- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... the safety net required to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day… more
- VNS Health (Manhattan, NY)
- …Annual * Supervises the day-to-day operations of VNS Health Plans Medical Management clinical and non clinical staff. Makes recommendations to the development, ... utilization , and evaluation of internal processes to ensure customer...in addressing and resolving day-to-day operational issues. * Assists management team in the development of long- and short-… more
- UCLA Health (Los Angeles, CA)
- …Advantage team, you will be responsible for assisting with the day-to-day management of the UM department and coordinators. This will involve coordinating staff ... schedules to efficiently handle incoming referrals and phone call volume. You will develop workflows, desktop procedures, forms, training materials, and protocols for achieving team objectives and key performance indicators. You will hire and train… more
- WellSpan Health (York, PA)
- …peer cases for need of retrospective external appeal-and funnel those cases to the Supervisor of Utilization Management for expedition. + Reviews cases ... Management staff. Duties and Responsibilities Essential Functions: + Renders utilization management determination in accordance with State and Federal… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Authorization Technician Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... purpose. Job Summary The Supervisor , Authorization Technician supports the Utilization Management (UM) Specialist by handling all administrative and… more
- Hackensack Meridian Health (North Bergen, NJ)
- …serve as a leader of positive change. The ** Supervisor , Care Management ** integrates and coordinates utilization management , care coordination, discharge ... acute care setting. + Familiar with hospital resources, community resources, and/or resource/ utilization management . + Care coordination, case management or… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …medical necessity criteria and BCBSMA policies and procedures + Focus on efficient utilization management with emphasis on discharge planning + Understand and ... to obtain and/or share information relating to benefits and the BCBSMA utilization management process + Collaborate with members/families, providers, medical… more
- Banner Health (AZ)
- …you're looking to leverage your abilities - you belong at Banner Health. The utilization Management Representative will process clinicals to send to payers while ... care. POSITION SUMMARY This position assists in the administration of Utilization Management functions to include organization of workflow, communications… more
- Stanford Health Care (Palo Alto, CA)
- …practice. Here, your leadership, coaching, and mentoring would further develop our robust, Utilization Management team. Are you driven by health care innovation, ... on a rotating basis with other managers when on-call Supervisor is unavailable. + Develops and oversees relationships and...+ Knowledge of principles and best practices of case management , utilization review, social work, care coordination… more
- BayCare Health System (Clearwater, FL)
- …and clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior** to join our outstanding and compassionate team. ... **The Utilization Review Specialist Senior responsibilities include:** + Functions as...services + Perform other duties as assigned by the supervisor including but not limited to processing concurrent denials.… more
- Helio Health Inc. (Syracuse, NY)
- …Educate program staff on current principles and standards of practice surrounding utilization and denials management . + Use effective relationship management ... track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting our Inpatient,… more
- Truman Medical Centers (Kansas City, MO)
- …into myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Utilization Specialist Team Lead 101 Truman Medical Center **Job ... Medicine and Critical Care, with world-class expertise in chronic disease management and women's services, including high-risk maternity care. The Health Sciences… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …and concurrent reviews. The Senior UM Coordinator reports to the Manager, Utilization Management and/or Supervisor , UM Coordinators. Primary Responsibilities ... About The Role Brighton Health Plan Solutions provides Utilization Management services to its clients. Senior UM Coordinators facilitate utilization review… more
- Acacia Network (Bronx, NY)
- CCBHC/ACDP Expansion Case Management Supervisor Bronx, Ne : 9/17/2024 Job Description Job ID#: 4034 Job Category: CCBHC/ACDP Expansion Position Type: Full Time ... Maryland and Puerto Rico. POSITION OVERVIEW: Pays: $82,000 per year. The Case Management Supervisor is responsible for maintaining the quality and effectiveness… more
- AdventHealth (Altamonte Springs, FL)
- …32,000 inpatients and 125,000 outpatients each year **The role you'll contribute:** **The Care Management Supervisor is under the general leadership of the Care ... and performing the daily operations and supervision of team members in the Care Management department.** **The Care Management Supervisor is responsible for… more
- State of Connecticut, Department of Administrative Services (Waterbury, CT)
- Developmental Services Supervisor Of Case Management Hybrid Recruitment # 241121-0578FP-001 Location Waterbury, CT Date Opened 11/22/2024 12:00:00 AM Salary ... 1st shift job opportunity for a Developmental Services (DS) Supervisor of Case Management (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=0578FP&R1=&R3=) , located… more
- Scripps Health (San Diego, CA)
- …Children's Fund (UNICEF). We invite you to join our Scripps Memorial Hospital Encinitas Case Management team as a Supervisor of Case Management . As a ... or supervisory role. * Minimum of 2 years' experience in case management / utilization review, discharge planning, and Millman/InterQual criteria usage. *… more
- CN (New Orleans, LA)
- …because the work we do matters. Join us! **Job Summary** The Transportation Supervisor is an entry-level front line supervisor position responsible for meeting ... with governing regulations and CN's operating rules. The Transportation Supervisor may also be an on-call position that reports...observation expectations and objectives in regards to the safety management plan . Respond and provide support to the… more
- FirstEnergy (PA)
- …with specific requirements beyond one year, must obtain approval from their supervisor before applying. This Supervisor of Transmission Construction position is ... + Fostering a high performing safety culture through personal conduct and utilization of human performance principles. + Confirming direct reports are continuously… more
- City of Reno, NV (Reno, NV)
- Fleet Management Supervisor Print Subscribe Class Title Fleet Management Supervisor Class Code 3775 Salary $82,700.80 - $116,438.40 Annually + Definition ... Inspect work in progress and upon completion; detect and correct inefficient utilization of staff and equipment; ensure that work conforms to specifications and… more