- 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, ... team.Identifies realistic and measurable goals and outcomes to be attained prior to discharge.Validates these with the patient and/or family.Demonstrates respect for… 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 ... processing ambulatory commercial, Medicare Fee for Service, and Medicare Advantage prior authorizations desired + Knowledge of the HMO referral process, eligibility… more
- Actalent (Doral, FL)
- …Skills + Clinical review + Utilization management + Concurrent review + Utilization review + Prior authorization + Health care + Medicaid + Medicare + ... Utilization Management Nurse Job Description The...+ Minimum 2 years of experience in prospective clinical review/ prior authorizations and retrospective review + Clinical experience in… 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 ... This position is responsible for efficiently reviewing and verifying that appropriate drug prior authorizations are obtained by clinic staff in a way that best… 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
- 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
- State of Minnesota (St. Paul, MN)
- **Working Title: Research and Performance Management Unit Supervisor ** **Job Class: Human Services Supervisor 4** **Agency: Human Services Dept** + **Job ... resources, and training and development opportunities. **The Research and Performance Management Unit Supervisor will provide leadership and supervisory… more
- Louisiana Department of State Civil Service (Homer, LA)
- REGISTERED NURSE SUPERVISOR B Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4711714) Apply REGISTERED NURSE SUPERVISOR B Salary ... The selected employee may be required to serve a trial detail prior to being permanently promoted. + PROBATIONAL APPOINTMENT: Current permanent status classified… more
- New York State Civil Service (Suffern, NY)
- …a vehicle in NY State. Duties Description Under the supervision of the Traffic Supervisor , monitors and assists with Traffic Incident Management ; responds to and ... and /or potential Authority liability. Assists in the coordination of a traffic management system based on the utilization of Regional Traffic Management… 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 is identified prior to or within 24 hours of an admission....admissions and coordinates any clinical payer concerns with the Utilization management department. Demonstrates overall improved Revenue… more
- Children's Aid (Bronx, NY)
- Program Supervisor (Safe Way Forward) 8/20/24Full Time--Bronx Job ID: 007237 Description: Safe Way Forward (1160 Southern Boulevard) $72,000 - $78,000 Sign-On Bonus ... of emotional and physical abuse. **Position Summary:** The Program Supervisor will provide direct supervision to a team of...* Work with the Program Director to ensure that utilization meets the performance-based funding requirement of at or… more
- New York State Civil Service (Cortlandt Manor, NY)
- …No Agency Military and Naval Affairs, Division of Title Maintenance Supervisor 1 Occupational Category Skilled Craft, Apprenticeship, Maintenance Salary Grade 14 ... with assigned data systems such as SFS, GFEBS and the Statewide Learning Management System (SLMS) and/or other computer training as related to duty assignments.… more
- Fujifilm (North Kingstown, RI)
- …level. + Ability to apply conflict resolution skills to facilitate effective employee/ supervisor relations is required. + Utilization of Root cause analysis ... opportunity at our North Kingstown, RI facility for a **Production Supervisor !** With state-of-the-art manufacturing facilities in the US, Europe, Taiwan, China,… more
- Children's Home Healthcare (El Paso, TX)
- …have excellent communication skills and willing to travel to patient homes + Utilization Management Experience + Reliable transportation for patient visits + ... Home Healthcare is now hiring for an RN Clinical Supervisor /Case Manager! Children's HH is the premier leader in...Home Health services from insurance company. 7. Attend quarterly Utilization Review meetings as designated by the Director of… more
- WEC Energy Group (Chicago, IL)
- …are met in a safe, efficient and timely manner through the effective management / utilization of personnel, equipment, and materials. Their first concern is to ... Operations Supervisor PGL, a subsidiary of WEC Energy Group,...+ Work through various channels to keep customers informed prior to and during planned outages. + Resolve issues… more
- BayCare Health System (Dunedin, FL)
- …BayCare HomeCare leader. BayCare Health System is looking for its newest weekend **Home Care Supervisor , RN** . At BayCare, we are proud to be one of the largest ... + **Due to the high-volume nature of this role, prior experience in adult skilled home health** **and** **OASIS...home health** **and** **OASIS is preferred.** The Home Care Supervisor , RN is responsible for the leadership of assigned… more
- BayCare Health System (Bradenton, FL)
- …with Case Manager on initial Plan of Care review with a focus on quality, utilization and individual patient care goals. + Prior experience in adult skilled home ... to our patients' lives every day. The **Home Care Supervisor , RN** is responsible for the leadership of assigned...area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with Home Care… more
- BayCare Health System (Largo, FL)
- …in patients' lives every day! Join our leadership team as a **Home Care Supervisor , RN** ensuring that our team members meet all credentials and achieve the best ... and a great place to work!** The Home Care Supervisor , RN is responsible for the leadership of assigned...area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with Home Care… more
- BayCare Health System (Largo, FL)
- …to work year after year. BayCare HomeCare is seeking a weekend **Home Care Supervisor , RN** to work with our amazing team at BayCare HomeCare. **Position details:** ... field + 2 years nursing or home care + ** Prior experience in adult skilled home health** **and** **OASIS...home health** **and** **OASIS is preferred** The **Home Care Supervisor , RN** responsibilities and skills: + Assignment of patients… more
Related Job Searches:
Management,
Management Prior,
Prior,
Supervisor,
Supervisor Utilization Management,
Utilization,
Utilization Management