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Details
Posted: 16-Jun-26
Location: Los Angeles, California
Categories:
Operations
Internal Number: 152452706
Description
Under the direction of the Utilization Management Assistant Director, the Utilization Management Supervisor (Non-Clinical) oversees the daily operations of non-clinical patient navigation services supporting high-risk and high-utilizer patient populations within the Utilization Management Department. This role supervises a team of coordinators, patient navigators and concurrent nurses, ensuring efficient workflow management, timely access to care, effective care transitions, and high-quality service delivery.
Key Responsibilities
- Supervise and provide leadership to Patient Navigators and Coordinators supporting UM, SNF, ED follow-up, and Home Health workflows.
- Oversee patient navigation activities, including appointment scheduling, transportation coordination, DME coordination, and community resource referrals.
- Monitor operational work queues, referrals, discharge tracking, and care transition activities to ensure timely follow-up and service delivery.
- Support effective transitions of care through post-discharge outreach, appointment adherence, and coordination of services.
- Collaborate with interdisciplinary teams to identify and address barriers to care and support patient engagement initiatives.
- Manage staff performance, scheduling, attendance, payroll/timekeeping, training, and professional development.
- Analyze operational and utilization data to support quality improvement, compliance, and strategic decision-making.
- Lead process improvement initiatives and support the development and optimization of departmental workflows, policies, and procedures.
- Support system-related functions and operational activities related to care coordination, authorizations, and utilization management workflows.
Salary Range: $70,900 - $145,200/Annually
Qualifications
- High school diploma, GED or equivalent experience.
- Four or more years of experience in a Managed Care Case Management and care coordination environment - REQUIRED
- Three or more years of experience in Inpatient and ambulatory Managed Care program/referrals - REQUIRED
- Three or more years of leadership or Supervisory role - REQUIRED
- Two or more years of
- Experience supporting Intensive Case Management, Utilization Management, Skilled Nursing Facility, and Home Health programs
- Familiarity with Medicare Advantage and value-based care models
- Experience with electronic health records (e.g., Epic/CareConnect)
- Four years or more experience in Managed care Organization, Medical Group operations, Health Plan administration and workflows.
- Ability to multi-task, work with frequent interruptions, and meet deadlines. Must be detailed, oriented, attentive, organized, and able to follow directions.
- Proficient computer skills including working knowledge of Microsoft Excel, Visio, Power P and Word.
- Ability to operate a wide variety of office equipment, including computers, printers, copy machines, facsimile receiver/transmitter, scanners and mailing equipment.
- Ability to communicate thoughts and information clearly and succinctly in writing as well as verbally.
- Highly organized, reliable, consistently seeking learning opportunities and new challenges, High EQ, communication skills, problem solving ability, and teamwork, humble yet confident, peers feel comfortable requesting your assistance.
- Experience in Medicare Advantage or value-based care models - Preferred
More Jobs from This Employer
https://careers.leadingagetennessee.org/jobs/22354596/utilization-management-supervisor-non-clinical
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