Utilization Management Leader - Oversight & Quality

Oaklandchn; Troy (MI); Hybrid; USD 70,000 - 88,000; Full time

Job summary

Oakland Community Health Network is seeking a Supervisor of Utilization Management (UM) to provide leadership, clinical oversight, and direction for the UM team across utilization review activities. The role ensures timely, compliant, and effective use of services within the provider network, supervising analysts and aligning with accreditation standards.

The position requires a Master's degree in a mental health field, Michigan licensure, and 3+ years of relevant clinical experience, with

Qualifications

• Master's degree in mental health field required.
• Active Michigan professional license in one of the listed disciplines.
• Minimum of three years of relevant post-graduate clinical experience.

Responsibilities

• Provide administrative and supervisory oversight for the UM Clinical Analysts.
• Lead and coach UM staff; ensure compliance with policies and requirements.
• Monitor quality, timeliness, and appropriateness of utilization management decisions.

Skills

Leadership

Communication

Project management

Interpersonal skills

Education

Master's degree in mental health field

Tools

MCG Parity Tool

Job description

Oakland Community Health Network is seeking a Supervisor of Utilization Management (UM) to provide leadership, clinical oversight, and direction for the UM team across utilization review activities. The role ensures timely, compliant, and effective use of services within the provider network, supervising analysts and aligning with accreditation standards.

The position requires a Master's degree in a mental health field, Michigan licensure, and 3+ years of relevant clinical experience, with