Case Management Supervisor (CASE MGT HC SUPV 2)

his will be a working Supervisor role. Primary Role is to directly supervise the nurse case managers who provide utilization management decisions on UC Davis Health capitated members. The RN Supervisor is also expected to support the team in conducting case reviews as needed.

Apply By Date: 6/24/2026 at 11:59 p.m. PST

Minimum Qualifications - For full consideration, applicants are encouraged to upload license and/or certification if required of the position

• Valid California Registered Nurse License without restriction
• Bachelor's degree in Nursing or other healthcare profession, or a combination of comparable clinical education and / or experience.
• Supervisory and/or leadership experience with overseeing team and managing complex workflows and multiple priorities.
• Experience in using understanding of disease processes to identify and analyze care/service needs for managed care patients.
• At least 2 years of leadership experience in Utilization Management (UM) or Case Management (CM) in a Health Insurance, Health System, IPA or Provider Group with Delegated function from the Health Plan, and/or Acute Hospital Settings.
• Regulatory Compliance Experience in the Utilization Management Space (Federal, State of California, DMHC, DHCS).
• Strong knowledge of case management, utilization review, discharge planning, home care and/or managed care.
• Demonstrated ability to effectively supervise a team and to manage complex workflows and multiple priorities.
• Skills to perform in-depth chart analysis to provide accurate information in a concise, informative manner and to identify/analyze problems or issues related to utilization management.
• Extensive, broad-based nursing clinical experience including knowledge of care/services provided in differing levels of care, i.e., ambulatory and institutional settings.
• Ability to assess lab data, medications, and specific disease management needs.
• Possess clinical skills and knowledge base to assess type and amount of home health care necessary to meet patient's needs on discharge.
• Knowledge of HMO systems, procedures and regulations regarding benefits, services and restrictions in relation to both utilization management and continuity of care/case management.
• Analytical skills to identify and obtain pertinent data from multiple sources, accord each piece of information the appropriate weight and consideration, and reach the appropriate logical conclusions/recommendations.
• Ability to make independent judgments based on clinical knowledge and nursing experience required in planning for short, immediate, and long-term goals and objectives.
• Ability to work with all levels of staff, both inter- and intradepartmental to create a cooperative relationship and positive work environment.
• Effective time management skills to accommodate special projects, deadlines, and priorities.
• Strong written and verbal communication skills, with the ability to train and mentor subordinate staff, convey complex clinical and technical information in a clear and concise manner, and prepare and present a wide variety of reports, documentation, analyses, and project proposals.

Preferred Qualifications

• Certified Case Manager or other Magnet Recognized Certification in Case Management or Utilization
• Master's degree preferred
• Knowledge of legal implications of practice.
• Strong analytical and critical thinking skills, with the ability to quickly analyze problems, determine appropriate levels of intervention, and develop and apply effective solutions.
• Knowledge of applicable business software and specialized applications and data management systems.

Key Responsibilities

• 60% - Supervision Duties
• 20% - COMMUNICATION/COLLABORATION/TEAMWORK
• 15% - DOCUMENTATION/ADMINISTRATION
• 5% - PROFESSIONAL DEVELOPMENT

Department Overview

The department interacts daily with all levels of staff in the ambulatory clinics, both hospital-based and primary care network sites, the Patient Relations and Physician Referral Center staff, multiple community providers and care partners with UC Davis Medical Group and most importantly, members enrolled in the Managed Care HMO Health Plans. The Utilization Management (UM) unit of the department insures services/care rendered to UCDMG capitated members are medically necessary/appropriate and in conformance clinically with the benefits of the member's Health Plan.

POSITION INFORMATION

• Salary or Pay Range: $10,191.67 - $21,658.33
• Salary Frequency: Monthly
• Salary Grade: Grade 27
• UC Job Title: CASE MGT HC SUPV 2
• UC Job Code: 006479
• Number of Positions: 1
• Appointment Type: Staff: Career
• Percentage of Time: 100%
• Shift (Work Schedule): M-F 8-5
• Location: UCDHAS Building (HSP165) - Sacramento, CA
• Union Representation: 99 - Non-Represented (PPSM)
• Benefits Eligible: Yes
• This position is hybrid (mix of on-site and remote work)

Benefits

Outstanding benefits and perks are among the many rewards of working for the University of California. UC Davis offers a full range of benefits, resources and programs to help you bring your best self to work, as well as to help you and your family achieve your health, wellness, financial and career goals. Learn more about the benefits below and eligibility rules by visiting either our handy Benefits Summary for UC Davis Health Employees or Benefits Summary for UC Davis Employees and our Benefits Page.

