- 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 ... and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General...REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
- Hackensack Meridian Health (Hackensack, NJ)
- …and regulatory/payor requirements. The role integrates and coordinates utilization management, care coordination, discharge planning functions and performance ... improvement activities for the case managers. The Supervisor Case Management is accountable for the department's designated staff caseload and plans effectively in… more
- Centene Corporation (Salem, OR)
- …perspective on workplace flexibility. **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. **(Location must reside in Oregon)** + Monitors and… more
- CVS Health (Raleigh, NC)
- …3 months. Following training, position is remote with occasional in office requirement. Utilization Review - Precertification Nurse is responsible for ... care innovators. Fundamentals:Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit plan eligibility… more
- Billings Clinic (Billings, MT)
- …(https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! RN - Utilization Review (Full-time/Billings) CARE MANAGEMENT ... loan reimbursement Under the direction of department leadership, the Utilization Review / Management RN. This position is...At hire * Current Montana license as a Registered Nurse At hire * Current working knowledge of payer… more
- Commonwealth Care Alliance (Boston, MA)
- …case review , workflow review and other relevant business related to utilization review process. + Works in collaboration with the UM Manager to promote ... **Why This Role is Important to Us:** Supervisor & The Team Leader reports to the...and leadership with the development, refinement and enhancement of utilization management workflows, policies and procedures. + Participate in… more
- BayCare Health System (Cotton Plant, AR)
- …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
- Louisiana Department of State Civil Service (Jackson, LA)
- Registered Nurse Supervisor A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4556422) Apply Registered Nurse Supervisor A Salary ... based on experience This position has a Special Entrance Rate of pay Registered Nurse Supervisor A - $39.12/hr - $3129.60/bi-weekly Premium Pay paid for each… more
- Louisiana Department of State Civil Service (Reserve, LA)
- Registered Nurse Supervisor A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4553726) Apply Registered Nurse Supervisor A Salary ... of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. Receives physicians' instructions regarding patient… more
- Louisiana Department of State Civil Service (Jennings, LA)
- REGISTERED NURSE SUPERVISOR A-DAY/EVENING Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4249359) Apply REGISTERED NURSE ... of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. Receives physicians' instructions regarding patient… more
- MyFlorida (Orlando, FL)
- SENIOR REGISTERED NURSE SUPERVISOR Date: Jun 15, 2024 Location: ORLANDO, FL, US, 32814 The State Personnel System is an E-Verify employer. For more information ... No: 824969 Agency: Veterans Affairs Working Title: SENIOR REGISTERED NURSE SUPERVISOR Pay Plan: Career Service Position...that the residents are receiving total nursing care. + Review shift assignments and ensure that the assignments reflect… more
- Louisiana Department of State Civil Service (Jackson, LA)
- Registered Nurse Supervisor B Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4552850) Apply Registered Nurse Supervisor B Salary ... as, Nursing Policy and Procedure Committee, patient safety, quality assurance, and utilization review . Supervises the ordering of medical supplies and materials… more
- CDS Life Transitions (Webster, NY)
- …as assigned by supervisor . + Acts as Subject Matter Expert in Utilization Review and medical necessity criteria + Continually maintain clear, effective ... Summary: Utilization Management Reviewer (UR) is the critical evaluation...and medical necessity of those services + Compile and review the necessary documents and clinical records to effectively… more
- MyFlorida (Orlando, FL)
- OPS SENIOR REGISTERED NURSE SUPERVISOR Date: Jun 8, 2024 Location: ORLANDO, FL, US, 32814 The State Personnel System is an E-Verify employer. For more ... 829076 Agency: Veterans Affairs Working Title: OPS SENIOR REGISTERED NURSE SUPERVISOR Pay Plan: Health Care Practice...that the residents are receiving total nursing care. + Review shift assignments and ensure that the assignments reflect… more
- MyFlorida (Macclenny, FL)
- REGISTERED NURSE SUPERVISOR - 60043226 Date: Jun 7, 2024 Location: MACCLENNY, FL, US, 32063 The State Personnel System is an E-Verify employer. For more ... . Requisition No: 798141 Agency: Children and Families Working Title: REGISTERED NURSE SUPERVISOR - 60043226 Position Number: 60043226 Salary: $2,238.90 -… more
- HCA Healthcare (Georgetown, TX)
- …growth, we encourage you to apply for our Registered Nurse House Supervisor PRN opening. We review all applications. Qualified candidates will be contacted ... **Description** **Introduction** Do you have the PRN career opportunities as a(an) Registered Nurse House Supervisor PRN you want with your current employer? We… more
- HCA Healthcare (Austin, TX)
- …we encourage you to apply for our Registered Nurse House Supervisor opening. We promptly review all applications. Highly qualified candidates will ... environment where diversity and inclusion thrive? Submit your application for our Registered Nurse House Supervisor opening with St. David's North Austin Medical… more
- HCA Healthcare (Round Rock, TX)
- …personal growth, we encourage you to apply for our Registered Nurse Supervisor House PRN opening. We review all applications. Qualified candidates will be ... **Description** **Introduction** Do you have the PRN career opportunities as a(an) Registered Nurse Supervisor House PRN you want with your current employer? We… more
- HCA Healthcare (Richmond, VA)
- …path, we encourage you to apply for our House Admin Supervisor Registered Nurse RN PRN opening. We review all applications. Qualified candidates will be ... you have the career opportunities as a(an) House Admin Supervisor Registered Nurse RN PRN you want...will demonstrate fiscal responsibility by assuring appropriate departmental staffing utilization . + You will assure that all staff demonstrate… more
- AdventHealth (Maitland, FL)
- …Place, Maitland, FL 32751 **The role you'll contribute:** **The Care Management Supervisor is under the general leadership of the Care Management Manager or ... supervision of team members in the Care Management department.** **The Care Management Supervisor is responsible for the daily front line operations as assigned by… more