Utilization Management Outpatient Clinical Supervisor RN

KHS
Bakersfield, CA
Category Healthcare
Job Description
We are seeking a Utilization Management Outpatient Clinical Supervisor RN to supervise outpatient clinical staff and ensure compliance with UM policies, regulatory requirements, and evidence-based clinical guidelines.

Requirements

  • Supervise outpatient clinical staff
  • Ensure compliance with UM policies and regulatory requirements
  • Provide clinical support as needed
  • Develop and maintain a structured outpatient clinical audit program
  • Assist in the development and updating of UM criteria, guidelines, workflows, policies, and procedures
  • Conduct performance evaluations and monitor production and quality of work
  • Remain current with California Children’s Services benefits and guidelines
  • Manage timecards, PTO, flex, and vacation schedules

Benefits

  • Paid Time Off
  • 401k Matching
  • Retirement Plan
  • Health Insurance
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