Utilization Management Supervisor

Franciscan Alliance, Inc.

1d • Remote

About The Position

The Supervisor Utilization Management is responsible for the direct supervision of the daily operations of the Centralized Utilization Management department in order to assure that utilization management needs are addressed. This position ensures appropriate staffing levels, ongoing educational opportunities, and employee satisfaction to maintain operational commitment. The Supervisor maintains and enhances relationships with internal and external customers and peers across the continuum in order to facilitate excellent outcomes for patients and Franciscan. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Maintain inter- and intra-departmental communications, special projects, programs, policies, and procedures as well as care management services. Participate and educate team in performance improvement initiatives. Implement processes to satisfaction with those we are privileged to serve. Coordinate and maintain compliance with HFAP, state and federal agencies pertaining to Utilization/Denial management activities. Supervise direct reports and manage the performance of individuals through ongoing coaching, feedback, and development to motivate, engage and drive a high performing team. Make decisions for direct reports in assigned function and performs people management activities, such as, performance evaluations, disciplinary actions, staff planning, and interviews. Supervise and maintain Utilization Management operations in collaboration with the Manager and Director, including ensuring appropriate utilization and denial management.

Requirements

• Bachelor's Degree in Nursing required
• Active Indiana Registered Nurse (RN) license required
• 5 years of Nursing/Patient Care required

Nice To Haves

• 2 years of Utilization or Case Management experience preferred

Responsibilities

• Maintain inter- and intra-departmental communications, special projects, programs, policies, and procedures as well as care management services.
• Participate and educate team in performance improvement initiatives.
• Implement processes to satisfaction with those we are privileged to serve.
• Coordinate and maintain compliance with HFAP, state and federal agencies pertaining to Utilization/Denial management activities.
• Supervise direct reports and manage the performance of individuals through ongoing coaching, feedback, and development to motivate, engage and drive a high performing team.
• Make decisions for direct reports in assigned function and performs people management activities, such as, performance evaluations, disciplinary actions, staff planning, and interviews.
• Supervise and maintain Utilization Management operations in collaboration with the Manager and Director, including ensuring appropriate utilization and denial management.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 1-10 employees