Job Description

Supervisor Utilization Review
Req #: 21766
Department: Care Management
Facility Name: Maricopa Medical Center
City: Phoenix
Schedule: Regular - Full Time 40 Hours Per Week
Shift: Days
Salary: E11 $69,573 - $104,359
Hours:
Job Details:
  • Under the direction of the Manager of Care Management, the Utilization Review (UR) Supervisor oversees day-to-day operations of the Care Management Department Utilization Review Coordinator RN Care Managers. The responsibility of the UR Supervisor encompasses the Utilization Review/Care Management Program operations and outcomes, and ensures practices are followed throughout the entire MIHS system. The UR Supervisor will support all department efforts. Duties include data collection, analysis and reporting to ensure ongoing compliance with all Utilization Review/Care Management practices. In addition, the UR Supervisor will be responsible to act as a liaison with external parties on matters related to Utilization Review/Care Management.

    Qualifications:

    Requires a Bachelor's degree or higher in Nursing. Employees with a last hire date prior to October 9, 2016 have until December 31, 2019 to obtain a BSN or higher nursing degree. Requires at least three (3) years of progressively responsible healthcare care management related experience (eg. regulatory/ accreditation programs and care management) that demonstrates a solid understanding of the required knowledge, skills, and abilities. Prefer prior supervisory experience. Requires certification in care management/quality (eg ACM, CCM, CPHQ). Must possess a current, valid AZ RN license; temporary AZ RN license; or valid compact RN licensure for current state of practice. Must also be in good standing with the issuing Board of Nursing. Requires knowledge of care management guidelines and compliance with regulatory standards. Requires competent computer skills including typing skills and use of Microsoft applications. Prefer hands-on experience and knowledge of MIDAS, Epic EMR system and care management concepts requirements. Must have the ability to supervise and coordinate the work of subordinate personnel in a manner conducive to full performance and high morale. Must be approachable, people oriented, and a good listener. Must be able to communicate effectively and have excellent customer service skills. Must be a change agent able to develop, implement and maintain policies and processes. Requires the ability to be a creative, independent thinker. Must exhibit a high degree of professionalism, customer service, and enthusiasm. Must possess solid analytical and problem-solving skills. Requires basic computer word processing skills (e.g. formatting, editing, printing, composing email, internet searches, etc.) to be able to successfully navigate through an electronic medical record using a computer. Requires the ability to read, write and speak effectively in English.



Living our values
At Maricopa Integrated Health System, our values inspire us to dream big and reach high. And we’re delivering some of the most sophisticated care in the country, while making a genuine difference in the lives of our patients and each other. That's the power of an environment driven by values like respect, leadership, compassion and education.

We are:
  • Maricopa Medical Center, a critical care hospital - the largest teaching hospital in AZ
  • The Arizona Burn Center, a nationally renowned regional burn center- 2nd largest in the nation
  • A level 1 Trauma Center and emergency department
  • The Arizona Children’s Center at MIHS, a 24/7 Level 1 Pediatric Trauma Unit
  • The Comprehensive Healthcare Center
  • The Desert Vista Behavioral Health Center
  • 12 Family Health Centers located throughout Maricopa County
Come live these values and enjoy:
  • Competitive wages
  • Medical, dental and vision coverage
  • Arizona State Retirement System Plan with a lifelong pension upon retirement
  • Generous PTO + 10 holidays per year
MIHS is an equal opportunity employer.

Application Instructions

Please click the link below to apply for this opportunity. You will be directed to our careers website to apply online. We look forward to hearing from you!

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