- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** Supervise the daily operations of the utilization management (UM) department functions to ensure appropriate coordination ... who is willing and able to work in a hybrid model. The incumbent will be expected to work...standards and federal/state regulations and general principles relating to utilization review. + Computer skills, including Microsoft Office programs.… more
- Centene Corporation (Madison, WI)
- …Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks UM resources to ensure ... performance, compliance, quality, and efficiency standards + Collaborates with utilization management team to resolve complex care...holidays, and a flexible approach to work with remote, hybrid , field or office work schedules. Actual pay will… more
- AmeriHealth Caritas (Dublin, OH)
- **RN Clinical Care Reviewer, Concurrent Review, Utilization Management ** Location: Dublin, OH Primary Job Function: Medical Management ID**: 34460 **Job ... a 24/7, 365 basis. Under the direction of the supervisor , the Clinical Care Reviewer UM is responsible for...acute care (SNF/rehab/LTAC) experience required. + 1+ years of Utilization Management experience desired, preferably in a… more
- Banner Health (Tucson, AZ)
- …team format. PREFERRED QUALIFICATIONS Previous experience with behavioral health utilization management . Additional related education and/or experience ... opportunities and innovative employment options by offering remote and hybrid work settings. In the role of a Behavioral...work settings. In the role of a Behavioral Health Utilization Care Manager, you will be tasked with assignments… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Paralegal Supervisor is an advanced position for an experienced paralegal with a track record of management skills and ... a demonstrated interest in leadership. The Paralegal Supervisor is responsible for the daily supervision and training of the CareFirst Office of Corporate Counsel's… more
- Adecco US, Inc. (San Jose, CA)
- Adecco Healthcare is searching for a **Psychological Assessment Clinical Supervisor ** to join our client's team in **San Jose, CA** . **Job Summary** The ... Psychological Assessment Clinical Supervisor is responsible for the supervision of psychological assessment...interns, trainees, staff, and clients. - Skilled in the utilization of an electronic health record for documenting clinical… more
- Children's Hospital Boston (Boston, MA)
- …Title:Surgical Scheduler I- Ophthalmology ( hybrid )Department:OphthalmologyAutoReqId:76886BRStatus:Full-TimeStandard Hours per Week:40 Job Posting ... and evaluate scheduling procedures and developing strategies to promote efficient utilization of surgical suites. 7. Responding to requests for routine information… more
- Kinder Morgan (Houston, TX)
- Analyst-Application Development Lead ( HYBRID ) Job ID #: 29032 Location: TX-HOUSTON Functional Area: Technology Position Type: Full Time Experience Required: 5 - 7 ... originality and ingenuity. Incumbents work with minimum supervision, conferring with supervisor on unusual matters. Incumbent will ensure that assigned business… more
- Johns Hopkins University (Baltimore, MD)
- …distribution of time among surgeons, personnel productivity and suite utilization . Oversees the surgical, pre-operative and admission processes and applications ... for both Adult and Pediatric services. Actively monitoring of block time utilization and re-distribution of block time for both services. Serves as a resource for… more
- Dartmouth Health (Lebanon, NH)
- …* Work with clinic leadership to understand current statistics and achieve future utilization and case volumes goals. * Obtain and deliver any required paperwork, ... and processes for surgical and procedural scheduling. Collaborate with manager and supervisor to implement changes. * Collaborate with other surgical and procedural… more
- 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...* Work with the Program Director to ensure that utilization meets the performance-based funding requirement of at or… more
- Children's Home Healthcare (Richardson, TX)
- …have excellent communication skills and willing to travel to patient homes + Utilization Management Experience + Reliable transportation for patient visits + ... LICENSE* Children's Home Healthcare is now hiring for a Hybrid RN Clinical Supervisor /Case Manager! Children's HH...Home Health services from insurance company. 7. Attend quarterly Utilization Review meetings as designated by the Director of… more
- Little City Foundation (Chicago, IL)
- …from within Little City's Community-Based Clinical Services program. The Clinical Mental Health Supervisor 's job is hybrid remote, and time will be split between ... Clinical Mental Health Supervisor Job Details Job Location Chicago - Chicago,...The omission of an essential function does not preclude management from assigning duties not listed herein is such… more
- Children's Aid (Manhattan, NY)
- Social Work Supervisor (MST-CAN) 8/9/24Full Time--Manhattan Job ID: 007220 Description: Manhattan Family Services Center (60 Lafayette St, 3rd Floor) $72,000 - ... $77,000 Sign-On Bonus Eligible **Position Summary :**The**Social Work Supervisor **serves the combined roles of an Administrative Supervisor and Model … more
- Guidehouse (Mitchell, SD)
- …for account resolution. Ability to find solutions to problems and keeping management informed of patterns regarding payments and or other issues with specific ... denials for trends and issues and reports findings to supervisor . + Bills or re-bills claims as necessary. +...+ Appropriately documents each account worked in client practice management system. + Makes necessary corrections in client practice… more
- VCA Animal Hospitals (Bedford Hills, NY)
- …people in our community we are in search of a **Veterinary Technician** **Specialty Supervisor ** ! We are looking for an individual with supervisor experience to ... Service teams as a **Veterinary Technician ER & Specialty Supervisor ** . This is a great opportunity for a...**What Makes Katonah Bedford Unique?** We are a 24/7/365 Hybrid hospital. Supporting the general practice teams, and offering… more
- ARAMARK (Nashville, TN)
- …the FA function from basic data entry to producing customized detailed reports for management through utilization of the Oracle Fixed Asset System and related ... data management queries. Strong accounting skills are needed for success...role. This position reports directly to the Fixed Assets Supervisor . **Job Responsibilities** + Reviews, reconciles and analyzes all… more
- The Cigna Group (Bloomfield, CT)
- …Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor , Sr. Manager, Director, and Other Administrators. Provider Performance Enablement ... Maintain contracted provider demographic records by validating and submitting all data management requests for completion. + Prepare for and participate in meetings… more
- Hackensack Meridian Health (Edison, NJ)
- …and maintain relationships with community-based partners to facilitate referrals and resource utilization . + Database Management : a. Oversee the management ... mission to transform healthcare and serve as a leader of positive change. The ** Supervisor of Social Determinants of Health (SDOH) Data** plays a critical role in… more
- University of Michigan (Ann Arbor, MI)
- HIM SUPERVISOR - COMPLIANCE & AUDITING AND VITAL STATISTIC Apply Now **Job Summary** **BASIC FUNCTION AND RESPONSIBILITY** Direct and coordinate all activities ... & Clinical Risk, and Revenue Cycle / Billing / Utilization Review. Ensure timely response to all auditing and...+ Bachelor?s Degree in Health Information Technology, Health Information Management , or relevant area of study is required. +… more