• Utilization Review Nurse…

    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
    The County of Los Angeles (09/30/24)
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  • Utilization Review Specialist Senior

    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
    BayCare Health System (10/14/24)
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  • Manager, Care Coordination - Utilization

    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
    Stanford Health Care (11/20/24)
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  • Utilization Review RN

    Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
    …with a current Louisiana license.required + Case Mgmt/Social Services\CPUR - Cert Prof Util Review Must be attained within first 24 months in position. required or + ... areas of improvement, and identifying and vetting potential solutions with supervisor /manager and implementing solutions in a collaborative manner. May serve as… more
    Blue Cross and Blue Shield of Louisiana (11/27/24)
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  • Utilization Case Manager

    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
    Helio Health Inc. (11/02/24)
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  • Utilization Management Reviewer…

    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
    Blue Cross Blue Shield of Massachusetts (10/25/24)
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  • Transportation Supervisor

    CN (New Orleans, LA)
    …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
    CN (11/23/24)
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  • Supervisor , Authorization Technician

    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
    LA Care Health Plan (10/26/24)
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  • Registered Nurse Supervisor A

    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/4738991) Apply  REGISTERED NURSE SUPERVISOR A Salary… more
    Louisiana Department of State Civil Service (11/23/24)
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  • Registered Nurse Supervisor A

    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/4730645) Apply  REGISTERED NURSE SUPERVISOR A Salary… more
    Louisiana Department of State Civil Service (11/16/24)
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  • Supervisor , Financial Counseling, Surgery…

    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
    Children's Hospital & Research Center Oakland (10/01/24)
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  • Registered Nurse Supervisor A - Day/Evening

    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 - DAY/EVENING Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4740025) Apply  REGISTERED NURSE SUPERVISOR A… more
    Louisiana Department of State Civil Service (11/22/24)
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  • RN Supervisor A

    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 ... RN Supervisor A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4736880) Apply  RN ...staffing patterns and clinic schedules to ensure maximum staff utilization . Assesses performance and efficiency of public health nursing… more
    Louisiana Department of State Civil Service (11/21/24)
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  • Supervisor Rehab Subacute

    Dignity Health (Sacramento, CA)
    …proper utilization of FTE's, Quality Assessment and Improvement, utilization review , equipment ordering, safety in-services, staff development, staff ... position may require the need to provide direct patient care. The Supervisor is responsible for planning, developing, implementing and integrating the delivery of… more
    Dignity Health (10/03/24)
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  • Clinical Supervisor RN

    Children's Home Healthcare (Albuquerque, NM)
    …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 a 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
    Children's Home Healthcare (11/21/24)
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  • Supervisor , Support Administration

    Cuyahoga County Board of Developmental Disabilities (OH)
    …the Prior Authorization Review Process, implementation of AAI Administrative Review , and utilization of Medicaid State Plan Services. Deliver technical ... County Board of Developmental Disabilities (Cuyahoga DD) is seeking a new Supervisor to plan, organize and supervise all Service and Support Administration… more
    Cuyahoga County Board of Developmental Disabilities (10/29/24)
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  • Clinical Appeals Supervisor - RN (Hybrid)

    CareFirst (Baltimore, MD)
    …or similar clinical experience OR + 5 years experience in Medical Review , Utilization Management or Case Management at CareFirst BlueCross BlueShield, ... **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Supervisor (RN) directs and coordinates the accurate implementation of the clinical appeal process for… more
    CareFirst (11/09/24)
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  • Supervisor Registered Nurse Case Manager

    HCA Healthcare (Houston, TX)
    …patient needs. + Accountable for reviewing, monitoring and reporting hospital utilization of resources through concurrent review according to pre-established ... from any other healthcare provider. We are seeking a(an) Case Management Supervisor RN to join our healthcare family. **Benefits** Texas Orthopedic Hospital, offers… more
    HCA Healthcare (11/27/24)
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  • Registered Nurse Supervisor - SCI Dallas

    Commonwealth of Pennsylvania (PA)
    Registered Nurse Supervisor - SCI Dallas Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4738756) Apply  Registered Nurse Supervisor - SCI ... for you! We need a hard working, compassionate, and enthusiastic Registered Nurse Supervisor that is committed to leading a nursing team in various patient and… more
    Commonwealth of Pennsylvania (11/29/24)
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  • Maintenance Supervisor

    ARAMARK (Flint, MI)
    **Job Description** The Facility Supervisor (Zone) sustains daily facing relationships with GM LFMRs and occupants to fully support their focus on GM-WTC?s core ... business. The Facility Supervisor optimizes responsiveness, reliability and quality service across all...monitor data integrity, work request/work order requests and accuracy. Review performance and customer feedback with and LFMR?s for… more
    ARAMARK (10/31/24)
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