Are you a tech-savvy healthcare leader with strong clinical and administrative skills?

Cornerstone Staffing Solutions is seeking a forward-thinking, RN-licensed professional to lead our Utilization Management and Prior Authorization teams at a mission-driven healthcare organization.

This is a hybrid leadership role with an impactful mix of clinical insight, operational strategy, and team empowerment.

Pay Range: $54 -$66 with stipend!

Contract length: 90 days with possible extension!

Hybrid Work Schedule: Monday -Saturday, 8:00 am - 4:30 pm!

Position Overview

As the Supervisor of Utilization Management, you’ll play a vital role in managing the day-to-day operations of the Pre-Authorization and UM teams. You will guide staff performance, ensure compliance with state/federal guidelines, and promote best practices that support cost-effective and high-quality patient care.

You’ll collaborate closely with the Director of UM and clinical leadership, using your data fluency and operational experience to enhance department workflows and optimize team output. This position also plays a key role in regulatory readiness, reporting, and external provider/payer relationships.

Key Responsibilities

Lead and supervise a multidisciplinary UM and Prior Auth team.

Manage team schedules, training, coaching, and performance evaluation.

Facilitate accurate and timely processing of authorization requests.

Implement and monitor compliance with InterQual, NCQA, ICE, and CMS standards.

Identify process improvements and drive clinical program development. Represent the organization in provider/payer meetings with regulatory awareness.

Support audits, data analytics, and cost-savings initiatives.

Minimum Qualifications

Current California RN license and graduate of an accredited nursing program (BSN or MSN preferred).

Five or more years of clinical experience with three to five years in Utilization Management. One to three years of leadership or supervisory experience in a healthcare setting.

Strong understanding of InterQual, NCQA, UM workflows, and audit processes.

Proficiency with Microsoft Office and electronic UM tools.

Skilled in team development, conflict resolution, and regulatory compliance.

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