About Corewell Health

Our new name signals our bold commitment to health and wellness. At our core, we are here to help people be well so they can live their healthiest life possible. Through health care and health coverage, we create more value.​ Through compassion, collaboration, clarity, curiosity and courage, we make anything and everything possible.​ Through our people, we care for the whole person with respect, dignity and love. ​Everyone deserves opportunities and resources for better health.​ Everyone deserves our relentless pursuit to innovate and always do better. ​Everyone deserves to have a community be a great place to live, work, learn and play.​ We believe health and well-being should be within reach for all. We believe the system to support the entire health and wellness journey starts with prevention. ​We believe that together we will make a difference.​ Together, we are here to make health better for everyone.​ Together, we are Corewell Health.

Scope of work

The Clinical Utilization Management (UM) Supervisor is responsible for monitoring, supervising, and performing daily Utilization Management functions, which includes but is not limited to pre-admission, admission, and concurrent utilization reviews. The Clinical UM Supervisor will provide daily, regional supervision of Clinical Utilization Management teams, comprised of UM Coordinators and Analysts. This position requires clinical experience and experience supervising staff. Central to the Clinical UM Supervisor's role is to assist the regional Clinical Utilization Management Manager with implementing operational changes and serve as the primary point of contact for Utilization Management barriers or concerns. Ultimately, the Clinical UM Supervisor will be responsible for supporting positive and safe patient outcomes, employee evaluations, and customer experience.The Clinical UM Supervisor will work remotely and report directly to the regional Clinical Utilization Management Manager.

• Responsible for providing daily, regional supervision of Clinical Utilization Management teams, comprised of UM Coordinators and Analysts. Manages daily staffing schedules to maximize staff utilization and resolve daily staffing issues.

• Assists the regional Clinical Utilization Management Manager with implementing department goals, policies, and procedures. Additionally, escalates quality and risk issues to the regional Clinical Utilization Management Manager.

• Responsible for regularly monitoring staff performance, through performing chart reviews, and staff adherence to department procedures. Assists the regional Clinical Utilization Management Manager with developing corrective action plans, completing staff performance reviews, and identifying training opportunities.

• Collaborates with the regional Utilization Management Educator to develop training materials and provide targeted training based on the performance of regional Clinical Utilization Management teams.

• Serves as the initial point of contact for all relevant stakeholders that may be involved with Clinical Utilization Management functions, including but not limited to Utilization Management staff, Physician Advisors, and payors. Additionally, serves as the primary point of contact for Utilization Management barriers, concerns, or complaints.

• Serves as a Utilization Management content expert across areas including but not limited to medical necessity criteria, patient status, level of care, and regulatory compliance.

How we will care for you, while you care for our patients

• Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here (https://careers.corewellhealth.org/us/en/benefits-new) .

• On-demand pay program powered by Payactiv

• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!

• Optional identity theft protection, home and auto insurance, pet insurance

• Traditional and Roth retirement options with service contribution and match savings

Qualifications

• Required Associate's Degree in Nursing OR Bachelor’s Degree in Nursing (Preferred)

• 3 years of relevant experience Three years minimum of relevant clinical experience in an acute care setting Required

• 1 year of relevant experience One year minimum of supervisory experience Required

• Experience working in an organization of size and complexity comparable to Corewell Health. Preferred

• Registered Nurse (RN) - State of Michigan Upon Hire required

Primary Location

SITE - Beaumont Service Center - 26901 Beaumont Blvd

Department Name

Utilization Management - CH East

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

8:00 a.m. to 4:30 p.m

Days Worked

Monday to Friday

Weekend Frequency

N/A

CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.

People are at the heart of everything we do, and the inspiration for our legacy of outstanding outcomes, innovation, strong community partnerships, philanthropy and transparency. Corewell Health is a not-for-profit health system that provides health care and coverage with an exceptional team of 60,000+ dedicated people—including more than 11,500 physicians and advanced practice providers and more than 15,000 nurses providing care and services in 22 hospitals, 300+ outpatient locations and several post-acute facilities—and Priority Health, a provider-sponsored health plan serving more than 1.2 million members. Through experience and collaboration, we are reimagining a better, more equitable model of health and wellness.