RN Job

Supervisor, Utilization Management RN (Outpatient)

Full Time
Pay Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.)
Job ID: 10327
Los Angeles, 90017

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


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.

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