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Central Utilization Management Supervisor

Remote:

Full Remote

Contract:

Full time

Salary:

132 - 211K yearly

Experience:

Senior (5-10 years)

Work from:

California (USA), United States

Offer summary

Qualifications:

Associate's Degree or equivalent experience, 5 years relevant experience, Registered Nurse in California, Knowledge of health care benefits and coding.

Key responsabilities:

Supervise utilization management processes
Monitor workflow and quality management activities

Sutter Health XLarge http://www.sutterhealth.org/

10001 Employees

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Job description

We are so glad you are interested in joining Sutter Health!

Organization:

SHSO-Sutter Health System Office-Valley

Position Overview:

Responsible for overall supervision of the utilization management process. Implements policies and procedures to ensure efficient daily operations of intake authorization requests. Monitors the utilization management and quality management activities, supervises workflow, and contributes to the hiring, disciplinary and termination processes for the staff. Serves as a general operations resource to the department.

Job Description:

EDUCATION:
Associate's Degree - Equivalent experience will be accepted in lieu of the required degree or diploma.

PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN:
5 years recent relevant experience.

CERTIFICATION & LICENSURE

RN - Registered Nurse of California

SKILLS AND KNOWLEDGE:

Knowledge of health care benefits and utilization protocols relating to the determination of health service requests.

Familiarity of medical coding, including, but not limited to, International Classification of Diseases (ICD), Current Procedure Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS).

Knowledge of authorization processing computer systems, word processing and spreadsheet programs.

Demonstrated knowledge of medical management statistics relating to utilization management.

Leadership skills, including team building, and coaching/mentoring with the ability to motivate and engage others.

Verbal and written communication and interpersonal skills.

Demonstrates organizational and time management skills, with the ability to prioritize multiple projects while delivering quality service/achieving business results.

Job Shift:

Varied

Schedule:

Full Time

Shift Hours:

Days of the Week:

Monday - Friday

Weekend Requirements:

As Needed

Benefits:

Yes

Unions:

Position Status:

Non-Exempt

Weekly Hours:

Employee Status:

Regular

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $68.59 to $109.75 / hour

The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.