RN Utilization Management Supervisor: Lead Care Transitions

Summa Health; Akron (OH); On-site; USD 57,000 - 85,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Life insurance

Disability insurance

Retirement plan

FSAs

EAP

Education assistance

Daily Pay

Job summary

Summa Health is seeking an RN Supervisor for Utilization Management in Akron, OH. You will provide development and oversight of utilization management, leading Utilization Management RNs to ensure competency and efficiency across the care continuum.

You will collaborate with Case Management, Physician Advisors, and Revenue Cycle to align with CMS guidelines and payer contracts, aiming for high-quality outcomes and cost-effective care delivery.

Qualifications

• Associate's degree in Nursing (ADN) required; BSN preferred
• Three (3) years recent experience in utilization management, discharge planning, managed care, and/or case/care management
• Current license to practice registered nursing in the State of Ohio
• Graduate of a CCNE or ACEN accredited nursing program

Responsibilities

• Provides development and oversight of utilization management and interfaces with clinical staff
• Direct supervision of Utilization Management RNs ensuring competency and productivity
• Collaborates with Manager, Transitional Care & Utilization Management to achieve quality care outcomes
• Manages cost-effective utilization across the care continuum per CMS guidelines and payer contracts

Skills

Utilization management

Discharge planning

Case management

Leadership

Communication

Education

Associate's degree in Nursing (ADN)

BSN preferred

Ohio RN license

CCNE/ACEN accredited program

Job description

Summa Health is seeking an RN Supervisor for Utilization Management in Akron, OH. You will provide development and oversight of utilization management, leading Utilization Management RNs to ensure competency and efficiency across the care continuum.

You will collaborate with Case Management, Physician Advisors, and Revenue Cycle to align with CMS guidelines and payer contracts, aiming for high-quality outcomes and cost-effective care delivery.