ZipRecruiter

Log In

1

Weekend Supervisor Utilization Management Jobs in Ohio

talent4health

RN - Utilization Review

Cleveland, OH · On-site

$2.2K/wk

... 3rd weekend. Requirements: * Graduation from an accredited School of Nursing. BSN preferred ... Previous Care Management, Case Management, or Utilization Management Experience. * Experience with ...

next page

Showing results 1-20

All JobsSupervisor Utilization Management JobsWeekend Supervisor Utilization Management JobsWeekend Supervisor Utilization Management Jobs in Ohio

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 Ohio? The most popular types of Supervisor Utilization Management jobs in Ohio are:
What are popular job titles related to Weekend Supervisor Utilization Management jobs in Ohio? For Weekend Supervisor Utilization Management jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Weekend Supervisor Utilization Management jobs in Ohio look for? The top searched job categories for Weekend Supervisor Utilization Management jobs in Ohio are:
What cities in Ohio are hiring for Weekend Supervisor Utilization Management jobs? Cities in Ohio with the most Weekend Supervisor Utilization Management job openings:
Weekend Supervisor Utilization Management jobs near you
Infographic showing various Weekend Supervisor Utilization Management job openings in Ohio as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.

Manager- Utilization Management

MetroHealth

Cleveland, OH

Full-time

Posted 10 days ago

Job description

Location: METROHEALTH MEDICAL CENTER
Biweekly Hours: 80.00
Shift: 7a-330p
The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being: affordable housing, a cleaner environment, economic opportunity and access to fresh food, convenient transportation, legal help and other services. The system strives to become as good at preventing disease as it is at treating it. Founded in 1837, Cuyahoga County's safety-net health system operates four hospitals, four emergency departments and more than 20 health centers.
Summary:
Organizes and manages the activties of the Utilization Review department specifically focusing on clinical utilization reviews, timeliness, accuracy, and denial prevention. Oversees the application of clinical criteria to ensure medical necessity, correct patient status and level of care. Works with payors and providers to establish and maintain processes that ensure accurate and timely utilization review that is consistent with contractual agreements. Collaborates with MH Admissions and Financial Clearance department to develop and revise processes to meet regulatory and payor requirements. Serves as a clinical resource to the physician group and Utilization Review team and support staff and management. Upholds the standards of the system-wide customer service program.
Qualifications:
Registered Nurse with valid Ohio licensure. Bachelor's Degree in Nursing. Four years equivalent work experience in utilization review/case management may be considered in lieu of degree. Five years experience in case management to include experience with medical necessity criteria, such as Inter Qual and MCG. Strong analytical and trouble shooting skills. Strong communication skills. Strong computer skills including excel and word. Ability to interact effectively with a wide range of cultural, ethnic, racial, and socioeconomic backgrounds. Preferred: EPIC experience. Master's degree in related field. Supervisory experience. Physical Requirements: May sit, stand, stoop, bend, and ambulate intermittently during the day. May need to sit or stand for extended periods. See in the normal visual range with or without correction. Hear in the normal audio range with or without correction. Finger dexterity to operate office equipment required. May need to lift up to twenty-five (25) pounds on occasion. Ability to use computer. Ability to communicate in face-to-face, phone, email, and other communications. Ability to read job-related documents.

Apply