- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print... Review Nurse is an RN that has Case Management experience whose primary charge is to ensure that the ... (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE SUPERVISOR I Salary $111,656.88 - $167,136.48… more
- Martin's Point Health Care (Portland, ME)
- …Summary The Supervisor is responsible for day-to-day operations of the utilization review clinical team, in the areas of authorization requests, ... + 3+ years of medical management experience in a managed care setting including utilization review + RN experience in a clinical setting + Leadership and/or … more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE** : Supervise the daily operations of the utilization management (UM) department functions to ensure appropriate coordination ... of business. **Knowledge, Skills and Abilities (KSAs)** + Oversight of Utilization Management clinicians while championing process improvement, change adoption… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …depending on customer and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of ... productivity and gain efficiencies for performance improvement opportunities in the Utilization Management Department. + Assists in updating departmental… more
- BayCare Health System (Tampa, FL)
- …of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/RN responsibilities include:** + Functions ... Nursing or Business **Experience:** + Required 2 years in Utilization Review or + Required 2 years...Review or + Required 2 years in Case Management or + Required 3 years Registered Nurse +… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Utilization Management Full Time, 80 Hours Per Pay Period, Day Shifts Covenant Health Overview: Covenant Health is the region's ... Forbes "Best Employer" seven times. Position Summary: The RN Utilization Management I will perform utilization...payors as applicable. + Completes daily work lists for utilization review meeting the time frames set… 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 ... support to the hospital and treatment team throughout the review of patients, their placement in various levels of...and benefits of patients, matching the level of care utilization . Assures compliance with Managed Care Behavioral Health standards… 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
- Catholic Health (Buffalo, NY)
- …Cycle - Clinical Supervisor is responsible for training and mentoring Utilization Review , Clinical Documentation Integrity and Clinical Denials and Appeals ... Care Hospital Setting + Minimum five (5) years of experience working within Utilization Review /Case Management /Clinical Documentation Integrity or + Minimum… more
- Mohawk Valley Health System (Utica, NY)
- Case Management Supervisor - Full Time - Days Department: CASE MGMT Job Summary The Case Management Supervisor is responsible for the oversight of the ... case management staff's authorization/coordination/ utilization and provision of member...direct oversight of the case manager's daily operations of utilization review practice, process and procedures ensuring… more
- Mohawk Valley Health System (Utica, NY)
- …population. Provides direct oversight of the case manager's daily operations of utilization review practice, processes and procedures ensuring accurate member ... RN Supervisor Case Management - Full Time...SNH is responsible for the oversight of the case management staff's authorization/coordination/ utilization and provision of member… more
- CareFirst (Baltimore, MD)
- …experience. **Experience:** 3 years Care Management , Discharge Coordination, Home Health, Utilization Review , Disease Management or other direct patient ... **Resp & Qualifications** **PURPOSE:** The Inpatient Management Onsite Care Management Supervisor...This role will assist leadership with the development and review of Care Management standards, program criteria,… more
- University of Utah Health (Salt Lake City, UT)
- …of time and attendance of direct reports. + Functions as Case Manager and/or Utilization Review Nurse as necessary. + Tracks and analyzes Case Manager quality ... of service and utilization statistics. + Works collaboratively with information systems personnel...Management experience. + Two years working as a supervisor or equivalency. **Licenses Required** + Current license to… more
- WMCHealth (Valhalla, NY)
- …the procedures specified in the Clinical Care Management Department through review of the Utilization and Discharge Planning Program at Westchester Medical ... Supervisor Of Nursing - Clinical Care Management Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management … 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… more
- L3Harris (Londonderry, NH)
- …land, sea and cyber domains in the interest of national security. Job Title: Supervisor , Operations Management Job Code: 31436 Job Location: Londonderry, NH Job ... Consult manufacturing engineers on any questions of proper handling. + Continually review and enforce the use and maintenance of work instructions, routers, logs,… more
- Stanford University (Stanford, CA)
- …Stanford University's parking system. Key areas of oversight include signage inventory management and renewal, parking utilization data collection and analysis, ... Parking Operations Supervisor **Land, Buildings and Real Estate, Stanford, California,...support in key functional areas, including parking enforcement, signage management , asset audits, website content review , parking… more
- Albany Medical Center (Albany, NY)
- …Work Shift: Day (United States of America) Salary Range: $0.00 - $0.00 APP Supervisor - NICU The APP Supervisor coordinates, plans, directs, implements and ... and patients in the inpatient, ambulatory, and community settings. The NP Supervisor maintains proficiency in direct patient care, including the responsibility and… more
- Animal Care Centers of NYC (New York, NY)
- Admissions Supervisor Schedule The working schedule for this position is Thursday - Monday with Tuesday and Wednesday off. Who We Are ACC is one of the nation's ... doors open 24/7 for people and animals in need. Summary The Admissions Supervisor leads a frontline team that helps NYC pet owners navigate challenging situations… more
- New York State Civil Service (Latham, NY)
- …No Agency Military and Naval Affairs, Division of Title Maintenance Supervisor 1 Occupational Category Skilled Craft, Apprenticeship, Maintenance Salary Grade 14 ... Code 12110 Duties Description Under the supervision of a higher level Maintenance Supervisor or other administrative supervisor , the Maintenance Supervisor 1… more
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