RN Supervisor of UM

Healthcare Support Staffing; Florida; On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Fun and positive work environment

Benefits start the 1st of the month after hire

Job summary

A leading healthcare recruiting firm in New York seeks an experienced RN Supervisor for the Utilization Management department. Responsible for supervising daily operations, ensuring compliance with state guidelines, and identifying opportunities for process improvements. Ideal candidates must have a background in utilization management, clinical nursing, and supervisory roles. The position offers a fun work environment and benefits starting on the first of the month post-hire.

Qualifications

• Must be a Registered Nurse.
• 3-5 years of experience in Utilization Management.
• Thorough knowledge of utilization management processes.

Responsibilities

• Supervise daily operations of the Utilization Management department.
• Ensure compliance with applicable state program guidelines.
• Identify process improvement opportunities for department functions.

Skills

Registered Nurse

Utilization management

Clinical nursing

Medicaid managed care practices

Case Management Certification

Supervisory Experience

Job description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Daily Responsibilities RN Supervisor of UM:

Position Purpose: Supervise the daily operations of the utilization management (UM) department

Supervise the daily operations of the UM staff

Ensure appropriate usage of resources in order to facilitate the UM process

Ensure compliance within applicable state program guidelines

Evaluate compliance policies and procedures and analyze/recommend enhancements

Assist with ensuring consistent data collection from UM staff that is used to assist the company in achieving corporate goals, to improve monitoring and reporting in order to meet external requirements

Identify opportunities for process improvements necessary to facilitate department functions

Educate staff as necessary to ensure consistent performance and adhere to standards

Assist UM Manager and Director with coordinating and facilitating system processes with providers, partners, vendors, and subcontractors as necessary

Qualifications

Requirements:

Must be Registered Nurse

3 – 5 years UM experience, Either PA or CR

Thorough knowledge of utilization management and clinical nursing.

Familiarity with Medicaid managed care practices and policies, CHIP, and SCHIP preferred

Case Management Certification (CCM) preferred.

Managed Care Experience STONGLY preferred

Supervisory Experience a must!

Hours for this Position:

Mon-Fri 8a-5p

Advantages of this Opportunity:

Fun and positive work environment

Benefits start 1st of the month after hire

Additional Information

Want More Information?

• If you are interested in applying to this position, please contact Ashley Greene @ 407-478-0332 ext 169 or email and click the Green "I’m Interested" Button to email your resume.