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

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.

View Job

 

Additional Jobs at L.A. Care Health Plan

Utilization Management Clinical Quality Nurse Reviewer RN II

Full Time
Pay Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)
Job ID: 10639
Los Angeles, 90017

The Utilization Management Clinical Quality Nurse Reviewer RN II, under the...

View Job

Quality Management Nurse Specialist RN II

Full Time
Pay Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)
Job ID: 10658
Los Angeles, 90017

The Quality Management Nurse Specialist RN II is responsible for overseeing the...

View Job

Manager, Care Management

Full Time
Pay Range: $117,509.00 (Min.) - $152,762.00 (Mid.) - $188,015.00 (Max.)
Job ID: 10723
Los Angeles, 90017

The Manager, Care Management is directly responsible for the oversight and...

View Job

Hiring Now

Experience the Digital Flip Mag

Flip through the pages of the latest Working Nurse magazine on your device.