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Weekend Supervisor Utilization Management Jobs in Illinois

Oak Street Health

Supervisor

Springfield, IL · On-site

$174K - $374K/yr

The Physician Supervisor, Utilization Management is responsible for overseeing the day to day utilization management (UM) processes to ensure the delivery of high-quality, cost-effective healthcare ...

Oak Street Health

Supervisor

Carol Stream, IL · On-site

$174K - $374K/yr

The Physician Supervisor, Utilization Management is responsible for overseeing the day to day utilization management (UM) processes to ensure the delivery of high-quality, cost-effective healthcare ...

Humana

Utilization Management RN

Springfield, IL · On-site

... as well as weekend coverage (i.e. Wed-Sun, Thu-Mon or Fri-Tue type schedule). This will be ... Previous experience in utilization management * Comprehensive knowledge of Microsoft Word, Outlook ...

Oak Lawn Park District

Weekend Supervisor

Oak Lawn, IL · On-site

$19/hr

Weekend Supervisor The Weekend Building Supervisor position is responsible for a wide range of ... Pavilion Maintenance Supervisor and Pavilion General Manager. INCENTIVES: Part time employees ...

Summit BHC

Utilization Specialist

Champaign, IL

Coordinates, performs, and monitors all utilization review/management activities of the hospital to ... Notifies supervisor if corrective action is not completed. Coordinates information and findings ...

Thrive of Lisle

RN WEEKEND SUPERVISOR- PART TIME

Lisle, IL · On-site

$38 - $45/hr

Our Weekend Supervisors play a vital role in our resident and guest outcomes and overall experience. We are looking for skilled Weekend Supervisor to become a part of our facility's compassionate and ...

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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 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?

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 Illinois? The most popular types of Supervisor Utilization Management jobs in Illinois are:
What are popular job titles related to Weekend Supervisor Utilization Management jobs in Illinois? For Weekend Supervisor Utilization Management jobs in Illinois, the most frequently searched job titles are:
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What cities in Illinois are hiring for Weekend Supervisor Utilization Management jobs? Cities in Illinois with the most Weekend Supervisor Utilization Management job openings:
Weekend Supervisor Utilization Management jobs near you

Lead Utilization Management Nurse

First Match Services, Inc.

Oak Brook, IL • On-site, Remote

Full-time

Retirement, PTO

Re-posted 9 days ago

Job description

We have an innovative organization looking to add a Lead Utilization Management Nurse to its team. Their main purpose is to enable physicians to engage, support, and manage new value-based savings and shared-risk models. They deliver timely, turn-key solutions for healthcare providers, health plans and strategic partners.
In this position as the Lead Utilization Management Nurse you will provide expertise in Utilization Management while managing a small team of UM nurses to help ensure that every patient receives the right type of care, at the right time in the right setting, every day! You will also provide hands-on expertise to help implement company strategies and provide oversight of assigned IPA Utilization Management program.
Some other responsibilities include:
  • Conducting monthly client UM Committee meetings
  • Act as a resource for the UM Nurses (first point of contact for clinical clarification/education)
  • Participate in data analysis of utilization metrics
  • Prepare, participate and present summary utilization management reports to UM/QM Committee
  • Much More!

QUALIFICATIONS
  • Bachelor of Science degree (AND or BSD) in Nursing
  • At least 4-5 years of relevant professional experience, including medical management experience in health plans, provider, or MSO settings and quality chart reviews
  • Registered Nurse (RN) with a current and active nursing license to practice in the State of Illinois is required 
  • A minimum of three (3) years of responsible leadership experiences in management positions
  • Certified Case Manager (CCM) preferred
  • Knowledge/experience in Medicare/Medicaid and HEDIS criteria is highly desirable
  • Valid Driver's License and vehicle required
  • Ability to travel at least 30% for client meetings within the state required

ADDITIONAL DETAILS
  • On-site gym FREE to employees
  • On-site deli
  • Professional Development Opportunities
  • Great base salary with bonus potential
  • Full benefits, 401k and PTO allowance
  • Eligible for consideration of partial work from home status upon completion of probationary period as designated by the direct supervisor.