RN - Supervisor, Utilization Mgmt

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Fort Worth, TX, USA
In-Office
Senior level
Healthtech
The Role
Supervise and coach Utilization Management/ECM RNs and support staff for STAR/CHIP/STAR Kids programs. Act as process owner and subject matter expert for program benefits and LTSS, train and certify team members, provide feedback, set goals, and ensure departmental objectives are met.
Summary Generated by Built In

Location:

Calmont Operations Building

Department:

Utilization

Shift:

First Shift (United States of America)

Standard Weekly Hours:

40

Summary:

Responsible for supervising/ coaching/ mentoring STAR/ CHIP/ or STAR Kids workgroups (Pods) comprised of UM/ECM RN and support staff to achieve department goals and objectives. Acts as process owner and subject matter expert for program benefits and long term supports and services (LTSS).

Additional Information:

The RN Supervisor, Utilization Management is responsible for supervising/ coaching/ mentoring STAR/ CHIP/ or STAR Kids workgroups (Pods) comprised of UM/ECM RN and support staff to achieve department goals and objectives. Acts as process owner and subject matter expert for program benefits and long term supports and services (LTSS). The Supervisor will offer motivation, encouragement, and resources to the team members. Assists individual team members to set and accomplish goals. Train and certify team members on all applicable processes and essential skills related to Utilization Management. Assesses individual team member’s existing abilities and provides customized skills training to ensure each team member can properly perform job functions. Provide positive and constructive feedback to direct team towards goals.

Hours: Mon-Fri 8am-5pm Hybrid position, will require in office work 1-2 days per month in Fort Worth.

Required Education, Experience and Licensure:

  • Bachelor's of Science in Nursing (BSN).

  • RN License in Texas.

  • Minimum of 5 years clinical experience.

  • 2 years of Utilization Management experience.

  • Proficiency in use of computer applications and typing speed (35 words per minute minimum).

  • Strong skills in the following areas: Oral and written communication, Problem-solving, Organization and time management, Customer service, Knowledge of adult teaching and learning, coaching.

Preferred Qualifications:

  • 1 to 2 years' experience in a supervisory role.

  • Bilingual (English/Spanish) a plus.


About Us:

Cook Children’s is an equal opportunity employer. As such, Cook Children’s offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.

Skills Required

  • Bachelor of Science in Nursing (BSN)
  • RN License in Texas
  • Minimum of 5 years clinical experience
  • 2 years of Utilization Management experience
  • 1 to 2 years supervisory experience
  • Proficiency in use of computer applications and typing speed (35 WPM minimum)
  • Strong oral and written communication skills
  • Problem-solving, organization, and time management skills
  • Customer service and coaching skills; knowledge of adult teaching and learning
  • Bilingual (English/Spanish)

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The Company
HQ: Fort Worth, TX
5,001 Employees
Year Founded: 1918

What We Do

Cook Children's Health Care System embraces an inspiring Promise – to improve the health of every child in our region through the prevention and treatment of illness, disease and injury. Based in Fort Worth, Texas, we’re proud of our long and rich tradition of serving our community.

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