Franciscan Health

Utilization Management Supervisor

  • Franciscan Health
  • Remote
  • 20 days ago

Job Description

Work From Home - Central Indiana

Work From Home Work From Home, Indiana 46544

WHO WE ARE

With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.

WHAT YOU CAN EXPECT

  • Maintain inter- and intra-departmental communications, special projects, programs, policies, and procedures as well as care management services.
  • Participate and educate team in performance improvement initiatives. Implement processes to satisfaction with those we are privileged to serve.
  • Coordinate and maintain compliance with HFAP, state and federal agencies pertaining to Utilization/Denial management activities.
  • Supervise direct reports and manage the performance of individuals through ongoing coaching, feedback, and development to motivate, engage and drive a high performing team.
  • Make decisions for direct reports in assigned function and performs people management activities, such as, performance evaluations, disciplinary actions, staff planning, and interviews.
  • Supervise and maintain Utilization Management operations in collaboration with the Manager and Director, including ensuring appropriate utilization and denial management.

QUALIFICATIONS

  • Bachelor's Degree required
  • Registered Nurse (RN) - Licensed to practice in Indiana
  • 5 years of Nursing/Patient Care required
  • 2 years of Utilization or Case Management experience preferred

TRAVEL IS REQUIRED:

Up to 20%

EQUAL OPPORTUNITY EMPLOYER

It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.

Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.

Franciscan Alliance is committed to equal employment opportunity.

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