Ensures adequate/appropriate distributions of workforce, assignments and time off requests. Participates in the hiring and termination process providing recommendations with appropriate supporting documentation.
Monitors of staff's performance including productivity and compliance with regulatory requirements, compliance with policies. Identifies, communicates and coaches to improve staff performance. Develops tools, job aids, and workflows to optimize the process flow, performance and productivity of the UM team. Completes intermittent and annual staff evaluations.
Serves as the primary resource for all business-related questions/issues raised by staff; escalates to appropriate leader/team when necessary.
Recommends and implements process improvement measures to achieve department's performance measures outcomes and goals.
Plans and oversees UM activities according to model of care, program description and policy and procedures to provide timely, quality care and services to members.
Maintains all assigned reporting responsibilities, conducts regular audits to ensure compliance with community, industry and organizational standards including regulatory requirements. Serves as a super-user on electronic programs and systems used by the department.
Assists in the development of programs, workflows, tools, training materials, orientation checklists, and competency checklist necessary to meet educational needs. Trains new staff, remediation of seasoned staff and cross training as needed in specified business lines.
Serves as a leader and role model as well as technical and informational resource for staff and peers.