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Supervisor Utilization Mgmt

Req #:  138841
Facility:  Shared Revenue Cycle
Department:  Management/Supervisory
City:  Oak Brook
Posting Budget Status:  Day
Shift Type:  Full Time - Permanent
Posting FTE:  1

Position Requirements:

  • BS degree in clinical, business administration, or healthcare related field 
  • RN license in state of IL
  • 6+ years clinical experience, including at least 3 years in utilization or case management.
  • Previous leadership experience preferred
  • Expert knowledge of utilization/care management and managed care.
  • Expert knowledge of CMS and other regulatory requirements.
  • Must be willing to get MCG Certified within 12 months of being hired. MCG is a healthcare software.
  • Expert knowledge of process improvement.
  • Demonstrated leadership ability.
  • Demonstrated flexibility, teamwork, and system thinking.
  • Excellent relationship building skills.
  • Excellent written/verbal skills
  • Flexibility and resiliency to work in a rapidly changing environment.
  • Ability to occasionally travel to other Advocate Sites.
  • Expertise in relationship building, coaching, and mentoring.
  • Excellent organizational skills.
  • Ability to prioritize.
  • Excellent communication skills.


Purpose:
Supervise, coordinate, educate, and evaluate the daily operations of utilization management staff. Support staff and UM leadership by participating in development of work processes related to concurrent and retrospective medical necessity reviews that insure compliance and reimbursement from payers.

Accountabilities:

  1. Coordinate and evaluate the daily operations of UM staff that is part of the comprehensive care management program.
  2. Responsible for training, evaluating, and staffing coverage.
  3. Responsible for personal and professional growth and development.


Nearest Major Market: Chicago