- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE ... administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of the… more
- BayCare Health System (Clearwater, FL)
- …responsibility 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:** +...services + Perform other duties as assigned by the supervisor including but not limited to processing concurrent denials.… more
- Stanford Health Care (Palo Alto, CA)
- …and Abilities** + Knowledge of principles and best practices of case management, utilization review , social work, care coordination and discharge planning. + ... Here, your leadership, coaching, and mentoring would further develop our robust, Utilization Management team. Are you driven by health care innovation, partnerships,… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …with a current Louisiana license.required + Case Mgmt/Social Services\CPUR - Cert Prof Util Review Must be attained within first 24 months in position. required or + ... areas of improvement, and identifying and vetting potential solutions with supervisor /manager and implementing solutions in a collaborative manner. May serve as… more
- Helio Health Inc. (Syracuse, NY)
- …degree preferred. + Licensed/credentialed applicants preferred. + Two years of experience in utilization review in a hospital, health care, or managed care ... of federal and state regulations applicable to treatment and reimbursement. + Utilization review procedures and techniques. Our Comprehensive Employee Benefits… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …transform healthcare? Bring your true colors to blue. The Role The Clinical Utilization Reviewer is responsible for facilitating care for members who may have ... for the following personas: eWorker, mobile and resident. The Team The Clinical Utilization Reviewer is part of a highly dedicated and motivated team of… 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 ... and in compliance with governing regulations and CN's operating rules. The Transportation Supervisor may also be an on-call position that reports to remote locations… 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 ... the safety net required to achieve that purpose. Job Summary The Supervisor , Authorization Technician supports the Utilization Management (UM) Specialist by… more
- Louisiana Department of State Civil Service (Jackson, LA)
- …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. Receives physicians' instructions regarding patient ... REGISTERED NURSE SUPERVISOR A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4738991) Apply REGISTERED NURSE SUPERVISOR A Salary… more
- Louisiana Department of State Civil Service (Reserve, LA)
- …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. Receives physicians' instructions regarding patient ... REGISTERED NURSE SUPERVISOR A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4730645) Apply REGISTERED NURSE SUPERVISOR A Salary… more
- Children's Hospital & Research Center Oakland (Oakland, CA)
- **Position Summary:** The primary role is to supervise the Utilization Management, Surgery Registration, and Financial Counselors activities to insure a payor source ... the appropriate payors to insure all services provided are reimbursed. The Supervisor provides the necessary support and leadership to achieve departmental goals and… more
- Louisiana Department of State Civil Service (Jennings, LA)
- …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. Receives physicians' instructions regarding patient ... REGISTERED NURSE SUPERVISOR A - DAY/EVENING Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4740025) Apply REGISTERED NURSE SUPERVISOR A… more
- Louisiana Department of State Civil Service (Jackson, LA)
- …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. Receives physicians' instructions regarding patient ... RN Supervisor A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4736880) Apply RN ...staffing patterns and clinic schedules to ensure maximum staff utilization . Assesses performance and efficiency of public health nursing… more
- Dignity Health (Sacramento, CA)
- …proper utilization of FTE's, Quality Assessment and Improvement, utilization review , equipment ordering, safety in-services, staff development, staff ... position may require the need to provide direct patient care. The Supervisor is responsible for planning, developing, implementing and integrating the delivery of… more
- Children's Home Healthcare (Albuquerque, NM)
- …authorizations for Home Health services from insurance company. 7. Attend quarterly Utilization Review meetings as designated by the Director of Professional ... Home Healthcare is now hiring for a RN Clinical Supervisor /Case Manager! Children's HH is the premier leader in...on a 60 days basis per company policy. 9. Review /approve plan of care and all related documents prior… more
- Cuyahoga County Board of Developmental Disabilities (OH)
- …the Prior Authorization Review Process, implementation of AAI Administrative Review , and utilization of Medicaid State Plan Services. Deliver technical ... County Board of Developmental Disabilities (Cuyahoga DD) is seeking a new Supervisor to plan, organize and supervise all Service and Support Administration… more
- CareFirst (Baltimore, MD)
- …or similar clinical experience OR + 5 years experience in Medical Review , Utilization Management or Case Management at CareFirst BlueCross BlueShield, ... **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Supervisor (RN) directs and coordinates the accurate implementation of the clinical appeal process for… more
- HCA Healthcare (Houston, TX)
- …patient needs. + Accountable for reviewing, monitoring and reporting hospital utilization of resources through concurrent review according to pre-established ... from any other healthcare provider. We are seeking a(an) Case Management Supervisor RN to join our healthcare family. **Benefits** Texas Orthopedic Hospital, offers… more
- Commonwealth of Pennsylvania (PA)
- Registered Nurse Supervisor - SCI Dallas Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4738756) Apply Registered Nurse Supervisor - SCI ... for you! We need a hard working, compassionate, and enthusiastic Registered Nurse Supervisor that is committed to leading a nursing team in various patient and… more
- ARAMARK (Flint, MI)
- **Job Description** The Facility Supervisor (Zone) sustains daily facing relationships with GM LFMRs and occupants to fully support their focus on GM-WTC?s core ... business. The Facility Supervisor optimizes responsiveness, reliability and quality service across all...monitor data integrity, work request/work order requests and accuracy. Review performance and customer feedback with and LFMR?s for… more