Supervisor, Utilization Management (Remote) (RN)

tango is a leader in the home health management industry and is preparing for significant growth! Our mission is to deliver innovative, home-based, post-acute solutions through proprietary technology and proven processes. We partner with health plans to provide a comprehensive suite of products and services designed to manage the total cost of care.

We are currently looking for a Supervisor, Utilization Management to join our growing team!  Position Description: The Supervisor of Utilization Management (UM) oversees team leads and ensures the overall management of referrals to support smooth transitions of care into the home health setting. This role is responsible for team productivity, performance metrics, and effective collaboration with internal departments. The Supervisor also serves as a clinical resource and ensures that all utilization processes align with company policies, payer requirements, and quality standards. Office Location: Remote

Mentor and coach team members to further develop competencies. Lead by example and model behaviors aligned with company values. Maintain an open-door policy to encourage communication and improve staff engagement. Partner with the Clinical Educator to train new staff, ensuring adherence to payer and company procedures and performance standards. Collaborate with team leads to monitor, coach, and measure team performance, including productivity, quality, and attendance. Serve as a clinical resource to non-clinical team members. Educate direct reports on all aspects of the pre-authorization and concurrent review process. Schedule and lead monthly team meetings to communicate updates, audit results, and process improvements. Ensure timely and accurate processing of delegated and non-delegated home health contracts. Support plan requirements related to turnaround times and compliance. Manage work queues, monitor key metrics, and ensure workload distribution. Collaborate with the Sr. Supervisor to plan staffing levels, monitor labor utilization, and manage overtime. Participate in hiring, performance reviews, improvement plans, and disciplinary actions as directed. Complete cases weekly to maintain “super-user” knowledge of processes and software. Demonstrate knowledge of home health care and specialty programs in all communications with referral sources and healthcare partners. Oversee workflow coordination to ensure efficient and timely operations. Partner with intake, compliance, claims, network, quality, and other departments to ensure services meet regulatory and contractual requirements. Ensure smooth onboarding of new payer contracts. Provide excellent customer service in all communications with internal and external stakeholders. Escalate administrative oversight issues related to clinical staff (RNs, PTs, OTs, SLPs, etc.) to the Sr. Supervisor as appropriate. Perform other duties as assigned.