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Supervisor, Utilization Management (Hybrid Remote, Must have California LVN / RN License)

Alignment Health · US

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It...

Job description

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. The Supervisor, Utilization Management, under the direction of the Manager of UM, is responsible for ongoing management of the UM Department and oversight of preservice processes. Directly supervise licensed and coordinator staff performing UM duties. Accountable for promoting quality patient care outcomes while supporting appropriate resource management along the continuum of care and responsible for auditing and completing reports to meet CMS compliance requirements. Please note: - This is an exempt leadership role supporting a clinical team that...