The Utilization Management Team Lead provides administrative supervision and supports clinical leadership. The team lead supports the department by assisting with operationalizing UM business administrative standards, clinical support, problem-solving, and compliance with UM and revenue cycle procedures.
Essential Job Statements:
Supervises, develops, and maintains new hire orientation, training, and guidelines for administrative business team members to ensure successful onboarding.
Periodically audits staff members to identify training opportunities to improve performance.
Uses expert knowledge to develop training material, answer workflow questions, and deliver training programs that support the effective use of Epic and ancillary applications.
Follows up with leaders to summarize content covered and skill level demonstrated during training.
Operationalizes business/clinical standards of practice and monitors performance with respect to practice standards.
Contributes to performance appraisals.
Monitors indicators to measures outcomes, collect baseline data, and implement system to ensure ongoing improvement
May assist with other staff level responsibilities as needed.
Performs other duties as assigned and/or participates in special projects, as needed. Accepts alternate assignments, as required.
Patient Population: Not applicable to this position.
Employment Qualifications
Required Education:
Baccalaureate Degree in Nursing from an accredited School of Nursing
Preferred Education:
Master’s Degree in Nursing from an accredited School of Nursing preferred
Licensing/Certification
Licensure/Certification Required:
Current RN licensure in Virginia or eligible
Licensure/Certification Preferred: N/A
Minimum Qualifications
Required Experience:
Minimum of two (2) years Utilization Management experience. Previous coaching, mentoring and/or clinical leadership experience.
Preferred Experience: N/A
Other Knowledge, Skills and Abilities Preferred:
Effective communication skills, both verbal and written
Strong organization skills, follow-through abilities and time management skills
Solid problem solving and decision-making skills
Demonstrates flexibility and assertiveness
Skill in establishing and maintaining cooperative and “team” oriented working relationships with others.
Working Conditions: Periods of high stress and fluctuating workloads may occur. May have periods of constant interruptions. Prolonged periods of working alone. Must have access to high-speed Wi-Fi/internet and the ability to work remotely in a private environment.
Physical Requirements
Physical Demands: Lifting/ Carrying (0-50 lbs.), Push/ Pull (0-50 lbs.)
Work Position: Sitting
Additional Physical Requirements/ Hazards
Physical Requirements: Manual dexterity (eye/hand coordination). Hear alarms/telephone/tape recorder. Repetitive arm/hand movements. Finger dexterity.
Hazards: N/A
Mental/Sensory – Emotional
Mental / Sensory: Strong Recall, Reasoning, Problem Solving, Hearing, Speak Clearly, Write Legibly, Reading, Logical Thinking
Emotional: Fast pace environment, Steady Pace, Able to Handle Multiple Priorities, Able to Adapt to Frequent Change
Days
EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
Top Skills
What We Do
We are a strong, passionate team of more than 12,500 who take pride in caring for every person who comes through our doors. We lift each other up so we can provide the very best and safest care to those who need us most. Together. Every day.
With the support of our university, we make up an academic medical center committed to excellence in patient care, innovation and training tomorrow’s health care workforce. We continue to educate, research and evolve – staying on the cutting edge of care.
As a community of innovators, every team member can contribute a spark of ingenuity igniting a force to discover the next cure, hold the next hand, solve the greatest challenges and create the health care of tomorrow.
We foster an atmosphere of respect and welcoming for all communities. We infuse our teams with diverse talent that inspires everyone to contribute openly and freely, maximizing their impact and creating meaningful change for our patients and community.
Join our team and help us create a new kind of patient experience. Join VCU Health.
EEO Statement:
VCU Health System strictly prohibits and does not tolerate discrimination against, or harassment of, team members, applicants, or any other covered persons because of age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex (sexual orientation, gender identity or expression and pregnancy), protected veteran status, marital status, genetic information, or any other protected characteristics under applicable federal, state, or local law.
Pay Transparency Provisions:
VCU Health System complies with the Pay Transparency Provisions
