Utilization Management Nurse Supervisor

Job Summary

Providing direct leadership and oversight to the UM nursing team, the full-time Utilization Management Nurse Supervisor will manage team performance, conduct performance evaluations, and ensure compliance with regulatory standards in a remote work environment.

Key responsibilities

• Supervise daily operations of UM nurses, ensuring productivity and adherence to policies
• Conduct regular coaching sessions and performance evaluations to support staff development
• Monitor team productivity and quality of work through reporting and audits

Required qualifications

• Active, unrestricted Registered Nurse, Licensed Vocational Nurse, or Licensed Practical Nurse license
• Minimum 3 years of nursing experience in an acute, outpatient, or managed care setting
• At least 2 years of utilization management experience in a payer or managed care environment
• Strong understanding of utilization review, authorizations, and appeals processes
• Prior leadership, supervisory, or team lead experience in a UM setting