Sign upLog in

Supervisor-Utilization Management

Mercy

St. Louis, MO

Apply
JOB DETAILS
SKILLS
Acute Care, Automation, Best Practices, Certified Case Manager (CCM), Computer Skills, Establish Priorities, Government Regulations, Healthcare, Hospital, Interpersonal Skills, Leadership, Multitasking, Organizational Skills, Patient Care, Patient Safety, Performance Metrics, Performance Tuning/Optimization, Team Player, Utilization Management
LOCATION
St. Louis, MO
POSTED
1 day ago

Find your calling at Mercy!

Overview
The Supervisor of Utilization Care Management for Mercy is responsible for the direction, leadership and oversight management for Utilization Care Management. This position is designed to facilitate an effective process of the new care model; supporting quality patient care, safety and financial components; promoting integration of a seamless care model; coordinating patient throughput; collaborating with facilities to include leadership coordination as evidenced by metrics, optimizing performance and adoption of best practice. Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards.

Position Details:

QUALIFICATIONS 

Education:  Current Nursing License in the state of employment

Licensure:  Current license in the state of residence and/or employment, minimum required.

Experience:

  • 3-5 years acute care hospital setting, Minimum Required.
  • 1-year recent hospital-based Utilization Management Required
  • 1 year hospital based Inpatient Care Management experience, Preferred
  • Certification/Registration: Certification in Case Management or Utilization Review, Preferred

OTHER SKILLS & KNOWLEDGE:

  • Excellent leadership, interpersonal, communication and organizational skills to effectively work with others involved in the Utilization and Appeals Management process.
  • Must possess the ability to prioritize, delegate, and organize various tasks/projects simultaneously to ensure departmental and Mercy-wide goals are met.
  • Possesses integrity, imagination and initiative as evidenced by self-improvement.
  • Demonstrates personal qualities such as kindness, compassion, understanding, integrity, interest, and respect for others.
  • Ability to maintain confidentiality when working with sensitive information.
  • Ability to stay current on changing governmental and payor regulations related to utilization review, authorization, and certification processes.  
  • High proficiency in computer applications and ability to fully utilize automation to achieve departmental goals
  • Creative, results-oriented, well organized, task-driven, self-starter with high energy level, and ability to influence others.

Why Mercy?

From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.

Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.

--s-p-m1--

Powered by SonicJobs (an advertiser on Monster). By applying, you consent to share your data with SonicJobs and the employer. Monster or SonicJobs does not store or use your application data beyond facilitating the application.
See Mercy Terms & Conditions at https://www.mercy.net/about/legal-notices/ and Privacy Policy at https://www.mercy.net/about/legal-notices/ and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions

About the Company

M

Mercy

Our Mercy health system was founded by the Sisters of Mercy in 1986. But our heritage goes back more than 185 years. It began with an Irish woman named Catherine McAuley, who wanted to help the poor women and children of Dublin. Though Catherine had a modest upbringing, she received an unexpected inheritance that allowed her to fulfill her dreams. In 1827, she opened the first House of Mercy in Dublin, intending to teach skills to poor women and educate children. Many volunteers came to help. A few years later, Catherine founded the Sisters of Mercy, the first religious order not bound to the rules of the cloister, whose Sisters were free to walk among the poor and visit them in their homes. By the time Catherine died in 1841, there were convents in Ireland and England, and in 1843, the Sisters of Mercy came to the United States. In 1871, they traveled to St. Louis and from there throughout the Midwest, beginning what would, today be known as Mercy.

Mercy, named one of the top five large U.S. health systems in 2018, 2017 and 2016 by IBM Watson Health, serves millions annually. Mercy includes more than 40 acute care and specialty (heart, children’s, orthopedic and rehab) hospitals, 800 physician practices and outpatient facilities, 44,000 co-workers and 2,100 Mercy Clinic physicians in Arkansas, Kansas, Missouri and Oklahoma. Mercy also has clinics, outpatient services and outreach ministries in Arkansas, Louisiana, Mississippi and Texas. In addition, Mercy's IT division, Mercy Technology Services, supply chain organization, ROi, and Mercy Virtual commercially serve providers and patients in more than 20 states coast to coast.

COMPANY SIZE
10,000 employees or more
INDUSTRY
Healthcare Services
FOUNDED
1986
WEBSITE
https://www.mercy.net/