Utilization MGT Supervisor - Utilization Management - Days - FT - Orange
Supervisor, Utilization Management
Your Role on the Team
Position Summary
The Supervisor, Utilization Management is responsible for the direct frontline supervision, daily workflow coordination, and operational oversight of utilization management coworkers within the assigned area across multiple hospitals within the UCI Health system. The incumbent assists in aligning utilization management competencies and metrics, supporting the standardization and execution of utilization management operations within a centralized model to ensure consistent application of evidence-based medical necessity criteria, regulatory compliance, and organizational best practices. This role oversees daily workflow distribution, staffing assignments, productivity, quality, and performance metrics, ensuring timely completion of admission reviews, continued stay reviews, status determinations, and other utilization management activities by all assigned coworkers.
Required Qualifications
What It Takes to be Successful
Must possess the skill, knowledge, and ability essential to the successful performance of assigned duties
Must possess complete understanding of acuity levels for specific patient population
Demonstrates customer service skills appropriate to the job
Willing to work a flexible schedule, including weekends, and on call after hours as needed
Minimum 3 years of Case Management experience
Familiarity of Joint Commission, CMS, CDPH and CCS requirements
Excellent written and verbal communication skills in English
Demonstrated leadership, interpersonal skills, and ability to communicate with varied levels of customer audiences
Demonstrated leadership skills/experience
Demonstrated experience and ability to build effective working relationships and to represent the department effectively in order to accomplish goals
Current California RN license
Computer literacy and proficiency
Bachelors’ degree in relevant field or the equivalent combination of education and experience
All external candidates must have a Bachelor of Science in Nursing
Ability to manage multiple concurrent projects and maintain a work pace appropriate to the workload
Ability to facilitate and lead interdisciplinary rounds
Ability to establish and maintain effective working relationships across the Health System
Preferred Qualifications
Knowledge of University policies and procedures
CCM, ACM or Case Management credentialing
Bilingual skills
Licenses And Certifications
Registered Nurse
Education
Total Rewards
We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits.
Conditions Of Employment
The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment: Background Check and Live Scan
Employment Misconduct*
Legal Right to Work in the United States
Vaccination Policies
Smoking and Tobacco Policy
Drug Free Environment
Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.
The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.
California Child Abuse and Neglect Reporting Act
E-Verify
Pre-Placement Health Evaluation
Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php
Closing Statement
The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC Anti-Discrimination Policy. We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.