- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE ... information regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to join our...implemented for compliance, as needed. + As a unit supervisor at the LA General Medical Center: + Has… more
- 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
- 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, ... organizational determinations/ disputes, and auditing/training of utilization review staff. Regularly monitors daily workload, volumes, metrics, production, and… more
- Centene Corporation (Madison, WI)
- …weekend / holiday coverage. **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
- CareFirst (Baltimore, MD)
- …accreditation standards and federal/state regulations and general principles relating to utilization review . + Computer skills, including Microsoft Office ... & Qualifications** **PURPOSE** : Supervise the daily operations of the utilization management (UM) department functions to ensure appropriate coordination of health… more
- BayCare Health System (Tampa, FL)
- …of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/RN responsibilities include:** + Functions ... services + Perform other duties as assigned by the supervisor including but not limited to processing concurrent denials....Nursing or Business **Experience:** + Required 2 years in Utilization Review or + Required 2 years… more
- Covenant Health Inc. (Knoxville, TN)
- …meetings between physicians and payors as applicable. + Completes daily work lists for utilization review meeting the time frames set forth by Covenant Health. + ... Overview Registered Nurse Utilization Management Full Time, 80 Hours Per Pay...to non-clinical precertification staff. + Assists with delayed claims review to determine appropriate number of observation hours as… more
- Elara Caring (Cleburne, TX)
- …productivity. + Assists staff in maintaining current and accurate medical records and utilization review . + Assists clinical supervisor with non-clinical ... phone inquiries. + Notifies supervisor of any problems requiring administrative attention and intervention. + Processes and distributes in and out daily mail for the department, collects and maintains inventory, and cleans equipment. + Implements all… 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
- 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
- MyFlorida (Chattahoochee, FL)
- REGISTERED NURSE SUPERVISOR - 60005446 Date: Jan 8, 2026 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 858609 Agency: Children and Families Working Title: REGISTERED NURSE SUPERVISOR - 60005446 Pay Plan: Career Service Position Number: 60005446 Salary:… more
- Children's Home Healthcare (Amarillo, TX)
- …authorizations for Home Health services from insurance company. 7. Attend quarterly Utilization Review meetings as designated by the Director of Professional ... Home Healthcare is now hiring for an RN Clinical Supervisor /Case Manager! Children's HH is the premier leader in...on a 60 days basis per company policy. 9. Review /approve plan of care and all related documents prior… 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
- BayCare Health System (Sarasota, FL)
- …bodies within the area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol. + ... Rewarding Career with BayCare HomeCare as a Home Care Supervisor , RN At BayCare, we are proud to be...Participates with Case Manager on initial Plan of Care review with a focus on quality, utilization … 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 - Days...responsible for the oversight of the case management staff's authorization/coordination/ utilization and provision of member services. Duties include the… more
- Mohawk Valley Health System (Utica, NY)
- …population. Provides direct oversight of the case manager's daily operations of utilization review practice, process and procedures ensuring accurate member care ... Case Management Supervisor - Full Time - Days Department: CASE...responsible for the oversight of the case management staff's authorization/coordination/ utilization and provision of member services. Duties include the… more
- New York State Civil Service (Waterford, NY)
- NY HELP No Agency Transportation, Department of Title Maintenance Supervisor 2 (Motor Equipment) Occupational Category Skilled Craft, Apprenticeship, Maintenance ... of the maintenance and repair of fleet vehicles and equipment. The Maintenance Supervisor 2 (Motor Equipment) may supervise one or more Maintenance Supervisor … 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
- MyFlorida (Lake City, FL)
- …performance indicators. Plans workloads, work flows, deadlines, work objectives and time utilization with employees. MONITORING AND QUALITY REVIEW : Reviews and ... ELIGIBILITY SUPERVISOR - SES - 60042276 Date: Jan 6,...checks through local law. Knowledge, skills and abilities, including utilization of equipment, required for the position: Knowledge of… 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
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