Utilization Review Case Management Supervisor – Hospital Acute Care

Job Description

We are seeking an experienced Utilization Review Case Management Supervisor with a strong background in Hospital Acute Care case management. This leadership role is responsible for the daily oversight of the Integrated Case Management department, guiding a team of up to 30 Case Managers and support staff.

The Supervisor will establish collaborative relationships with Case Management staff, Physician Advisors, and healthcare providers (Physicians, Advanced Practice Professionals, and Medical Residents). This role requires a dynamic leader who can model positive leadership behaviors, foster accountability, and ensure the successful completion of team initiatives that support departmental and organizational goals.

Earnings

$115,000 - $135,000 salary

Duties

• Provide direct supervision, coaching, and performance oversight for a team of up to 30 Case Managers.
• Lead and coordinate the daily operations of the Utilization Review and Integrated Case Management department.
• Collaborate closely with physicians, advanced practice providers, and interdisciplinary care teams to ensure effective case management and utilization review processes.
• Drive outcomes by implementing evidence-based strategies that improve patient care, reduce unnecessary hospital stays, and enhance resource utilization.
• Serve as a role model by demonstrating professionalism, positive leadership, and a solutions-focused approach.

Requirements

• Minimum 5 years of healthcare and case management experience, including direct experience in Hospital Acute Care case management.
• Previous experience in a supervisory or leadership role, with oversight of large teams preferred.

Preferred Qualifications

• Strong leadership skills with the ability to manage, mentor, and motivate large teams effectively.
• Proven ability to analyze complex problems and drive sustainable solutions.
• Excellent communication skills (oral and written) across all organizational levels.
• Ability to work collaboratively across disciplines to enhance patient outcomes and care efficiency.
• Knowledge of cost center–based management, group processes, and hospital operations.

License / Certification

• For Registered Nurse Case Managers (RNCM): Bachelor of Science in Nursing (BSN) from an accredited nursing school.
• For Social Work Case Managers (SWCM): Master of Science in Social Work (MSW).
• Active State of Florida Registered Nurse License (for RN candidates).
• Certified Case Manager (CCM) or Accredited Case Manager (ACM) certification required.