Remote Utilization Management Nurse Supervisor

Integra Partners; United States; Remote; USD 68,000 - 83,000; Full time

Benefits offered by this job

Competitive compensation

Annual bonus program

401(k) with company match

Life insurance

Short-term disability coverage

Medical, Vision, Dental

PTO

Parental leave

Sick time

Holidays and floating holidays

Wellness programs

Career development

Job summary

Integra Partners seeks an experienced Utilization Management Nurse Supervisor to lead the UM nursing team, ensuring performance, accountability, and professional development. You will conduct regular 1:1s, manage performance reviews, and drive compliance with CMS, NCQA, and state regulations.

The role balances hands-on supervision with leadership duties, mentoring frontline staff and overseeing case assignments and authorizations in a remote, nationwide work environment.

Qualifications

• Provide day-to-day supervision of UM nurses, ensuring productivity, accuracy, and adherence to policies and processes.

Responsibilities

• Provide direct leadership and oversight to the UM nursing team.
• Lead daily/weekly huddles, communicate priorities, and set expectations for performance and timeliness.
• Serve as first point of escalation for staff questions and operational challenges.
• Monitor productivity, timeliness, and quality of work through reporting and audits.
• Oversee case assignment, queue management, and authorization workflows.
• Perform authorization reviews utilizing federal/state mandates and plan policies.
• Review and process clinical and administrative appeals; coordinate with Medical Director when required.
• Generate and review daily/weekly reporting on productivity and case timeliness.
• Manage calendars including PTO and rotation schedules.
• Participate in UAT and system/process improvements.
• Collaborate with internal partners to resolve escalations.
• Represent UM nursing team in meetings and stakeholder interactions.
• Maintain confidentiality per company policies and regulations.
• Adapt to changing priorities in a fast-paced environment.

Skills

supervision

leadership

coaching

communication

audits/reports

regulatory compliance

team management

Education

RN/LPN license

Tools

InterQual CMS policies

Job description

Integra Partners seeks an experienced Utilization Management Nurse Supervisor to lead the UM nursing team, ensuring performance, accountability, and professional development. You will conduct regular 1:1s, manage performance reviews, and drive compliance with CMS, NCQA, and state regulations.

The role balances hands-on supervision with leadership duties, mentoring frontline staff and overseeing case assignments and authorizations in a remote, nationwide work environment.