Utilization Management Supervisor, RN - Irvine, CA- $10,000K SIGN ON BONUS!

We’re Monarch HealthCare, Orange County’s largest association of independent physicians, and a part of Optum and the growing family of UnitedHealth Group companies. We are changing health care for the better by improving access to affordable, high quality care, and working together to improve the patient experience. With the talent, resources and can-do culture of a Fortune 6 company behind us, there’s no telling how far we can go. Join us in creating a better future


and you’ll soon find you’re doing your life’s best work.(sm)
 
***We are offering a $10,000 sign on bonus***

As part of our continued growth, we're searching for a Supervisor, Prior Authorization to join our team...


Provides direct day to day supervision of case management staff including licensed and unlicensed staff of 10 to 12 RNs, LVNs and Coordinators. 
 
Primary Responsibilities:


Develops and implements new policies and procedures

Orients / trains case management staff on case management processes

Provides senior management with analysis of case management reports

Provides input and feedback on employee performance and conducts counseling and disciplinary actions as necessary

Performs Case Management duties as necessary

Required Qualifications:

Current, unrestricted California RN license
1+ years of clinical experience in an ambulatory, hospital, or SNF setting
1+ years of lead, supervisory or management experience
1+ years of prior authorization / Utilization Management experience
Proficient in use of Microsoft Office Word, Outlook and navigation in Windows environment 
Preferred Qualifications:

Bachelor’s Degree in Nursing
Prior experience with Government Programs such as Medicare, Medicaid and MediCal
Knowledge of special needs programs
Interest or exposure to denial process
What's the first thing that happens when one of the most successful physician groups in Orange County comes together with a global leader in health care? Opportunity. With Monarch HealthCare joining Optum and the UnitedHealth Group family of companies, people like you will find increasing levels of challenge, impact and professional success. With a vibrant network of hospitals and urgent care centers, we're changing health care for the better by improving access to affordable, high quality care, and working together to improve the patient experience. That takes passion, commitment, intense focus and the ability to contribute effectively in a highly collaborative team environment. Are you with us? Learn more about this exciting opportunity to do your life's best work.(sm)
 
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
 
Job Keywords: Supervisor, Management, CCM, Inpatient, UM, Government, Nursing,Clinical, Registered Nurse, RN, Supervisor, Supervisor Case Management, case manager, case management, managed care, prior authorization, pre-service review, UR, UM, Utilization Review, Utilization Management, Concurrent Review, Irvine, CA, California