Description: Our Client, a non-profit healthcare system, is looking for a Supervisor of Utilization Medical Management in Beaverton, OR.

Responsibilities:

• Oversee the daily activities of staff, including hiring and performance management;
• Provide day to day oversight for department operations and problem solving as issues arise;
• Provide a supportive, team-based environment that facilitates group decision making and employee empowerment;
• Evaluate performance and initiates personnel actions such as hiring, merit increases, probationary and periodic reviews, promotions, transfers between teams and disciplinary actions;
• Develop and maintain positive relationships with providers and facilities; maintain knowledge in subject matter and enhance Health Plan expertise in the area of CM and UM.

Requirements:

• Experience with managed care services including population health initiatives, Affordable Care Act, Coordinated Care Organizations, Accountable Care Organizations, Medicare and Medicaid regulations (2+ years);
• Experience with development of innovative and focused partnerships and programs which challenge the norm to support an ever changing healthcare environment;
• Experience in cost stewardship using Lean principles or other means which increase effectiveness and cut waste;
• Experience in project management, educational program development and implementation, and technology;
• Clinical experience in an inpatient or outpatient healthcare setting (2+ years, preferred);
• Supervisory or management experience in a managed care setting (preferred);
• Experience using utilization management tools such as Interqual or Milliman (preferred);
• Current licensed driver;
• Certified Nursing Assistant, Certified Medical Assistant or Certified Med Aid (preferred);
• Active, unrestricted Oregon or Washington RN license (preferred);
• Certification in Utilization Management or Case Management (preferred);
• Bachelor's Degree in Health related field or applicable work experience may be substituted for some education;
• Advanced Degree or Bachelor’s degree in Nursing or related field (preferred).

Why Apply?

• Join the third largest not-for-profit health system in the United States;
• Work with a stable company with a track record of success and growth since 1859;
• Benefit from medical, dental and vision insurance coverage that start on your first day;
• Become eligible for retirement program, life and AD&D insurance, Health Reimbursement and Savings Accounts (HRA, HSA, FSA);
• Enjoy work / life balance, paid time off, disability benefits, volunteer in partnership program.

If this job is not for you, earn a $2,100.00 referral bonus in cash by referring a Candidate or a Client to us. Vitaver Referral Program is one of the most generous on the market!

Please feel free to apply directly and contact me with your questions at [email protected]