Supervisor-Utilization Management
Job Location:
Saint Louis, MI - USA
Monthly Salary:
Posted:
Application Deadline:
Vacancies:
Job Summary
The Supervisor of Utilization Care Management for Mercy is responsible for the direction leadership and oversight management for Utilization Care Management. This position is designed to facilitate an effective process of the new care model; supporting quality patient care safety and financial components; promoting integration of a seamless care model; coordinating patient throughput; collaborating with facilities to include leadership coordination as evidenced by metrics optimizing performance and adoption of best practice. Performs duties and responsibilities in a manner consistent with our mission values and Mercy Service Standards.
QUALIFICATIONS
Education: Current Nursing License in the state of employment
Licensure: Current license in the state of residence and/or employment minimum required.
Experience:
- 3-5 years acute care hospital setting Minimum Required.
- 1-year recent hospital-based Utilization Management Required
- 1 year hospital based Inpatient Care Management experience Preferred
- Certification/Registration: Certification in Case Management or Utilization Review Preferred
OTHER SKILLS & KNOWLEDGE:
- Excellent leadership interpersonal communication and organizational skills to effectively work with others involved in the Utilization and Appeals Management process.
- Must possess the ability to prioritize delegate and organize various tasks/projects simultaneously to ensure departmental and Mercy-wide goals are met.
- Possesses integrity imagination and initiative as evidenced by self-improvement.
- Demonstrates personal qualities such as kindness compassion understanding integrity interest and respect for others.
- Ability to maintain confidentiality when working with sensitive information.
- Ability to stay current on changing governmental and payor regulations related to utilization review authorization and certification processes.
- High proficiency in computer applications and ability to fully utilize automation to achieve departmental goals
- Creative results-oriented well organized task-driven self-starter with high energy level and ability to influence others.
From day one Mercy offers outstanding benefits - including medical dental and vision coverage paid time off tuition support and matched retirement plans for team members working 32 hours per pay period.
Join a caring collaborative team where your voice matters. At Mercy youll help shape the future of healthcare through innovation technology and compassion. As we grow youll grow with us.
Required Experience:
Manager
About Company
Mercy is one of the largest U.S. health systems with 44 acute care & specialty hospitals, over 700 physician & outpatient clinics in Arkansas, Kansas, Missouri & Oklahoma.
