The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations of the UM department, and monitoring the Care Management (CM) staff’s responsibilities and activities.

This includes, but not limited to, ensuring proper staffing and coverage; monitoring and evaluating departmental operations to ensure optimal efficiency, productivity, and effectiveness; documenting and appropriately addressing excellence or deviations in work, departmental, and organizational expectations; and conducting intermittent and annual performance evaluations

Qualifications

Education Required:

• Associate's Degree in Nursing

Education Preferred:

• Bachelor's Degree in Nursing

Experience Required:

• Minimum of 5-7 years of acute/clinical care experience.
• Minimum of 2 years experience in Case/Care/Utilization Management in an acute care or health plan setting.
• Minimum of 3-4 years in a lead/supervisory experience.

Skills Required:

• Knowledge of state, federal and regulatory requirements in Care/Case/Utilization Management.

Licenses/Certifications Required:

• Registered Nurse (RN) - Active, current and unrestricted California License
• Certified Case Manager (CCM)

About the Hospital

As the nation's largest publicly-operated health plan, we have a great responsibility to the communities we serve, and our employees play an essential role in ensuring we meet those needs.

Why Join Us?
Opportunity. Amazing co-workers. A supportive management team. Great compensation and benefits. Camaraderie and a true sense of mission. If you want a career that truly contributes to the good of all, join us as we work towards a healthier L.A.