Medicare Utilization Management Supervisor

Brigham and Women's Faulkner Hospital

Base: $99,465.60 - $141,804.00/annual; bonus/equit...
Fully remote
Massachusetts registered nurse license
Interqual software proficiency
Inpatient and outpatient utilization management
The supervisor will work closely with the Manager of Clinical to oversee the daily operations of roughly 5 Medicare Advantage utilization management staff

Job Summary

  • The supervisor will work closely with the Manager of Clinical to oversee the daily operations of roughly 5 Medicare Advantage utilization management staff.
  • Employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds.
  • The role offers competitive salaries ranging from $99,465.60 to $141,804.00 annually along with comprehensive benefits and flexible work options.

Matching Summary

The supervisor will work closely with the Manager of Clinical to oversee the daily operations of roughly 5 Medicare Advantage utilization management staff.

Salary

Base: $99,465.60 - $141,804.00/Annual; Bonus/Equity: Not specified; Benefits: Comprehensive benefits package with flexible work options, career growth, differentials, premiums, and bonuses

Skills & Requirements

Must-have

  • Massachusetts Registered Nurse license
  • InterQual software proficiency
  • Inpatient and outpatient utilization management
  • Managed care setting experience
  • Clinical review expertise

Nice-to-have

  • Certified Case Manager credential
  • Supervisory leadership experience
  • Microsoft Office proficiency
  • Project participation across organization
  • Welcoming supportive environment

Key Requirements

  • Bachelor's Degree in related field or equivalent experience
  • 3-5 years relevant experience in managed care
  • Valid Massachusetts RN license required
  • CCM certification preferred
  • Remote work capability

Work Rights

Not specified

Tailored Resume

Cover Letter