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Utilization Management Clinical Supervisor @LE701 Avesis, LLC

[Hiring] Utilization Management Clinical Supervisor @LE701 Avesis, LLC

Apr 03, 2025 - LE701 Avesis, LLC is hiring a remote Utilization Management Clinical Supervisor. 💸 Salary: $55,790 - $87,230. 📍Location: USA.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

The UM (Utilization Management) Supervisor plays a crucial role in ensuring that healthcare services provided to members are appropriate, efficient, and effective. Responsibilities include:

  • Guiding a group of employees to achieve specific goals and objectives
  • Ensuring effective communication within the team
  • Monitoring performance, providing feedback, and supporting professional development
  • Resolving conflicts and fostering a positive work environment
  • Coordinating with other departments to ensure alignment and successful project completion
  • Overseeing Prior Authorizations and/or Retrospective Review
  • Supervising day-to-day activities of the Utilization Management team
  • Assisting with questions, reviewing client-based letters, and conducting monthly client reporting
  • Analyzing trends of UM reports and performing monthly audits for compliance and quality
  • Conducting one-on-one coaching sessions with team members
  • Processing prior authorization requests when necessary

Qualifications

  • High School Diploma or GED is required
  • Dental Assistant certificate or 2 years of chair side assisting
  • Experience in a leadership or management role required
  • Experience and knowledge in intermediate computer skills
  • Strong skills for reading, writing, and communicating at a professional level
  • Proficiency in managing multiple tasks and prioritizing work
  • Ability to think analytically and make independent decisions
  • Effective time management and organizational skills
  • Ability to work overtime as needed

Requirements

  • Self-motivated and highly organized
  • Flexible hours determined by manager
  • Expected to meet established deadlines and deliver high-quality work consistently
  • Use of virtual platforms like Teams and Microsoft Outlook for collaboration
  • Maintain strict confidentiality of information
  • Monitor and track UM resources for adherence to performance and compliance standards
  • Collaborate with UM team to resolve complex processing issues
  • Educate and provide resources for the UM team on key initiatives
  • Evaluate UM team performance and provide feedback
  • Coordinate staff scheduling based on workflow needs
  • Assist with onboarding, hiring, and training UM team members

Benefits

  • Meaningful and challenging work opportunities
  • Competitive compensation package
  • Excellent medical, dental, supplemental health, life, and vision coverage
  • Life and disability insurance
  • 401(k) with company match
  • Tuition assistance, paid parental leave, and backup family care
  • Dynamic work environments that promote collaboration and creativity
  • Flexible time off, dress code, and work location policies
  • Employee Resource Groups advocating for inclusion and diversity
  • Social responsibility initiatives within local communities

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📍 Be aware of the location restriction for this remote position: USA
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Back to Remote jobs  >   All others
Utilization Management Clinical Supervisor @LE701 Avesis, LLC
All others
Salary 💸 $55,790 - $87,230
Remote Location
USA
Job Type full-time
Posted Apr 03, 2025
Apply for this position Unlock 54,405 Remote Jobs
📍 Be aware of the location restriction for this remote position: USA
Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more.
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