- Campbell County Health (Gillette, WY)
- …on integrating care management, social services, discharge planning, utilization review and post-hospital services to ensure clinical efficacy and best ... with community resources. Promotes empowerment of resident in self-management of disease process. * Utilization review of the resident stay is done in a timely… more
- Martin's Point Health Care (Portland, ME)
- …Position Summary The Supervisor is responsible for day-to-day operations of the utilization review clinical team, in the areas of authorization requests, ... of medical management experience in a managed care setting including utilization review + RN experience in a clinical setting + Leadership and/or management… more
- 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 ... medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services...and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General… more
- Centene Corporation (Madison, WI)
- …rotating weekend / holiday coverage. **Position Purpose:** Supervises Prior Authorization, Concurrent Review , and/or Retrospective Review Clinical Review ... management team, members, and providers + Monitors prior authorization, concurrent review , and/or retrospective clinical review nurses and ensures… more
- CareFirst (Baltimore, MD)
- …accreditation standards and federal/state regulations and general principles relating to utilization review . + Computer skills, including Microsoft Office ... programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Clinical Utilization Management **Equal Employment Opportunity** CareFirst… more
- BayCare Health System (Tampa, FL)
- …that's built on a foundation of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/RN ... discounts and more Equal Opportunity Employer Veterans/Disabled **Position** Utilization Review RN **Location** Tampa:St Josephs | Clinical | PRN **Req… more
- Covenant Health Inc. (Knoxville, TN)
- …meetings between physicians and payors as applicable. + Completes daily work lists for utilization review meeting the time frames set forth by Covenant Health. + ... expertise in utilization management. + Provides monitoring and oversight of non- clinical utilization staff activities. + Provides advice and counsel to non-… more
- Helio Health Inc. (Syracuse, NY)
- …referring to the medical provider those that require additional expertise. + Review clinical information for concurrent reviews, extending the length of ... degree preferred. + Licensed/credentialed applicants preferred. + Two years of experience in utilization review in a hospital, health care, or managed care… more
- Saint Francis Health System (Tulsa, OK)
- …participates in the Patient Care Committee for patient care reviews, and in Utilization Review Staff Committee, providing data and contributing to improvement of ... concise summaries. Essential Functions and Responsibilities: Meets time requirements for review intervals, supplying the required clinical information to obtain… more
- Elara Caring (Topeka, KS)
- …+ Assists staff in maintaining current and accurate medical records and utilization review . + Assists clinical supervisor with non- clinical phone ... the Right Time, in the Right Place. **Job Description:** ** Clinical Coordinator** At Elara Caring, we care where you...you have countless ways to make a difference as Clinical Coordinator. Being a part of something this great,… more
- Children's Home Healthcare (Amarillo, TX)
- …A VALID RN LICENSE* Children's Home Healthcare is now hiring for an RN Clinical Supervisor /Case Manager! Children's HH is the premier leader in Pediatric Home ... this growing professional team! We are seeking an experienced Clinical Supervisor in the Amarillo area. The...Home Health services from insurance company. 7. Attend quarterly Utilization Review meetings as designated by the… more
- Cedars-Sinai (Beverly Hills, CA)
- …environment that fuels innovation. A Little More About What You Will be Doing The Supervisor of Clinical Operations RN supports the physician and clinical ... throughout Los Angeles and beyond. **Req ID** : 13921 **Working Title** : Clinical Operations Supervisor , RN **Department** : Operations **Business Entity** :… more
- Whitney Young Health Center (Albany, NY)
- …assess and improve the quality of patient services-conducts monthly utilization review . + Participates in the recruitment of clinical staff. + Facilitates ... Clinical Supervisor - Substance Use Disorder Programs (LCSW/LMSW/LMHC) (Req 101020) Albany, NY… more
- Riverside Community Care (Lynnfield, MA)
- …oversight for assigned clinicians, including case consultation/ review , ongoing clinical supervision, utilization review / clinical documentation, ... Riverside Community Care Love what you do! Senior Clinical Supervisor - Lynnfield Outpatient Riverside seeks a Senior Clinical Supervisor , also know as … more
- University of Southern California (Los Angeles, CA)
- …of standardized and highly specialized assays in a specific section of the Clinical Laboratory. As Supervisor , the individual is responsible for technical and ... measures, quality control, quality assurance and proficiency testing. The supervisor is responsible for the departmental budget, employee relationships, customer… more
- Sevita (Lowell, MA)
- …and families, join our mission-driven team and experience a career well lived. ** Clinical Supervisor - $3,000 New Hire Bonus!!** Are you an experienced ... + May develop and implement crisis intervention emergency procedures, oversee Utilization Review , Quality Assurance, investigations, and internal evaluations. +… more
- Sevita (Stillwater, MN)
- …us all every day. Join us today, and experience a career well lived. ** Clinical Supervisor ** **Salary: $90K- $95K** **Schedule: Monday - Friday | No weekend| ... No holidays | On-Site** **Location: Stillwater, MN** **BCBA Clinical Supervisor ** Do you have strong leadership...+ Determine caseloads and assign cases to the team. Review treatment plans to ensure completeness and accuracy. Track… more
- Trinity Health (Livonia, MI)
- …Provides training and education to clinical documentation specialists (CDS) to enhance clinical and coding skill sets and optimal utilization of the 3M CDI ... regulatory standards are met. Ensures that direct reports perform clinical validation as part of the review ...perform clinical validation as part of the review process and remain current on CDI strategies. Maintains… more
- BrightSpring Health Services (Columbia, MO)
- …Assessment, evaluation, training and education, program planning, support services and clinical services to consumers, families and staff. + Provides behavioral ... professional teams. Provide staff/family training on implemented programs. + Review all Functional Behavior Assessments/Behavior Support Plans prior to… more
- Stony Brook University (Stony Brook, NY)
- … - Immunology - Evening **Position Summary** At Stony Brook Medicine, a ** Clinical Laboratory Technologist/Shift Supervisor ** is a valuable member of our team, ... to our high standard of excellence. **Duties of a Clinical Laboratory Technologist/Shift Supervisor may include but...and LIS (Clinisys & CoPath) order entry and result review screens, new tests additions to the test menu,… more
