Utilization Management Supervisor

The Utilization Management Supervisor serves in a dual capacity as a working supervisor and clinical utilization management professional, dedicating half their time to direct activities like medical necessity reviews and the other half to team supervision and operational oversight. This role supports the design and improvement of utilization management processes to enhance patient throughput, resource utilization, and care quality while ensuring compliance with regulatory and accreditation standards. The position involves monitoring performance metrics, leading process improvement initiatives, and providing clinical and operational guidance to the team.