If you are represented by a union, benefits are negotiated between the University of California (UC) and your union and finalized in a contract. Read your bargaining unit's employment contract, stay abreast of current negotiations and learn about collective bargaining at UC: https://ucnet.universityofcalifornia.edu/labor/bargaining-units/index.html

• High quality and low-cost medical plans to choose from to fit your family's needs
• UC pays for Dental and Vision insurance premiums for you and your family
• Extensive leave benefits including Pregnancy and Parental Leave, Family & Medical Leave
• Paid Holidays annually as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
• Paid Time Off/Vacation/Sick Time as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
• Continuing Education (CE) allowance and Education Reimbursement Program as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
• Access to free professional development courses and learning opportunities for personal and professional growth
• WorkLife and Wellness programs and resources
• On-site Employee Assistance Program including access to free mental health services
• Supplemental insurance offered including additional life, short/long term disability, pet insurance and legal coverage
• Public Service Loan Forgiveness (PSFL) Qualified Employer & Student Loan Repayment Assistance Program for qualified roles
• Retirement benefit options for eligible roles including Pension and other Retirement Saving Plans. More information on our retirement benefits can be found here

Physical Demands

• Standing - Continuous 6 to 8+ Hours
• Walking - Continuous 6 to 8+ Hours
• Sitting - Frequent 3 to 6 Hours
• Lifting/Carrying 0-25 Lbs - Continuous 6 to 8+ Hours
• Pushing/Pulling 0-25 Lbs - Frequent 3 to 6 Hours
• Pushing/Pulling 26-50 lbs - Occasional Up to 3 Hours
• Pushing/Pulling over 50 lbs - Occasional Up to 3 Hours
• Bending/Stooping - Continuous 6 to 8+ Hours
• Squatting/Kneeling - Occasional Up to 3 Hours
• Twisting - Continuous 6 to 8+ Hours
• Climbing (e.g., stairs or ladders) - Occasional Up to 3 Hours
• Reaching overhead - Occasional Up to 3 Hours
• Keyboard use/repetitive motion - Frequent 3 to 6 Hours

Environmental Demands

• Loud noise levels - Occasional Up to 3 Hours
• Uneven Surfaces or Elevations - Occasional Up to 3 Hours

Mental Demands

• Sustained attention and concentration - Continuous 6 to 8+ Hours
• Complex problem solving/reasoning - Continuous 6 to 8+ Hours
• Ability to organize & prioritize - Continuous 6 to 8+ Hours
• Communication skills - Continuous 6 to 8+ Hours
• Numerical skills - Continuous 6 to 8+ Hours
• Constant Interaction - Continuous 6 to 8+ Hours
• Customer/Patient Contact - Continuous 6 to 8+ Hours
• Multiple Concurrent Tasks - Continuous 6 to 8+ Hours

Work Environment

• UC Davis is a smoke and tobacco free campus effective January 1, 2014. Smoking, the use of smokeless tobacco products, and the use of unregulated nicotine products (e-cigarettes) will be strictly prohibited on any UC Davis owned or leased property, indoors and outdoors, including parking lots and residential space.
• Occasional overtime and/or flexible hours may be necessary as determined by the Department.

Special Requirements - Please contact your recruiter with questions regarding which activities apply by position

• This is a critical position, as defined by UC Policy and local procedures, and as such, employment is contingent upon clearing a criminal background check(s) and may include drug screening, medical evaluation clearance and functional capacity assessment
• This position is designated as a mandated reporter under CANRA and UC policy, and employment is contingent on compliance with applicable policies, procedures and training requirements

Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.

A Culture of Opportunity and Belonging

At UC Davis, we're committed to solving life's most urgent challenges and building a healthier, more resilient world. We believe in growing through every challenge, continually striving to improve, and welcoming new perspectives that strengthen our community. We recognize that a vibrant and innovative organization values both individual strengths and shared purpose. The best ideas often emerge when people with different experiences come together.

As you consider joining UC Davis, we invite you to explore our Principles of Community, our Clinical Strategic Plan and strategic vision for research and education. We believe you belong here. The University of California, Davis is an Equal Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status.

To view the University of California's Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination

Because we want you to feel seen and valued, our recruitment process at UC Davis supports openness and authenticity. Research shows that some individuals hesitate to apply unless they meet every qualification. You may be an excellent fit for this role-or the next one. We encourage you to apply even if your experience doesn't match every listed requirement. #YouBelongHere

To learn more about our background check program, please visit: https://hr.ucdavis.edu/departments/recruitment/ucd/selection/background-checks