Utilization Review Assistant Manager
Overview:
Be inspired. Be rewarded. Belong. At Emory Healthcare.
At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:
- Comprehensive health benefits that start day 1
- Student Loan Repayment Assistance & Reimbursement Programs
- Family-focused benefits
- Wellness incentives
- Ongoing mentorship, development, and leadership programs
- And more
Description:
We're seeking an Assistant Manager, Utilization Review, responsible for supervising and coordinating activities of personnel in the Utilization Review Department, including:
- Staff schedules to ensure appropriate department coverage, equitable daily staff assignments, and timely completion of assignments.
- Provides staff support by overseeing workflows/processes, ensuring job responsibilities and delegated duties are understood.
- Assists with staff education and implementing new processes/workflows.
- Assists with staff performance evaluations, creating performance competencies and goals, developing guidance and training for improvement, and maintaining employee personal records.
- Assists in the hiring process, including development, evaluation and training of new employees as needed.
- Will assist with monthly staff quality audits to ensure compliance of Emory Healthcares Utilization Review Plan, regulatory guidelines, and department policies and procedures.
Minimum Qualifications:
- Must have a valid, active unencumbered Registered Nurse license or temporary permit approved by the Georgia Licensing Board.
- Bachelor's degree in nursing required, but Master's degree in nursing or related healthcare field preferred.
- At least 3 years of experience in Utilization Review required.
- At least 3 years of healthcare experience required.
- Case Management certification (CCM or ACM) preferred.
- Leadership experience preferred.
- Proven ability to coach, mentor, and lead.
- Demonstrates leadership abilities.
The Emory Healthcare Network, established in 2011, is the largest clinically integrated network in Georgia, with more than 3,450 physicians concentrating in 70 different subspecialties.
Additional Details:
Supporting a diverse, equitable and inclusive culture. Emory Healthcare (EHC) is dedicated to providing equal opportunities and access to all individuals regardless of race, color, religion, ethnic or national origin, gender, genetic information, age, disability, sexual orientation, gender identity, gender expression and/or veteran's status.EHC does not discriminate on the basis of any factor stated above or prohibited under applicable law. EHC respects, values, and celebrates the unique perspectives and backgrounds of all individuals. EHC aspires to create an environment of collaboration and true belonging for all our patients and team members.
Emory Healthcare (EHC) is committed to achieving a diverse workforce through equal opportunity and nondiscrimination policy in all aspects of employment including recruitment, hiring, promotions, transfers, discipline, terminations, wage and salary administration, benefits, and training.
ACCOMODATIONS: EHC will provide reasonable accommodations to qualified individuals with disabilities upon request. To request this document in an alternate format or to request a reasonable accommodation, please contact the Office of Diversity, Equity, and Inclusion.”
PHYSICAL REQUIREMENTS: (Medium Max 25lbs): up to 25 lbs, 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 25 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.
ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required.Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.