**Please note: This position is with Nova, a division of Independent Health Corporation (a subsidiary of Independent Health).**
The Supervisor, Utilization Management is responsible for managing the Utilization Management associates through day to day operations to achieve performance metrics and to ultimately provide customer satisfaction through customer centric servicing and administration. The Supervisor, Utilization Management will help facilitate workflow and provide leadership and direction to the Utilization review team. Additional responsibilities include, but are not limited to, regulatory requirements monitoring, department productivity and efficacy statistics, reporting HIPAA issues, coordinating staff schedules, and continuously monitoring our processes for optimal outcomes.
Active, unrestricted registered nurse license required. Utilization/Medical Management Certification preferred.
At least five (5) years of experience in clinical setting required; two (2) of which are specific to UM scope/practice.
Minimum of three (3) years of experience in a management or supervisory role within a healthcare setting required.
Knowledge of Managed care policies, procedures, and regulations relevant to the department’s target population.
Excellent verbal, written and interpersonal communication skills.
Excellent organizational, time management and leadership skills.
Proven ability to work effectively as a member and leader of a multi-disciplinary team. Ability to lead or influence others positively to achieve desired work results and ability to work effectively with others to achieve desired goals.
Exhibits creativity and self-motivation, with ability to effectively solve problems as they arise.
Flexibility in setting priorities
Analytical skills to evaluate problems and develop alternative solutions
The ability to give feedback to staff members in a respectful and constructive manner.
Participates in staff education and development programming.
Ability to assume responsibility and maintain confidentiality.
Solid PC skills required (Word, Excel and PowerPoint); ability to analyze and interpret data.
Proven examples of displaying the Nova values: Passion, Caring, Collaborative, Respectful and Accountable.
Maintains confidentiality and uses only the minimum amount of protected health information (PHI) necessary to accomplish job related responsibilities.
Other duties as needed. Every associate is given a job description upon hire outlining the qualifications, duties, and pay grade of the position. Nova reserves the right to change job descriptions as necessary.