• 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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  • Supervisor Care Management RN - Sesh…

    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
    Providence (11/01/24)
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  • Supervisor , Utilization Management

    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
    Centene Corporation (11/10/24)
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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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  • Utilization Review Social Work Care…

    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
    Hartford HealthCare (11/06/24)
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  • Nursing Supervisor - Case Management

    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
    Mayo Clinic (10/25/24)
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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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  • Utilization Management Care Coordinator…

    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
    Sharp HealthCare (11/10/24)
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  • Utilization Reviewer - Behavioral Health

    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
    El Paso County (11/08/24)
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  • Case Manager (LVN) - Utilization Mgmt…

    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
    Sharp HealthCare (11/08/24)
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  • Supervisor - Case Management

    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
    WellSpan Health (11/09/24)
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  • Transportation Supervisor

    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
    CN (11/08/24)
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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 (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 (11/08/24)
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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/4716115) Apply  REGISTERED NURSE SUPERVISOR A Salary… more
    Louisiana Department of State Civil Service (11/05/24)
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  • Program Supervisor (Safe Way Forward)

    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 Aid (08/23/24)
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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 B

    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 (11/01/24)
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  • Registered Nurse Supervisor A/Wae/PRN

    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
    Louisiana Department of State Civil Service (10/30/24)
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