- Centene Corporation (Madison, WI)
- …between utilization management team, members, and providers + Monitors prior authorization , concurrent review, and/or retrospective clinical review nurses ... anywhere in the Central time zone. The role supervises Prior Authorization Nurses and is primarily Monday...ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks UM resources… more
- Fallon Health (Worcester, MA)
- …expectations. The FH Authorization Coordinator serves to administer the FH prior authorization process as outlined in the Plan Member Handbook/Evidence of ... when the authorization meets the criteria listed in the appropriate Prior Authorization Protocol, authorizations not meeting protocol parameters are prepared… more
- University of Rochester (Rochester, NY)
- …as defined by NYS Laws and Regulations. The Pharmacy Medication Utilization and Inventory Compliance Manager has direct supervision and management responsibilities ... in medication dispensing. **ESSENTIAL FUNCTIONS** **_Clinical Staff Pharmacist - Medication Authorization and Distribution_** + Directs and supervises the work of… more
- Cuyahoga County Board of Developmental Disabilities (Cleveland, OH)
- …to ensure fiscal responsibility including:use of Cost Projection Tools, the Prior Authorization Review Process, implementation of AAI Administrative Review, ... and utilization of Medicaid State Plan Services. Deliver technical assistance...to Support Administrators, Providers, and Waiver Coordinators regarding these authorization processes. + Assist Managers to hire, train, and… more
- WEC Energy Group (West Allis, WI)
- Operations Supervisor We Energies, a subsidiary of WEC Energy Group, is seeking a Operations Supervisor in our West Allis, WI location. About Us WEC Energy Group ... to change lives, this is the place for you. Job Summary The Operations Supervisor may be rotated to other work areas/functions within Customer Operations in order to… more
- Mohawk Valley Health System (Utica, NY)
- …SNH is responsible for the oversight of the case management staff's authorization /coordination/ utilization and provision of member services. Duties include the ... RN Supervisor Case Management - Full Time - Days...direct oversight of the case manager's daily operations of utilization review practice, processes and procedures ensuring accurate member… more
- Mohawk Valley Health System (Utica, NY)
- … is responsible for the oversight of the case management staff's authorization /coordination/ utilization and provision of member services. Duties include the ... Case Management Supervisor - Full Time - Days Department: CASE...direct oversight of the case manager's daily operations of utilization review practice, process and procedures ensuring accurate member… more
- Air National Guard Units (Milwaukee, WI)
- Summary This National Guard position is for a SUPERVISOR HEAVY MOBILE EQUIPMENT MECHANIC - Title 32, Position Description Number D2430000 and is part of the WI 128 ... also advertised as AGR Job Announcement Number 26-023ANG* Responsibilities As a SUPERVISOR HEAVY MOBILE EQUIPMENT MECHANIC - Title 32, WS-5803-10, you will exercise… more
- WEC Energy Group (Milwaukee, WI)
- Operations Supervisor We Energies, a subsidiary of WEC Energy Group, is seeking a Operations Supervisor in our Milwaukee, Wisconsin location. About Us WEC Energy ... this is the place for you. Job Summary The Operations Supervisor manages internal resources, external contracted resources and business applications/processes based… more
- Air National Guard Units (Peoria, IL)
- …EXCEPTED SERVICE POSITION. This National Guard position is for a AIRCRAFT MAINTENANCE SUPERVISOR (Title 32), Position Description Number D1444000 and is part of the ... IL 182 AW, National Guard. Responsibilities As an AIRCRAFT MAINTENANCE SUPERVISOR (Title 32), WS-8801-14, you will Major Duties - This is NOT an all-inclusive list:… more
- Army National Guard Units (Camp Dodge, IA)
- …Johnston, IA Responsibilities As a ELECTRONIC MEASUREMENT EQUIPMENT MECHANIC SUPERVISOR (Temporary Promotion), WS-2602-11 your duties are below. Planning: Plans ... based on general work schedules, methods, and policies set by the supervisor . Coordinates work with supporting or related work functions controlled by other… more
- Air National Guard Units (Langley AFB, VA)
- …SERVICE POSITION. This National Guard position is for a Aircraft Mechanic Supervisor (Title 32) (Permanent), Position Description Number D0736000 and is part of ... the VA 192 AMX SQ, National Guard. Responsibilities As an Aircraft Mechanic Supervisor (Title 32), WS-8852-14, you will perform the following duties: Planning: Plans… more
- WEG Electric Corp. (Duluth, GA)
- Accounts Payable Supervisor /Management Accountant **Department:** Finance **Location:** Duluth, GA About the role: ... (https://apply.hrmdirect.com/resumedirect/ApplyOnline/Apply.aspx?req\_id=3477150&source=3477150-CJB-0) The Accounts Payable (AP) Supervisor -Management Accountant will primarily oversee a small team of… more
- Point32Health (MA)
- …requests + Achievement of expected productivity goals + Review of all assigned prior authorization requests including but not limited to inpatient admissions, ... referrals, outpatient procedures, VNA or outpatient therapies as specified in the prior authorization list using specified clinical criteria sets. + Concurrent… more
- Air National Guard Units (Eielson AFB, AK)
- …Air National Guard. PDCN: D2180P01 / D2181P01 MPCN: 889707 Selecting Supervisor : James G. Meyer Responsibilities GS-09 - Administers classified and unclassified ... and software and develops base wide network operating procedures. Analyzes LAN utilization statistics through data collection and performance measures to ensure the… more
- Point32Health (Canton, MA)
- …responsible for reviewing, processing and managing the daily caseload of pharmacy prior authorization (PA) requests for coverage determinations (CD), and ... . **Job Summary** Under the direction of the Pharmacy Utilization Management (UM) Supervisor , the Clinical Pharmacist...consults as required with THP Medical Directors (MD) on prior authorization that fails to meet drug… more
- University of Michigan (Ann Arbor, MI)
- …is unique in that it combines clinical/quality considerations with regulatory/financial/ utilization review demands. The position creates a balance between individual ... clinical needs with the efficient and cost effective utilization of resources while promoting quality outcomes. **Organizational Relationships** The RN Case Manager… more
- UPMC (Pittsburgh, PA)
- …goals. Do you have acute care authorizations or nursing experience? Do you have prior supervisor or management experience? If so, this could be the next ... is responsible for the direct oversight of the day-to-day operations of the authorization , denial management, and/or utilization review functions of UPMC Revenue… more
- Army National Guard Units (Lincoln, NE)
- …Deactivation, and Transformation. Identifies, analyzes, and provides recommendations to supervisor on significant issues and problems related to work accomplishment. ... comprehensive reports and recommendations with any corrective action taken to supervisor . Follows-up to ensure complete and quality resolution of discrepancies.… more
- Northern Light Health (Bangor, ME)
- …to appropriate depart/office. Documenting information in Patient's chart. Processing insurance referral/ prior authorization and document this per protocol. + ... towards the resolution of practice challenges. The PSRIII is responsible to obtain all prior images pertinent to the appointments, load and align images in PACs, for… more
Related Job Searches:
Authorization,
Prior,
Prior Authorization,
Supervisor,
Supervisor Prior,
Supervisor Prior Authorization,
Utilization