- Trinity Health (Athens, GA)
- …that incorporate best practices and ensure effective utilization reviews. The Utilization Review Supervisor serves as a clinical resource, role ... incorporate best practices and ensure effective utilization reviews. The Utilization Review Supervisor serves as a clinical resource, role model, and… 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
- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** The Supervisor Utilization Review RN is accountable for daily oversight of the Utilization Review (UR) function, and provides ... **ESSENTIAL FUNCTIONS OF THE ROLE** + Functions as a working Supervisor for Utilization Review Department, through the monitoring of staff workload,… more
- Henry Ford Health System (Troy, MI)
- …system-wide improvements and operational processes to ensure optimal and compliant utilization review strategies. Under minimal supervision from the Manager ... GENERAL SUMMARY: The Supervisor of Utilization Management has an...GENERAL SUMMARY: The Supervisor of Utilization Management has an important role in a...the Supervisor is responsible for monitoring productivity and ensuring the… more
- Centene Corporation (Raleigh, NC)
- …position is Sunday - Thursday.** **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
- Lawrence General Hospital (Lawrence, MA)
- The Utilization Review Specialist, under supervision and in collaboration with the Utilization Review Coordinator, Utilization Review Nurses, ... well as the integrated care team and supports the case management/ utilization review team on system-wide quality improvement/performance improvement initiatives.… more
- BayCare Health System (Clearwater, FL)
- …foundation of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior 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
- Stanford Health Care (Palo Alto, CA)
- …and Abilities** + Knowledge of principles and best practices of case management, utilization review , social work, care coordination and discharge planning. + ... Here, your leadership, coaching, and mentoring would further develop our robust, Utilization Management team. Are you driven by health care innovation, partnerships,… 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, Revenue Integrity & 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
- Kelsey-Seybold Clinic (Pearland, TX)
- …all units within the Utilization Management and/or Population Health Department. ( Utilization Review , Concurrent Review , Population Health and Case ... requests for specific services. Under the supervision of the Health Service Supervisor , the Utilization Management Representative is primarily responsible for… 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
- Trinity Health (Philadelphia, PA)
- …Hospital, a member of Trinity Health Mid-Atlantic, is seeking experienced Utilization Management RN to join the Case Management team! **Schedule:** Full-time, ... day shift. **:** Under the general supervision of the Manager of Utilization Management, the Utilization RN assists physicians and the interdisciplinary… more
- Molina Healthcare (Columbus, OH)
- …Health Plan, the role will require auditing charts of OH Health Plan care review clinicians (UM) and providing feedback and corrections to ensure the health plan ... Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), Health… more
- Trinity Health (Muskegon, MI)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The Pharmacy Supervisor is a licensed registered pharmacist accountable for leading, managing ... / or programs that support direct or indirect patient care. The Pharmacy supervisor promotes and advocates for patients, pharmacists / colleagues and the practice of… more
- State of Colorado (Denver, CO)
- Assistive Technology Supervisor Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4796376) Apply Assistive Technology Supervisor Salary ... day per week and at the discretion of the supervisor and according to business need. The Department of...of existing staff. + Create and implement quality assurance review process to ensure training services meet the highest… more
- Children's Aid (Manhattan, NY)
- Social Work Supervisor (MST-SA) 12/19/24Full Time--Manhattan Job ID: 007485 Description: Manhattan Family Services Center (60 Lafayette St, 3rd Floor) $72,000 - ... truancy and failing grades. **Position Summary:**The**Multi-systemic Treatment-Substance Abuse (MST-SA) Supervisor **in our Family Assessment Program (FAP) will serve the… more
- Louisiana Department of State Civil Service (Many, 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/4792719) Apply Registered Nurse Supervisor A Salary… 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 (Jackson, 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/4808220) 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 (Monroe, 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/4803023) Apply Registered Nurse Supervisor A Salary… more
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