Assists with retrospective reviews and denial management to maintain appropriate and cost-effective ... right of any supervisor to assign, direct, and control the work of employees under their ...
Assists with retrospective reviews and denial management to maintain appropriate and cost-effective ... right of any supervisor to assign, direct, and control the work of employees under their ...
Professional development and growth opportunities How you'll contribute Utilization Review ... SUPERVISORY RESPONSIBILITIES: Manage the work of others, including planning, assigning, scheduling ...
Professional development and growth opportunities How you'll contribute Utilization Review ... SUPERVISORY RESPONSIBILITIES: Manage the work of others, including planning, assigning, scheduling ...
Professional development and growth opportunities How you'll contribute Utilization Review ... SUPERVISORY RESPONSIBILITIES: Manage the work of others, including planning, assigning, scheduling ...
Professional development and growth opportunities How you'll contribute Utilization Review ... SUPERVISORY RESPONSIBILITIES: Manage the work of others, including planning, assigning, scheduling ...
Kinship and Placement Supervisor
Columbus, OH · On-site
$65K - $69K/yr
Job Title: Kinship and Placement Supervisor Reports To: Associate Director of Support Services ... Oversees system to track placement data, utilization management and placement outcomes. * Partners ...
Kinship and Placement Supervisor
Columbus, OH · On-site
$65K - $69K/yr
Job Title: Kinship and Placement Supervisor Reports To: Associate Director of Support Services ... Oversees system to track placement data, utilization management and placement outcomes. * Partners ...
Job Title: Kinship and Placement Supervisor Reports To: Associate Director of Support Services ... Oversees system to track placement data, utilization management and placement outcomes. * Partners ...
Job Title: Kinship and Placement Supervisor Reports To: Associate Director of Support Services ... Oversees system to track placement data, utilization management and placement outcomes. * Partners ...
Case Manager/Social Worker - Substance Abuse Program Coordinator
$20.75 - $27.25/hr
... utilization review, discharge planning, case management or medical social work experience. ... Supervises: May provide clinical supervision to other staff as assigned. Job Responsibilities ...
Case Manager/Social Worker - Substance Abuse Program Coordinator
$20.75 - $27.25/hr
... utilization review, discharge planning, case management or medical social work experience. ... Supervises: May provide clinical supervision to other staff as assigned. Job Responsibilities ...
Providing leadership and oversight to utilization management, care coordination, and population ... Supervising medical and non-medical ODM personnel to include Assistant Medicaid Medical Directors ...
Providing leadership and oversight to utilization management, care coordination, and population ... Supervising medical and non-medical ODM personnel to include Assistant Medicaid Medical Directors ...
... Hospital's Utilization Management Plan as well as other Department and/or Campus specific ... supervisors and ancillary support staff at locations as applicable. 1. Establishes and maintains ...
... Hospital's Utilization Management Plan as well as other Department and/or Campus specific ... supervisors and ancillary support staff at locations as applicable. 1. Establishes and maintains ...
... Hospital's Utilization Management Plan as well as other Department and/or Campus specific ... supervisors and ancillary support staff at locations as applicable. 1. Establishes and maintains ...
... Hospital's Utilization Management Plan as well as other Department and/or Campus specific ... supervisors and ancillary support staff at locations as applicable. 1. Establishes and maintains ...
... Hospital's Utilization Management Plan as well as other Department and/or Campus specific ... supervisors and ancillary support staff at locations as applicable. 1. Establishes and maintains ...
... Hospital's Utilization Management Plan as well as other Department and/or Campus specific ... supervisors and ancillary support staff at locations as applicable. 1. Establishes and maintains ...
... case management, utilization management of inpatient admissions, and transitions of care to ... right of any supervisor to assign, direct, and control the work of employees under their ...
... case management, utilization management of inpatient admissions, and transitions of care to ... right of any supervisor to assign, direct, and control the work of employees under their ...
