Utilization Management Supervisor (Non-Clinical) Lead

University of California; Los Angeles (CA); Vor Ort; USD 73.000 - 150.000; Vollzeit

Zusammenfassung

University of California is seeking a Utilization Management Supervisor (Non-Clinical) to oversee daily operations of non-clinical patient navigation services for high-risk and high-utilizer populations within the Utilization Management Department in Los Angeles. You will supervise a team of coordinators, navigators, and nurses to ensure efficient workflows and high-quality service delivery.

The role requires multi-year experience in managed care and strong leadership, with oversight of care

Qualifikationen

• High school diploma, GED or equivalent experience.
• Four or more years of experience in a Managed Care Case Management and care coordination environment - REQUIRED
• Three or more years of experience in Inpatient and ambulatory Managed Care program/referrals - REQUIRED
• Three or more years of leadership or Supervisory role - REQUIRED
• Two or more years of experience supporting Intensive Case Management, Utilization Management, Skilled Nursing Facility, and Home Health programs
• Familiarity with Medicare Advantage and value-based care models
• Experience with electronic health records (e.g., Epic/CareConnect)
• Four years or more experience in Managed care Organization, Medical Group operations, Health Plan administration and workflows.

Aufgaben

• Supervise and lead Patient Navigators and Coordinators across UM, SNF, ED follow-up, and Home Health workflows.
• Oversee patient navigation activities including scheduling, transportation coordination, DME coordination, and referrals.
• Monitor work queues, referrals, discharge tracking, and care transitions for timely follow-up.
• Support effective transitions of care through post-discharge outreach and appointment adherence.
• Collaborate with interdisciplinary teams to address barriers to care and support patient engagement.
• Manage staff scheduling, attendance, payroll/timekeeping, training and development.
• Analyze data to support quality improvement, compliance, and strategic decisions.
• Lead process improvements and optimize departmental workflows and policies.

Kenntnisse

Leadership

Communication

Multitasking

Project management

Data analysis

Teamwork

Interpersonal skills

Detail-oriented

Ausbildung

High School Diploma or equivalent

Tools

Epic/CareConnect

Excel

Visio

PowerPoint

Word

Jobbeschreibung

University of California is seeking a Utilization Management Supervisor (Non-Clinical) to oversee daily operations of non-clinical patient navigation services for high-risk and high-utilizer populations within the Utilization Management Department in Los Angeles. You will supervise a team of coordinators, navigators, and nurses to ensure efficient workflows and high-quality service delivery.

The role requires multi-year experience in managed care and strong leadership, with oversight of care