- CHRISTUS Health (Tenneryville, TX)
- Description Summary: The RN Supervisor is accountable for supervising the delivery of high-quality, cost-effective care to patients. Responsible in assisting the ... for effective supervision of nursing activities of assigned area(s). Assists management of financial and human resources to ensure services meet established… more
- Prisma Health (Columbia, SC)
- …other members of the healthcare team.Supervisory/ Management ResponsibilityThis is a non- management job that will report to a supervisor , manager, director, ... clarify ideas-implementing and evaluating teaching plan (encourages patient/family involvement/participation)-Micromedex utilization -Computer resourcesCommunicates the patient/family's need for education/teaching to others… more
- 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
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** Supervise the daily operations of the utilization management (UM) department functions to ensure appropriate coordination ... standards and federal/state regulations and general principles relating to utilization review. + Computer skills, including Microsoft Office programs. +… 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
- Providence (Anchorage, AK)
- …includes planning, coordinating, and directly supervising the activities of the case management , utilization review, social services and navigation teams for ... for Case Managers upon hire + 2 years of Case Management experience including utilization review, care management , care coordination, discharge planning, or… 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
- Kepro (AR)
- …and Medical Director, the Team Supervisor oversees clinical staff performing Utilization Management (UM) and Reviews services for Medicaid Members in ... public sector. Acentra is looking for a Dental UM Supervisor (Remote within Arkansas) to join our growing team....experience in a dental setting. + Supervisory experience. + Utilization Management /Clinical Review experience. + Strong clinical… 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
- Hartford HealthCare (Wethersfield, CT)
- …Resource Management Associate's focus is on providing support and coordination of utilization management services for the utilization management ... department. *_Position Responsibilities:_* 1. Monitors and manages assigned utilization management reports, including the Payer End of Day report, Utilization… more
- Actalent (Doral, FL)
- Utilization Management Nurse Job Description The role of the Utilization Management (UM) Nurse is to promote quality, cost-effective outcomes for a ... resource to non-clinical team members when applicable. Essential Skills + Clinical review + Utilization management + Concurrent review + Utilization review +… more
- Sharp HealthCare (San Diego, CA)
- …with patient care team members to help maintain cost effective drug utilization and formulary management .Assists other healthcare team members in keeping ... pharmacy team members, and payers to ensure appropriate reimbursement and drug utilization . This member is expected to work effectively and constructively with all… 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
- Kepro (Minneapolis, MN)
- …partner for health solutions in the public sector. Acentra is looking for a Utilization Management - Mental Health Clinical Reviewer to join our growing team. ... meet the workload demands of the department. + In collaboration with Supervisor , responsible for the quality monitoring activities including identifying areas of… more
- Sharp HealthCare (San Diego, CA)
- …time for routine, urgent and expedited referrals as outlined in SCMG's Utilization Management Plan.Decisions will be communicated to the appropriate persons ... + Knowledge of medical terminology, healthcare finances, alternative care options, utilization management , health plan criteria, established criteria such as… more
- Hartford HealthCare (Torrington, CT)
- …Summary* Under the Direction of the Inpatient Nurse Director & Social Work Supervisor , the Inpatient Psychiatric Utilization Review Social Worker will work ... collaboratively with the IP Psychiatry Patient Care Team to assure Utilization Review activities on a 17 bed Adult unit. The Care Manager will liaison with insurance… more
- Hackensack Meridian Health (Manahawkin, NJ)
- …as a leader of positive change. The role integrates and coordinates utilization management , care coordination, discharge planning functions and performance ... acute care setting. + Familiar with hospital resources, community resources, and/or resource/ utilization management . + Care coordination, case management or… more
- California Energy Commission (Sacramento, CA)
- Data Management and Analysis Supervisor PROGRAM AND PROJECT SUPERVISOR , PUBLIC UTILITIES COMMISSION $12,196.00 - $15,266.00 per Month Final Filing Date: ... Details Job Code #: JC-454164 Position #(s): ###-962 Working Title: Data Management and Analysis Supervisor Classification: PROGRAM AND PROJECT SUPERVISOR… more
Related Job Searches:
Management,
Management Supervisor,
Supervisor,
Supervisor Utilization Management LPN,
Supervisor Utilization Management Prior,
Supervisor Utilization Management RN,
Supervisor Utilization Management Review,
Utilization,
Utilization Management