IHBT Program Manager
Columbus, OH · On-site
$73K - $93K/yr
Oversee documentation audits, utilization management, and billing integrity * Maintain adherence to contractual, regulatory, and licensing standards * Support IHBT Supervisors and leadership staff ...
IHBT Program Manager
Columbus, OH · On-site
$73K - $93K/yr
Oversee documentation audits, utilization management, and billing integrity * Maintain adherence to contractual, regulatory, and licensing standards * Support IHBT Supervisors and leadership staff ...
IHBT Program Manager
Logan, OH · Remote
$73K - $93K/yr
Oversee documentation audits, utilization management, and billing integrity * Maintain adherence to contractual, regulatory, and licensing standards * Support IHBT Supervisors and leadership staff ...
Quick apply
IHBT Program Manager
Logan, OH · Remote
$73K - $93K/yr
Oversee documentation audits, utilization management, and billing integrity * Maintain adherence to contractual, regulatory, and licensing standards * Support IHBT Supervisors and leadership staff ...
IHBT Program Manager
Columbus, OH · Remote
$73K - $93K/yr
Oversee documentation audits, utilization management, and billing integrity * Maintain adherence to contractual, regulatory, and licensing standards * Support IHBT Supervisors and leadership staff ...
Quick apply
IHBT Program Manager
Columbus, OH · Remote
$73K - $93K/yr
Oversee documentation audits, utilization management, and billing integrity * Maintain adherence to contractual, regulatory, and licensing standards * Support IHBT Supervisors and leadership staff ...
Providing leadership and oversight to utilization management, care coordination, and population ... Supervising medical and non-medical ODM personnel to include Assistant Medicaid Medical Directors ...
Providing leadership and oversight to utilization management, care coordination, and population ... Supervising medical and non-medical ODM personnel to include Assistant Medicaid Medical Directors ...
IHBT Program Manager
Coshocton, OH · Remote
$73K - $93K/yr
Oversee documentation audits, utilization management, and billing integrity * Maintain adherence to contractual, regulatory, and licensing standards * Support IHBT Supervisors and leadership staff ...
IHBT Program Manager
Coshocton, OH · Remote
$73K - $93K/yr
Oversee documentation audits, utilization management, and billing integrity * Maintain adherence to contractual, regulatory, and licensing standards * Support IHBT Supervisors and leadership staff ...
Drive driver utilization and operational efficiency Driver Workforce Management * Directly oversee ... Collaborate with Driver Supervisor Lead to track and manage daily KPIs including attendance ...
Drive driver utilization and operational efficiency Driver Workforce Management * Directly oversee ... Collaborate with Driver Supervisor Lead to track and manage daily KPIs including attendance ...
Maintenance Branch Mgr
Plain City, OH · On-site
Environmental Management Inc. is an accredited design/build, irrigation, and maintenance ... Monitor labor hours, equipment utilization, and production costs. * Review daily, weekly, and ...
Quick apply
Maintenance Branch Mgr
Plain City, OH · On-site
Environmental Management Inc. is an accredited design/build, irrigation, and maintenance ... Monitor labor hours, equipment utilization, and production costs. * Review daily, weekly, and ...
Homecare Prior Authorization Supervisor
Columbus, OH · Hybrid
$16.75 - $23/hr
Supervises staff, providing training and support as needed, and manages workflow of team, ensuring ... and utilization review experience, required. * One year leadership or management experience ...
Homecare Prior Authorization Supervisor
Columbus, OH · Hybrid
$16.75 - $23/hr
Supervises staff, providing training and support as needed, and manages workflow of team, ensuring ... and utilization review experience, required. * One year leadership or management experience ...
Homecare Prior Authorization Supervisor
Columbus, OH · On-site
$16 - $22.25/hr
Supervises staff, providing training and support as needed, and manages workflow of team, ensuring ... and utilization review experience, required. * One year leadership or management experience ...
Homecare Prior Authorization Supervisor
Columbus, OH · On-site
$16 - $22.25/hr
Supervises staff, providing training and support as needed, and manages workflow of team, ensuring ... and utilization review experience, required. * One year leadership or management experience ...
