• RN Supervisor UM Inpatient Clinical

    Dignity Health (Bakersfield, CA)


    Responsibilities

    ***This role is remote (with a clear and current CA RN license), but will be expected to work PST business hours.

    ***This role will require Admin on-call on weekends/holidays.

    Position Summary:

    The Supervisor of Utilization Management Inpatient Clinical will oversee clinical inpatient UM staff, ensuring they effectively perform utilization management (UM) reviews for inpatient cases. This role works closely with the Care Coordination and Care Management teams, which are distinct pillars, to ensure appropriate utilization reviews and that care is delivered efficiently. The Supervisor will also ensure adherence to internal and external policies, regulations, and goals.

    Qualifications

    Minimum Qualifications:

    - Minimum of 3 years’ in recent Managed care experience required.

     

    - Experience supervising staff and monitoring productivity/performance required.

     

    - Graduate of an accredited school of nursing: Registered Nursing.

     

    - Clear and current CA RN license.

    Preferred Qualifications:

    - 3+ years of acute and/or primary care experience preferred.

     

    - Experience with Medical Criteria Group application preferred.

     

    - Bachelor’s Degree in Nursing or other clinical advanced degree preferred.

     

    Overview

     

    The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric, full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.

     

    Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art, flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options, including medical, dental and vision plans, for the employee and their dependents, Health Spending Account (HSA), Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.

     

    One Community. One Mission. One California (https://youtu.be/RrPuiSnALJY?si=pvQgPZ6ZWZM60TPV)

    Pay Range

    $44.73 - $64.85 /hour

     

    We are an equal opportunity/affirmative action employer.