Utilization Management Supervisor - Women’s Hospital

North Mississippi Health Services, Inc.; Tupelo (MS); Hybrid; USD 83,000 - 104,000; Full time

Benefits offered by this job

Hybrid work model

Job summary

North Mississippi Health Services, Inc. in Tupelo is seeking a Supervisor of Utilization Management. The role oversees Women’s Hospital Case Management and ensures staff deliver quality service and appropriate levels of care. It also manages staffing, education, recruitment, budgeting and payer communications while applying InterQual criteria.

Hybrid work arrangement, full-time position with a Monday–Friday focus and some weekend duties; RN licensure in Mississippi is required.

Qualifications

• Bachelor’s degree in Nursing required.
• Mississippi RN license required.
• Utilization Management experience preferred.
• Budgeting and recruitment coordination experience helpful.

Responsibilities

• Supervises daily activities of Women’s Hospital Case Management.
• Reviews claims denials and appeals; applies interqual criteria.
• Mentors staff; conducts performance feedback and training.
• Assists with departmental budgeting and compliance.
• Coordinates staff education and recruitment activities.

Skills

Organizational skills

Communication skills

Payer knowledge & regulations

Interpersonal skills

Team leadership

Education

Bachelor’s Degree in Nursing

Master’s Degree in Nursing

Job description

North Mississippi Health Services, Inc. in Tupelo is seeking a Supervisor of Utilization Management. The role oversees Women’s Hospital Case Management and ensures staff deliver quality service and appropriate levels of care. It also manages staffing, education, recruitment, budgeting and payer communications while applying InterQual criteria.

Hybrid work arrangement, full-time position with a Monday–Friday focus and some weekend duties; RN licensure in Mississippi is required.