Utilization Management Supervisor

Vālenz ® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience.

The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system.

With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification.

With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible.   About This Opportunity :

• As a Utilization Management Nurse Supervisor, you will lead a team of utilization review nurses by providing guidance, mentorship, and training to ensure timely, high-quality clinical reviews.
• Using your leadership and clinical expertise, you will collaborate with organizational leaders to refine utilization management policies, support adherence to evidence-based guidelines, and promote a culture of continuous improvement.
• In this role, you will conduct clinical reviews, ensure regulatory compliance, and facilitate communication with providers and payers.
• You will also monitor team performance, coach staff for professional growth, and identify opportunities for quality improvement and cost containment, while consistently upholding professional and ethical standards.

Things You’ll Do Here :

What You’ll Bring to the Team :

A plus if you have :

Work Environment :

Technology :

Security :

Location :

Spending account options :