Licensed Vocational Nurse, Supervisor, Utilization Management

Grow Healthy

If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don't just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it's a calling that drives us forward every day.

Job Overview

The Supervisor, Utilization Management - Clinical position is responsible for overseeing and managing the day-to-day operations of the Utilization Management Department, health plan delegated activities, and medical management initiatives. This position works closely with the Manager, Director, Medical Director, and VP to evaluate and monitor medical appropriateness determinations and care coordination activities. This position is responsible for developing and implementing strategic plans that will directly impact cost containment and improve patient outcomes.

Minimum Requirements

• Graduated from an accredited LVN school with a current LVN license issued by the State of California Vocational Nursing. RN, preferred
• AA degree or equivalent work experience preferred
• Minimum of 3 years of experience in a managed care environment is required.
• Minimum of 1 year of leadership experience preferred (lead or supervisor)
• Knowledge of State and Federal regulations is required.
• BLS certification is required.

Compensation

$78,391.04 - $97,988.80 annually

Compensation Disclaimer

Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.

Benefits & Career Development

Job Advertisement & Application Compliance Statement

AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.