Supervisor, Referral Services
- Location
- San Francisco, CA
- Listed
- Today
Qualifications & Requirements
Required Experience and Skills
- Minimum of three years recent acute clinical experience required
- Minimum of three years utilization review/manage care experience
- Prior supervisory experience with the ability to manage a large team of diverse employees with differing job descriptions
- Managed care experience in medical management desirable, preferably in an HMO or IPA setting
- Experience with ICD-9, CPT and HCPCS codes preferred
- Must possess the ability to read health plan guidelines, understand the statistics of this department, contracts, claims and customer service principles
- Advanced practice certification, ARNP or Masters prepared, with certifications applicable to position (CCM, CDMS, CRC, CRRN, CHON, and CPUR)
- Working knowledge of utilization management, reimbursement, medical necessity criteria including InterQual
- Knowledge of managed care concepts, Medicare/Medi-Cal Guidelines.
- Basic computer skills including Outlook, WORD, Microsoft suite and VPN or other remote access systems. Ability to navigate through various software programs with instruction.
- Requires current California RN license with 5+ years in Utilization Management
Additional Information
If you have the experience & qualifications. please respond with your resume in a Word document.
About the Company
The Supervisor, Referral Services is responsible for the management of the Referral Services staff to ensure timely processing of incoming authorizations, referrals, and review of post-service issues such as claims. Will also have regulatory oversight responsibilities for annual audits and participation in QI activities/committees.
From HealthCare Talent's careers page, first listed on Rolev.ai on November 12, 2026. Rolev.ai is not the employer.
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Common questions
Where is the Supervisor, Referral Services job at HealthCare Talent located?
This Supervisor, Referral Services position at HealthCare Talent is located in San Francisco, CA. Always check HealthCare Talent's application page for specific state eligibility or relocation policies.
How do I apply for the Supervisor, Referral Services position at HealthCare Talent?
This listing links directly to HealthCare Talent's SmartRecruiters application page. You can apply directly on HealthCare Talent's site, or use Rolev.ai to check your resume fit, generate a zero-hallucination tailored resume and cover letter for this posting, and autofill the SmartRecruiters application form in 1 click with the Rolev.ai Chrome extension. You always review the form and press Submit yourself.