Supervisor, Care Coordination

Integrated Home Care Services, Inc.

. Oversee daily operations of the utilization management team .

Posted 10/15/2026full-timeRemote • Florida • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in utilization management and regulatory compliance, with a strong focus on team leadership, performance monitoring, and effective care coordination. Proficient in healthcare regulations and skilled in cross-functional collaboration to optimize patient care.

Highest-signal resume keywords

Utilization ManagementLeadership ExperienceRegulatory ComplianceHealthcare AdministrationClaims Processing

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Utilization ManagementMedical Necessity CriteriaHealthcare RegulationsCase ManagementPerformance Monitoring

Soft Skills

LeadershipProblem-SolvingDecision-MakingCommunicationInterpersonal Skills

Tools & Technologies

Microsoft WordMicrosoft ExcelMicrosoft PowerPoint

Industry Keywords

CMSNCQAURACCare CoordinationCode of Conduct

About the role

Key responsibilities & impact

Oversee daily operations of the utilization management team
Ensure compliance with regulatory standards, organizational policies, and industry best practices
Support staff development and monitor performance
Promote high-quality, cost-effective care coordination
Lead and support a team of Referral Coordinators for various health plans
Ensure compliance with utilization management processes
Evaluate eligibility for benefit coverage
Collaborate with internal and external stakeholders to optimize patient care
Work with health plan case managers and claims payers to facilitate appropriate care coordination
Ensure accurate claims processing

Requirements

What you’ll need

Bachelor's degree in Nursing (BSN), Healthcare Administration, or a related field
Minimum of 3–5 years of experience in utilization management, case management, or a related healthcare setting
At least 2 years of leadership or supervisory experience in a healthcare environment
Strong understanding of utilization management, medical necessity criteria, and regulatory compliance (e.g., CMS, NCQA, URAC)
Required to uphold compliance principles outlined in the Code of Conduct and related policies
Must participate in mandatory Corporate Compliance Program training initiatives annually or as required
Proficient in Microsoft Word, Excel, and PowerPoint
Excellent leadership, problem-solving, and decision-making abilities
Strong communication and interpersonal skills for cross-functional collaboration
In-depth knowledge of healthcare regulations and UM guidelines
Strong leadership, team management, and coaching skills
Prior experience in a supervisory or leadership role within a healthcare setting
Preferred associate degree or better in Health Administration or a related field

Benefits

Comp & perks

Medical, Vision, Dental insurance
Short- and Long-term insurance
6+ Days of Holidays Pay
13 days of PTO
Employer paid life insurance
401K with employer contribution
Wellness program with reward incentives
Employee recognition and reward programs
Comprehensive paid training program