Senior Referral & Utilization Management Supervisor

HealthCare Talent; San Francisco (CA); On-site; USD 85,000 - 110,000; Full time

Job summary

A leading healthcare organization is seeking a Supervisor for Referral Services in San Francisco, California. This role involves managing staff, ensuring timely processing of referrals, and maintaining regulatory oversight. Candidates should have at least three years of acute clinical and utilization management experience, along with a current California RN license. Strong supervisory skills and knowledge of managed care concepts are necessary. This position offers the opportunity to lead a diverse team focused on quality improvement.

Qualifications

• Minimum of three years recent acute clinical experience required.
• Prior supervisory experience to manage a diverse team.
• Must possess the ability to understand health plan guidelines.

Responsibilities

• Manage the Referral Services staff for timely processing.
• Oversee regulatory responsibilities for audits.
• Participate in quality improvement activities/committees.

Skills

Acute clinical experience

Utilization review/manage care experience

Supervisory experience

Knowledge of managed care concepts

Basic computer skills

Education

Current California RN license

Advanced practice certification (CCM, CDMS, etc.)

Job description

A leading healthcare organization is seeking a Supervisor for Referral Services in San Francisco, California. This role involves managing staff, ensuring timely processing of referrals, and maintaining regulatory oversight. Candidates should have at least three years of acute clinical and utilization management experience, along with a current California RN license. Strong supervisory skills and knowledge of managed care concepts are necessary. This position offers the opportunity to lead a diverse team focused on quality improvement.