Utilization Management Supervisor

Description

Take on an important leadership role within an

award-winning health system. Help improve patient experiences and operational

efficiency as part of a world-class healthcare team. Take your career in an

exciting new direction. You can do all this and more at UCLA Health.

As

a key leader within our Medicare Advantage team, you will be responsible for assisting with the day-to-day

management of the UM department and coordinators. This will involve coordinating

staff schedules to efficiently handle incoming referrals and phone call volume.

You will develop workflows, desktop procedures, forms, training materials,

and protocols for achieving team objectives and key performance indicators. You

will hire and train non-clinical coordinator staff as well as manage and monitor their production and

quality performance. This position involves researching and resolving simple

and complex patient/provider issues related to the authorization and

claims process. You will also conduct performance evaluations, counsel

employees, and take disciplinary action as necessary.

Salary Range: 61,400 - 121,400 Annually

Note: This posted position is 1 of 2 positions available for hire. All applicants will apply through this requisition and if selected will be hired into one of the available positions. Qualifications

We're

seeking a self-motivated, team-focused, deadline-driven, detail-oriented leader

with

• High school diploma, GED or equivalent required

• Two or more years of experience managing staff in a healthcare environment

• Two or more years of managed care or health plan experience preferred

• Experience processing ambulatory commercial, Medicare Fee for Service, and Medicare Advantage prior authorizations desired

• Knowledge of the HMO referral process, eligibility verification, and health plan benefit interpretation a plus

• Excellent critical thinking, organizational, and problem-resolution skills required

• Ability to work effectively across functional areas of the company.

• Computer proficiency with Microsoft Excel and Word

• Ability to multi-task and work with frequent interruptions

• Strong communication skills

• Ability to work well with ambiguity and stressful situations

• Ability to maintain confidentiality of patient and business records

UCLA Health is a world-renowned health system with

four award-winning hospitals and more than 260 community clinics throughout

Southern California. We're also home to the world-class medical research and clinical

education capabilities of the David Geffen School of Medicine. Through the

efforts of our outstanding people, we have become Los Angeles' trusted provider of exceptional, compassionate patient care.

If you're looking to

experience greater challenge and fulfillment in your career, you can at UCLA

Health.

UCLA Health welcomes all individuals, without regard to race, sex, sexual orientation, gender identity, religion, national origin or disabilities, and we proudly look to each person's unique achievements and experiences to further set us apart.