RN Supervisor UM Inpatient Clinical

Dignity Health; Bakersfield (CA); Remote; USD 60,000 - 80,000; Full time

Job summary

Dignity Health is seeking a Supervisor of Utilization Management Inpatient Clinical to oversee inpatient UM staff and ensure effective management of utilization reviews. This remote role requires a valid CA RN license and at least 3 years of Managed Care experience, focusing on improving patient care and compliance with regulations. The position offers a comprehensive Total Rewards package, including competitive pay and flexible benefits.

Benefits

Competitive pay

Flexible health and welfare benefits

401(k) plan with employer matching

Paid Time Off

Sick Leave

Qualifications

• At least 3 years of recent Managed Care experience.
• Valid and current CA RN license.
• Experience supervising staff.

Responsibilities

• Oversee clinical inpatient UM staff and ensure effective performance of utilization management reviews.
• Collaborate with Care Coordination and Care Management teams.
• Ensure compliance with internal and external policies.

Skills

Managed Care experience

Supervising staff

Monitoring productivity

Education

Graduate of an accredited nursing school

Bachelor’s Degree in Nursing or related advanced clinical degree

Job description

Responsibilities

This role is remote (with a current CA RN license) and requires working PST business hours. The position also involves Admin on-call duties during weekends and holidays.

Position Summary:

The Supervisor of Utilization Management Inpatient Clinical will oversee clinical inpatient UM staff, ensuring effective performance of utilization management (UM) reviews for inpatient cases. This role collaborates closely with the Care Coordination and Care Management teams to ensure appropriate utilization reviews and efficient care delivery. The Supervisor will also ensure compliance with internal and external policies, regulations, and organizational goals.

Qualifications

Minimum Qualifications:

• At least 3 years of recent Managed Care experience.
• Experience supervising staff and monitoring productivity and performance.
• Graduate of an accredited nursing school with a Registered Nurse license.
• Valid and current CA RN license.

Preferred Qualifications:

• Over 3 years of acute and/or primary care experience.
• Experience with Medical Criteria Group applications.
• Bachelor’s Degree in Nursing or a related advanced clinical degree.

Overview

Dignity Health MSO aims to develop a system-wide, physician-centric, full-service management organization. We provide management and business services that leverage economies of scale across provider types and locations, focusing on developing Medicaid population health management pathways. Our mission is to deliver quality managed care services that coordinate patient care, control costs, and improve care quality using industry-leading technology and integrated administrative systems.

We offer a comprehensive Total Rewards package, including competitive pay, flexible health and welfare benefits (medical, dental, vision, HSA, life insurance, long-term disability), a 401(k) plan with employer matching, Paid Time Off, and Sick Leave.

Join our community: https://youtu.be/RrPuiSnALJY?si=pvQgPZ6ZWZM60TPV

Pay Range: $44.73 - $64.85 per hour

We are an equal opportunity and affirmative action employer.