Utilization Management Supervisor, Non-Clinical

Description

Under the direction of the Utilization Management Assistant Director, the Utilization Management Supervisor (Non-Clinical) oversees the daily operations of non-clinical patient navigation services supporting high-risk and high-utilizer patient populations within the Utilization Management Department. This role supervises a team of coordinators, patient navigators and concurrent nurses, ensuring efficient workflow management, timely access to care, effective care transitions, and high-quality service delivery.

Key Responsibilities

• Supervise and provide leadership to Patient Navigators and Coordinators supporting UM, SNF, ED follow-up, and Home Health workflows.
• Oversee patient navigation activities, including appointment scheduling, transportation coordination, DME coordination, and community resource referrals.
• Monitor operational work queues, referrals, discharge tracking, and care transition activities to ensure timely follow-up and service delivery.
• Support effective transitions of care through post-discharge outreach, appointment adherence, and coordination of services.
• Collaborate with interdisciplinary teams to identify and address barriers to care and support patient engagement initiatives.
• Manage staff performance, scheduling, attendance, payroll/timekeeping, training, and professional development.
• Analyze operational and utilization data to support quality improvement, compliance, and strategic decision-making.
• Lead process improvement initiatives and support the development and optimization of departmental workflows, policies, and procedures.
• Support system-related functions and operational activities related to care coordination, authorizations, and utilization management workflows.

Salary Range: $73,000 - $149,600/AnnuallyQualifications

• High school diploma, GED or equivalent experience.
• Four or more years of experience in a Managed Care Case Management and care coordination environment - REQUIRED
• Three or more years of experience in Inpatient and ambulatory Managed Care program/referrals - REQUIRED
• Three or more years of leadership or Supervisory role - REQUIRED
• Two or more years of
• Experience supporting Intensive Case Management, Utilization Management, Skilled Nursing Facility, and Home Health programs
• Familiarity with Medicare Advantage and value-based care models
• Experience with electronic health records (e.g., Epic/CareConnect)
• Four years or more experience in Managed care Organization, Medical Group operations, Health Plan administration and workflows.
• Ability to multi-task, work with frequent interruptions, and meet deadlines. Must be detailed, oriented, attentive, organized, and able to follow directions.
• Proficient computer skills including working knowledge of Microsoft Excel, Visio, Power P and Word.
• Ability to operate a wide variety of office equipment, including computers, printers, copy machines, facsimile receiver/transmitter, scanners and mailing equipment.
• Ability to communicate thoughts and information clearly and succinctly in writing as well as verbally.
• Highly organized, reliable, consistently seeking learning opportunities and new challenges, High EQ, communication skills, problem solving ability, and teamwork, humble yet confident, peers feel comfortable requesting your assistance.
• Experience in Medicare Advantage or value-based care models - Preferred

UCLA Health welcomes all individuals, without regard to race, sex, sexual orientation, gender identity, religion, national origin or disabilities, and we proudly look to each person’s unique achievements and experiences to further set us apart.