Case Management/Utilization Management Supervisor

Job description

Case Management/Utilization Management Supervisor Position Summary The Case Manager Supervisor plays a critical leadership role within the Care Management department, ensuring that clinical reviews, authorization processes, and appeal activities are carried out with accuracy, timeliness, and regulatory compliance. This position provides daily oversight and guidance to a team of utilization review nurses and appeals specialists, supporting them in making evidence-based decisions that promote appropriate resource utilization and safeguard organizational revenue. By monitoring performance, analyzing trends, and collaborating with interdisciplinary partners, the supervisor helps drive high-quality patient care, reduce avoidable denials, and strengthen the organization’s overall utilization management strategy. This role requires a blend of clinical expertise, operational insight, and strong communication skills to effectively lead staff and maintain positive relationships with payers, providers, and internal stakeholders. Qualified candidates will demonstrate superior patient care experience and possess outstanding communication skills while adhering to high standards of care. Duties:...