- Commonwealth Care Alliance (Boston, MA)
- …**Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) Reviewer is responsible for day-to-day ... service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has...requirements are met + Additional duties as requested by supervisor + Maintains knowledge of CMS, State and NCQA… more
- Alameda Health System (Oakland, CA)
- Clinical Nurse V + Oakland, CA + Highland General Hospital...MCH/OB Clinic (K6) + Full Time - Day + Management + $64.00- $96.00 + Req #:42878-31844 + FTE:1 + ... on each nursing unit for which responsible. Promotes effective and economic utilization of personnel and supplies. Monitors utilization of personnel and… more
- Alameda Health System (Oakland, CA)
- Clinical Nurse IV + Oakland, CA + Highland General Hospital + Emergency + Full Time - Night + Management + TBD + Req #:43134-32050 + FTE:1 + Posted:November 4, ... of Administration during after hours, weekends, and holidays. Resource for the supervisor is the Administrator on-call; assumes a leadership role within the hospital… more
- ERP International (San Diego, CA)
- **Overview** ERP International is seeking a full-time **Registered Nurse (RN) Health Educator** supporting **Naval Medical Center San Diego, CA ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- Luminis Health (Annapolis, MD)
- …This role supports succession planning for additional roles, such as clinical supervisor and nurse educator. Essential Job Duties: Work collaboratively with ... appropriate staffing through effective planning and communication with the OR Clinical Supervisor or Charge Nurse and the Surgical Staff Scheduler. Collaborate… more
- Kaiser Permanente (Clackamas, OR)
- Description: Job Summary: The Charge Nurse , under the direct and indirect supervision of the Nursing Unit Coordinator, Assistant Coordinator and/or Hospital ... Supervisor facilitates and assists with all levels of nursing...working shift. In addition to these responsibilities, the Charge Nurse frequently assumes all or partial staff nurse… more
- Battelle Memorial Institute (Columbus, OH)
- …operations and high-quality patient care. **Responsibilities** + Assist with the management and treatment of outpatient behavioral health activities + Under the ... supervision of a licensed psychiatrist, social worker, psychiatric nurse or psychologist, responsible for providing a wide range of behavioral health interventions… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I...SPECIAL REQUIREMENTS INFORMATION: * An Utilization Review Nurse is an RN that has Case Management ... Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE SUPERVISOR I Salary $111,656.88 - $167,136.48… more
- Centene Corporation (Sacramento, CA)
- …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 performance, compliance, quality, and efficiency standards + Collaborates with utilization management team to resolve complex care member issues +… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE** : Supervise the daily operations of the utilization management (UM) department functions to ensure appropriate coordination ... of business. **Knowledge, Skills and Abilities (KSAs)** + Oversight of Utilization Management clinicians while championing process improvement, change adoption… more
- Commonwealth of Pennsylvania (PA)
- Registered Nurse Supervisor - Torrance State Hospital (3rd Shift) Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5159110) Apply ... Registered Nurse Supervisor - Torrance State Hospital (3rd...goals. Make assessments and decisions in regard to staff utilization , supplies and equipment needs in accordance with safety… more
- Saint Francis Health System (Tulsa, OK)
- …not all inclusive nor does it prohibit the assignment of additional duties. Utilization Management - Laureate Campus Location: Tulsa, Oklahoma 74136 **EOE ... in the Patient Care Committee for patient care reviews, and in Utilization Review Staff Committee, providing data and contributing to improvement of internal… more
- AmeriHealth Caritas (LA)
- …Under the direction of the Supervisor , the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical necessity ... using InterQual and American Society of Addiction Medicine (ASAM) criterion + Utilization management experience within a managed care organization desired +… more
- State of Colorado (Denver, CO)
- Off Hours Nurse Supervisor - Nurse III (Internal Pool) - Colorado Mental Health Hospital Fort Logan Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5132944) Apply Off Hours Nurse Supervisor - Nurse III (Internal Pool) - Colorado Mental… more
- University of Utah Health (Salt Lake City, UT)
- …reassign staff based on census and workload, adhering to the Nurse Utilization Policy. + Assist Hospital Supervisor and Nursing Leadership in identifying ... are integral to our mission. EO/AA_ + The Staff Utilization Coordinator is responsible for providing healthcare operational support...care needs. + The role also involves proactive daily management to secure staff for open shifts to ensure… more
- HCA Healthcare (Manchester, NH)
- …**Introduction** Do you have the PRN career opportunities as a(an) PRN House Supervisor RN Registered Nurse you want with your current employer? We ... caring group of colleagues. Do you want to work as a(an) PRN House Supervisor RN Registered Nurse where your passion for creating positive patient interactions… more
- Ascension Health (Baltimore, MD)
- …time of hire. **Additional Preferences** + One year of **recent** experience in Utilization Management required. + Local and national travel options are ... for resources and removal of barriers. + Maintain ongoing dialog with supervisor and other health providers to ensure effective implementation of health plan.… more
- BayCare Health System (Tampa, FL)
- …Occasional + **On Call:** No **Certifications and Licensures:** + Required RN (Registered Nurse ) + Preferred ACM (Case Management ) + Preferred CCM (Case Manager) ... Required 2 years in Utilization Review or + Required 2 years in Case Management or + Required 3 years Registered Nurse + Preferred experience in Critical… more
- Trinity Health (Syracuse, NY)
- …strong orientation program and opportunities for continued education and growth. The Registered Nurse Supervisor is a dynamic leadership role that contributes to ... the operational management of the unit to promote and support an...by various licensing, regulatory, and accreditation bodies. An RN Supervisor maintains a working knowledge of policies and procedures… more
- Sea Mar Community Health Centers (Seattle, WA)
- …assist providers in procedures. + Facilitate emergency referrals according to the utilization management guidelines when the referral coordinator is unavailable. ... Mar is a mandatory COVID-19 and flu vaccine organization Nurse Floor Supervisor - Posting #27405 Hourly...patients who have yet to be seen. Responsible for management of nurse visit encounters. These will… more
