience gained as a team leader, supervisor or project/program manager
- Requires knowledge of regulatory requirements for government lines of business (Medi-Cal and Medicare)
- Bachelor of Science in Nursing or advanced degree preferred
- Demonstrated experience with basic management approaches such as work scheduling, prioritizing, coaching, process execution, work organization, inventory management, risk management and delegation
- Strong emotional intelligence skills
- Strong communication and computer navigation skills
- Strong teamwork and collaboration skills
- Strong critical thinking skills
- Independent motivation and strong work ethic
Hybrid Virtual Work
This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need.
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