- 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 ... administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of the… more
- Providence (Anchorage, AK)
- …planning, coordinating, and directly supervising the activities of the case management, utilization review , social services and navigation teams for assigned ... Managers upon hire + 2 years of Case Management experience including utilization review , care management, care coordination, discharge planning, or population… more
- Centene Corporation (Tallahassee, FL)
- …IN THE STATE OF FLORIDA.** **Position Purpose:** Supervises Prior Authorization, Concurrent Review , and/or Retrospective Review Clinical Review team to ... ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks UM resources to ensure adherence to… more
- BayCare Health System (Clearwater, FL)
- …responsibility 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:** +...services + Perform other duties as assigned by the supervisor including but not limited to processing concurrent denials.… more
- Hartford HealthCare (Torrington, CT)
- …*Job 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… more
- Mayo Clinic (Phoenix, AZ)
- …quality patient or client focused care is delivered. The Care Management RN Supervisor effectively resolves utilization review issues, provides leadership in ... Medicare/Medicaid and other payer sources, benefits, and limitations. + Strong inpatient utilization review knowledge related to status and process. + Excellent… 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
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …transform healthcare? Bring your true colors to blue. The Role The Clinical Utilization Reviewer is responsible for facilitating care for members who may have ... for the following personas: eWorker, mobile and resident. The Team The Clinical Utilization Reviewer is part of a highly dedicated and motivated team of… more
- Sharp HealthCare (San Diego, CA)
- …Do** The UM Care Coordinator, under the direct supervision of the Supervisor , Utilization Management Care Coordinators, prepares referral requests for outpatient ... care, managed care, as it related to the position.Bring to attention of the Supervisor , Utilization Management Care Coordinators, and UM Manager, areas of UM… more
- El Paso County (Colorado Springs, CO)
- Utilization Reviewer - Behavioral Health Print (https://www.governmentjobs.com/careers/elpasocountyco/jobs/newprint/4719458) Apply Utilization Reviewer - ... behaviors to further refine established processes and procedures. + Develops internal review procedures of established processes; works with DHS's contract team to… more
- Sharp HealthCare (San Diego, CA)
- …necessity reviews and authorizes medical services that meet medical criteria. The review of care is region specific and consists of outpatient healthcare services ... directors to medical information and authorized appropriate services/care.Consults with supervisor , team lead and/or medical director to discuss requests/care… more
- WellSpan Health (York, PA)
- …with the CM leadership team in developing and maintaining CM policy including, Utilization Review , Social Services and Clinical Case Management. + Identifies ... Supervisor - Case Management Location: WellSpan Health, York,...Management in the provision of leadership and integration of utilization management principles throughout the Hospital. Duties and Responsibilities… more
- CN (Gary, IN)
- …because the work we do matters. Join us! **Job Summary** The Transportation Supervisor is an entry-level front line supervisor position responsible for meeting ... and in compliance with governing regulations and CN's operating rules. The Transportation Supervisor may also be an on-call position that reports to remote locations… 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 ... the safety net required to achieve that purpose. Job Summary The Supervisor , Authorization Technician supports the Utilization Management (UM) Specialist by… more
- Louisiana Department of State Civil Service (Homer, LA)
- …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. Receives physicians' instructions regarding patient ... REGISTERED NURSE SUPERVISOR A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4711693) Apply REGISTERED NURSE...for this vacancy as well as future job opportunities. REVIEW YOUR APPLICATION TO MAKE SURE IT IS CURRENT.… more
- Louisiana Department of State Civil Service (Reserve, LA)
- …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. Receives physicians' instructions regarding patient ... REGISTERED NURSE SUPERVISOR A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4716115) Apply REGISTERED NURSE SUPERVISOR A Salary… 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...of cases in PROMIS and Connections * timely completion, review and approval of FASPs, Plan Amendments and Progress… 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 ... the appropriate payors to insure all services provided are reimbursed. The Supervisor provides the necessary support and leadership to achieve departmental goals and… more
- Louisiana Department of State Civil Service (Homer, LA)
- …as, Nursing Policy and Procedure Committee, patient safety, quality assurance, and utilization review . Supervises the ordering of medical supplies and materials ... REGISTERED NURSE SUPERVISOR B Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4711714) Apply REGISTERED NURSE...for this vacancy as well as future job opportunities. REVIEW YOUR APPLICATION TO MAKE SURE IT IS CURRENT.… more
- Louisiana Department of State Civil Service (Jennings, LA)
- …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. Receives physicians' instructions regarding patient ... REGISTERED NURSE SUPERVISOR A/WAE/PRN Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4710517) Apply REGISTERED NURSE SUPERVISOR … more
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