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Inpatient RN Utilization Management - Supervisor - $5000 SIGN ON! Irvine, CA

UnitedHealth Group

Irvine, CA
Job Code:
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Job Details

Inpatient RN Utilization Management - Supervisor - $5000 SIGN ON! Irvine, CA(Job Number:701334)

At Monarch HealthCare, an OptumCare Company, you will perform within an innovative culture focusing on transformational change in the health care system. You will leverage your skills across a diverse and multi - faceted business. Your contributions will have an impact greater than you have ever imagined! Join us and help people live healthier lives while doing your life's best work.(sm)


As a part of our continued growth, we are searching for a Supervisor of Inpatient Utilization Management to join our team.




Competitive benefits, great opportunity with a stable and growing company


Primary Responsibilities:

  • Supervises Inpatient Clinical Services Nurses providing transition of care coordination for attributed members in the Acute Facility setting
  • Expert knowledge of industry accepted criteria (e.g. MCG, InterQual), CMS and Health Plan guidelines and guideline application
  • Assist with providing direction for case that are complex or requiring out - of - network care
  • Adjust workflow and responsibilities according to business and operational needs
  • Oversee to day - to - day operations of the Inpatient Acute Case Managers (i.e. ability to cover for illness, vacation, etc.) for the acute hospital settings (Short - term Acute, Long - term Acute and Acute Rehab)
  • Actively provides on - site or telephonic review if coverage is required
  • Conducts values and performance coaching which includes: annual reviews, corrective action plans, and recognition of employees
  • Performs supervisory on - call duties as scheduled on a rotating basis
  • Efficiently navigates and utilizes computer data entry programs including but, not limited to: Microsoft Office (Outlook, Word, and Excel)

Job Clinical Utilization Managemen
Primary Location US-CA-Irvine
Other Location 
Organization Monarch
Schedule Full-time
Number of Openings 1
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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