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Weekend Supervisor Utilization Management Jobs in Michigan

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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 Michigan? The most popular types of Supervisor Utilization Management jobs in Michigan are:
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Weekend Supervisor Utilization Management jobs near you
Utilization Management Clerk

Utilization Management Clerk

VitalCore Health Strategies

Lansing, MI

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 15 days ago

VitalCore Health Strategies rating

6.8

Company rating: 6.8 out of 10

Based on 11 frontline employees who took The Breakroom Quiz

Job description

Join the VitalCore Team in Michigan! We're people who are fueled by passion, not profit.


VitalCore Health Strategies (VCHS), an industry leader in Correctional Health Care has an opening for full-time Utilization Management Clerk at Michigan Regional Office in Lansing, MI!

At VitalCore we pride ourselves on retaining and acquiring compassionate and dedicated individuals who are committed to providing quality services. Join our team and experience first-hand how VitalCore Health Strategies promotes a positive work environment that is based on respect and appreciation of the hard work and dedication of our staff.


UTILIZATION MANAGEMENT CLERK BENEFITS PACKAGE:

Holiday Pay: New Year’s Day, Martin Luther King Jr. Day, Memorial Day, Juneteenth, Independence Day, Labor Day, Veteran’s Day, Thanksgiving Day, and Christmas Day

  • Medical
  • Dental
  • Vision
  • Health Savings Account
  • Life Insurance
  • Short Term/Long Term Disability
  • Identity Theft Protection
  • Pet Insurance
  • Employee Assistance Program and Discount Center
  • 401K & Plan Matching
  • Annual Incentive Bonus


UTILIZATION MANAGEMENT CLERK POSITION SUMMARY

The UTILIZATION MANAGEMENT CLERK is responsible and accountable for the maintenance of health records. The UTILIZATION MANAGEMENT CLERK organizes and maintains a system of files and records concerning diagnoses, treatments, admissions, and discharges. This position is an ONSITE position Monday-Friday.

UTILIZATION MANAGEMENT CLERK MINIMUM REQUIREMENTS

  • Ensuring compliance with health policies and confidentiality standards.
  • One (1) year experience in emergency or correctional service.
  • Good understanding of medical and pharmacological terminology.
  • Must receive a satisfactory background report.
  • CMA or CMAA certificate required

UTILIZATION MANAGEMENT CLERK ESSENTIAL FUNCTIONS

  • Retrieve medical charts for all healthcare staff and clinics as requested.
  • File all currently used medical records. Secure all active and inactive medical records.
  • Ensure that charts are counter-signed by Physician and check charts for completeness.
  • Release information at the direction of the Medical Records Supervisor, Medical Director, or Health Services Administrator.
  • Answer telephone, take messages, and makes telephone calls. Type letters, reports, and memorandums.
  • Maintain a roster or appointment book based on scheduled appointments for both on and off-site appointments.
  • Order, receive and maintain office supplies.
  • Other duties as assigned.

VitalCore Health Strategies is an equal opportunity employer and committed to creating and maintaining an inclusive workplace in which all employees have an opportunity to participate and contribute to the success of the business and are valued for their skills, experience, and unique perspectives.

Keywords: Medical Records Clerk, Clerical, Correctional Facility #INDMS


Full-Time
Monday-Friday
8:00 am - 4:30 pm

PI24cc9ec45f42-25448-40743700

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