Supervisor Utilization Management information
See salary details
$39K - $50.7K
9% of jobs
$59.3K is the 25th percentile. Wages below this are outliers.
$50.7K - $62.4K
22% of jobs
$62.4K - $74K
11% of jobs
The median wage is $81.2K / yr.
$74K - $85.7K
14% of jobs
$85.7K - $97.4K
12% of jobs
$104.7K is the 75th percentile. Wages above this are outliers.
$97.4K - $109.1K
13% of jobs
$109.1K - $120.8K
13% of jobs
$120.8K - $132.5K
5% of jobs
$132.5K - $144.1K
2% of jobs
$144.1K - $155.8K
0% of jobs
$155.8K - $167.5K
0% of jobs
$39K
$91K
$167.5K
How much do supervisor utilization management jobs pay per year?
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Full-time
Posted 15 days ago
Nationwide Children's Hospital rating
6.9
Based on 131 frontline employees who took The Breakroom Quiz
547th of 1,054 rated hospitals
Job description
Schedule: Monday-Friday (8:00am-4:30pm)
Position is work from home after a 90 day in-office training period.
Job Description Summary:
Reviews behavioral health cases to determine medical necessity and appropriateness of care, ensuring compliance with established guidelines and policies. Performs pre-certifications, pre-authorizations, re-authorization, concurrent utilization reviews, retrospective reviews, and denial management. Interacts with staff and departments of the hospital to facilitate appropriate, cost-effective patient care.
Job Description:
Essential Functions:
- Conducts utilization reviews of behavioral health cases to determine medical necessity, appropriateness of care, and adherence to clinical guidelines.
- Communicates with healthcare teams and third-party payors to ensure the delivery of quality care and optimum payment.
- Assists with retrospective reviews and denial management to maintain appropriate and cost-effective patient care.
- Documents all case reviews and maintains accurate records of all clinical activities and coverage information.
- Provides education and support regarding utilization review and management activities and processes.
- Analyzes clinical data to identify trends and patterns that may impact patient care. Participates in quality improvement initiatives to enhance the overall delivery of behavioral health services.
- Facilitates reimbursement by communicating with payers, other staff, patients, and families concerning status of funding and required actions.
Education Requirement:
Bachelor's Degree in Social Work, Psychology, or related field, required.
Licensure Requirement:
(not specified)
Certifications:
(not specified)
Skills:
- Excellent written and verbal communication and interpersonal skills.
- Excellent customer service and organizational skills.
- Working knowledge of CMS and other review agency standards.
- Proficient with software applications including CM, payer web applications, MITS, and others.
Experience:
- Three years of behavioral health experience, required.
- One year of experience in pediatric care or services, required.
- Utilization review or utilization management experience, preferred.
Physical Requirements:
OCCASIONALLY: Bend/twist, Climb stairs/ladder, Flexing/extending of neck, Lifting / Carrying: 0-10 lbs, Reaching above shoulder, Squat/kneel
FREQUENTLY: Standing, Walking
CONTINUOUSLY: Audible speech, Color vision, Computer skills, Decision Making, Depth perception, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Peripheral vision, Problem solving, Repetitive hand/arm use, Seeing - Far/near, Sitting
Additional Physical Requirements performed but not listed above:
(not specified)
"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"
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About Nationwide Children's Hospital
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Nationwide Children's Hospital, established in 1894, is a leading pediatric healthcare system based in Columbus, Ohio, United States. They serve as a primary pediatric network, providing wellness, preventive, diagnostic, treatment, and rehabilitative care for infants, children, adolescents, and adults with congenital disease. Being the third-largest pediatric hospital in the nation, Nationwide Children's Hospital prides itself on its relentless commitment to children and their families, driven by their core values of respect, integrity, determination, empathy, and solidarity. The institution's comprehensive mission is to enhance the health of children by providing high-quality, family-centered care, conducting groundbreaking research, advocating for pediatric health, and training top healthcare professionals.
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Columbus, OH, US
Year founded
1892