- VNS Health (Manhattan, NY)
- …of VNS Health Plans Medical Management clinical and non clinical staff. Makes recommendations to the development, utilization , and evaluation of internal ... OverviewSupervises and coordinates the day-to-day business operations of clinical and non clinical support activities, including monitoring internal processes,… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... net required to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM)...in Nursing Experience Required: Minimum of 7 years of acute/ clinical care experience. Minimum of 2 years of experience… more
- UCLA Health (Los Angeles, CA)
- …Advantage team, you will be responsible for assisting with the day-to-day management of the UM department and coordinators. This will involve coordinating staff ... and key performance indicators. You will hire and train non- clinical coordinator staff as well as manage and monitor...We're also home to the world-class medical research and clinical education capabilities of the David Geffen School of… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …and seeks out continuous learning opportunities to enhance understanding of clinical management , trends in patient care, utilization management and other ... to perform other job-related duties as required by their supervisor , subject to reasonable accommodation. We're Looking for :...clinical experience in Behavioral Health Care settings + Utilization Management experience preferred + CCM or… more
- Banner Health (AZ)
- …you're looking to leverage your abilities - you belong at Banner Health. The utilization Management Representative will process clinicals to send to payers while ... care. POSITION SUMMARY This position assists in the administration of Utilization Management functions to include organization of workflow, communications… more
- Stanford Health Care (Palo Alto, CA)
- …practice. Here, your leadership, coaching, and mentoring would further develop our robust, Utilization Management team. Are you driven by health care innovation, ... and Abilities** + Knowledge of principles and best practices of case management , utilization review, social work, care coordination and discharge planning.… more
- BayCare Health System (Clearwater, FL)
- …+ Community discounts and more Equal Opportunity Employer Veterans/Disabled **Position** Utilization Review Specialist Senior **Location** Clearwater | Clinical ... that's built on a foundation of trust, dignity, respect, responsibility and clinical excellence. **BayCare Health System** is currently seeking a ** Utilization … more
- Helio Health Inc. (Syracuse, NY)
- …Educate program staff on current principles and standards of practice surrounding utilization and denials management . + Use effective relationship management ... track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting our Inpatient,… more
- Truman Medical Centers (Kansas City, MO)
- …into myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Utilization Specialist Team Lead 101 Truman Medical Center **Job ... Medicine and Critical Care, with world-class expertise in chronic disease management and women's services, including high-risk maternity care. The Health Sciences… more
- Little City Foundation (Chicago, IL)
- …and recommendations to Director and Human Resources.4. Along with other members of clinical management , facilitates regular team meetings and participates in the ... Clinical Mental Health Supervisor Job Details...management team and department meetings.5. Provides regular documented clinical supervision and trains mental health clinicians on specific… more
- Cedars-Sinai (Culver City, CA)
- …Report has named us one of America's Best Hospitals. **Why Work Here?** The Clinical Supervisor , Operations supports the physician and clinical staff in ... or serves as liaison, for administrative support activities including facilities management , pharmacy, utilization management , quality management… more
- State of Massachusetts (Boston, MA)
- …patients and clients from DPH, DOC, DMH, DDS, shelters, and the community, the Clinical Supervisor ensures the effective utilization of resources to enhance ... Massachusetts Department of Public Health (DPH), is seeking an experienced and dynamic Clinical Supervisor of Ambulatory Care Services, Registered Nurse V.The … more
- Children's Home Healthcare (Albuquerque, NM)
- …A VALID RN LICENSE* Children's Home Healthcare is now hiring for a RN Clinical Supervisor /Case Manager! Children's HH is the premier leader in Pediatric Home ... this growing professional team! We are seeking an experienced Clinical Supervisor in the Albuquerque area. The...skills and willing to travel to patient homes + Utilization Management Experience + Reliable transportation for… more
- Providence (MT)
- …it relates to business operations, as well as the utilization of clinical information systems. The supervisor is responsible for the day-to-day activities of ... AK, CA, MT, WA, OR and or TX.** The Supervisor will possess a combination of technical, clinical...Bachelor's Degree Information Management , Computer Science, Business Management , Information Services, or a clinical discipline.… more
- CareFirst (Baltimore, MD)
- …or similar clinical experience OR + 5 years experience in Medical Review, Utilization Management or Case Management at CareFirst BlueCross BlueShield, or ... **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Supervisor (RN) directs and...Qualifications:** + BS/MSN Degree. + 3 years supervisory experience Utilization Management , and Government Program experience with… more
- LA Care Health Plan (Los Angeles, CA)
- …Required: Knowledge of state, federal and regulatory requirements in Appeals/Care/Case/ Utilization Management /Quality. Strong verbal and written communication ... Supervisor , Appeals and Grievances Clinical Operations...a lead/supervisory experience. Equivalency: Completion of the LA Care Management Certificate Training Program may substitute for the supervisory/… more
- Beth Israel Lahey Health (Lawrence, MA)
- …you're not just taking a job, you're making a difference in people's lives.** Clinical Supervisor (LICSW / LMHC) - Community Behavioral Health Center located in ... **Day 1 Benefits!** The Adult Urgent Care / MCI Clinical Supervisor oversees the day to day...of the Urgent Care/Mobile Crisis Program, including the appropriate utilization and management of staff and quality… more
- HonorHealth (Phoenix, AZ)
- …communities across Arizona. Learn more at HonorHealth.com. The Customer Navigation Center (CNC) Clinical Supervisor will join the CNC leadership team and support ... in following stages. Edits and approves time via Laborworkx and Work force management software for contact center system. Evaluates utilization and availability… more
- HCA Healthcare (Orange Park, FL)
- **Description** **Introduction** Do you have the career opportunities as an Clinical Supervisor LCSW you want with your current employer? We have an exciting ... of colleagues. Do you want to work as an Clinical Supervisor where your passion for creating...and evaluation of all therapy and related activities including clinical supervision, programming, policies, case management , education,… more
- Veterans Affairs, Veterans Health Administration (Madison, WI)
- Summary The Supervisor Dietitian ( Clinical Nutrition) position is located within the Nutrition & Food Service at the William S. Middleton Memorial Veterans ... into clinical practice and collaborate closely with the NFS Management Team. Assignments and Responsibilities: Serves as a professional and technical advisor… more