RN Supervisor UM Inpatient Clinical

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

Job summary

Join a leading health organization as an RN Supervisor UM Inpatient Clinical. This remote position requires overseeing clinical inpatient utilization management staff, ensuring efficiency in care delivery, and adhering to regulations. The ideal candidate will have significant experience in managed care and RN license.

Benefits

Flexible Health & Welfare benefits package

401k retirement plan with employer match

Paid Time Off and Sick Leave

Qualifications

• Minimum of 3 years’ experience in managed care.
• Experience supervising staff and monitoring performance.
• Clear and current CA RN license required.

Responsibilities

• Oversee clinical inpatient UM staff performing utilization management reviews.
• Ensure adherence to policies and regulations.
• Admin on-call on weekends/holidays.

Skills

Managed care experience

Supervising staff

Education

Registered Nursing

Bachelor's Degree in Nursing

Job description

Join to apply for the RN Supervisor UM Inpatient Clinical role at CommonSpirit Health

3 weeks ago Be among the first 25 applicants

Join to apply for the RN Supervisor UM Inpatient Clinical role at CommonSpirit Health

• This role is remote (with a clear and current CA RN license), but will be expected to work PST business hours.*
• This role will require Admin on-call on weekends/holidays.*
  
  

*Responsibilities*

• This role is remote (with a clear and current CA RN license), but will be expected to work PST business hours.*
• This role will require Admin on-call on weekends/holidays.*
  
  

Position Summary

The Supervisor of Utilization Management Inpatient Clinical will oversee clinical inpatient UM staff, ensuring they effectively perform utilization management (UM) reviews for inpatient cases. This role works closely with the Care Coordination and Care Management teams, which are distinct pillars, to ensure appropriate utilization reviews and that care is delivered efficiently. The Supervisor will also ensure adherence to internal and external policies, regulations, and goals.

*Qualifications*

Minimum Qualifications

• Minimum of 3 years’ in recent Managed care experience required.
• Experience supervising staff and monitoring productivity/performance required.
• Graduate of an accredited school of nursing: Registered Nursing.
• Clear and current CA RN license.
  
  

Preferred Qualifications

• 3+ years of acute and/or primary care experience preferred.
• Experience with Medical Criteria Group application preferred.
• Bachelor’s Degree in Nursing or other clinical advanced degree preferred.
  
  

*Overview*

The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric, full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.

Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art, flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options, including medical, dental and vision plans, for the employee and their dependents, Health Spending Account (HSA), Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.

[One Community. One Mission. One California ](https://youtu.be/RrPuiSnALJY?si=pvQgPZ6ZWZM60TPV)

*Pay Range*

$44.73 - $64.85 /hour

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Wellness and Fitness Services, Hospitals and Health Care, and Medical Practices

Referrals increase your chances of interviewing at CommonSpirit Health by 2x

Sign in to set job alerts for “Nursing Manager” roles.

Bakersfield, CA $46.32 - $72.89 3 weeks ago

Field RN, Care Manager, Home Health, Delano, McFarland, Wasco, Shafter area

Bakersfield, CA $46.32 - $72.89 3 weeks ago

RN, Care Manager, Care Management, Full-Time, Days - Adventist Health Specialty Bakersfield

Bakersfield, CA $68.76 - $99.70 1 month ago

Bakersfield, CA $44.63 - $70.24 1 month ago

Clinical Supervisor - RN-ECM - Greenfield CHC

Bakersfield, CA
$85,280.00
-
$113,380.80
1 month ago

Bakersfield, CA
$72,931.00
-
$116,689.00
3 weeks ago

Clinical Supervisor - NICU/Pediatrics Full Time- Shift

Bakersfield, CA
$3,564.35
-
$3,564.35
1 week ago

Bakersfield, CA
$2,480.08
-
$2,480.08
3 weeks ago

Bakersfield, CA
$2,575.50
-
$2,575.50
1 week ago

Bakersfield, CA
$2,575.50
-
$2,575.50
2 weeks ago

Bakersfield, CA
$2,575.50
-
$2,575.50
4 weeks ago

Bakersfield, CA
$2,547.27
-
$2,547.27
3 weeks ago

Bakersfield, CA
$123,000.00
-
$130,000.00
2 days ago

Travel Registered Nurse Interventional Radiology

Bakersfield, CA
$3,270.52
-
$3,270.52
4 weeks ago

Travel Emergency Room Registered Nurse - $2,495 per week

Travel Emergency Department Registered Nurse - $2,479 per week

Bakersfield, CA
$2,478.31
-
$2,478.31
3 weeks ago

Travel Registered Nurse Ambulatory Surgery

Bakersfield, CA $3,093.40 - $3,093.40 3 days ago

Bakersfield, CA $3,402 - $3,402 1 week ago

Travel Registered Nurse Ambulatory Surgery

Bakersfield, CA $3,093.80 - $3,093.80 4 days ago

Permanent Staff MICU RN job in Bakersfield, CA - Make $48 to $66/hour

Registered Nurse - Home Health Case Manager

Bakersfield, CA $80,000 - $110,000 1 month ago

DSD-LVN/RN contract available in Visalia

1 Burn ICU RN opening at Bakersfield Memorial Hospital for $3549.92 gross weekly

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.