- Butterball (Mount Olive, NC)
- …maintaining safety culture and ensuring continuous improvement through the utilization of Butterball Operating System Solutions (BOSS). Supports and empowers ... with the ability to effectively interact at all levels Solid data review , critical thinking, and problem-solving skillsStrong attention to detail Basic math skills… more
- 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
- Centene Corporation (Cheyenne, WY)
- …on workplace flexibility. **Position Purpose:** Supervises the behavioral health (BH) utilization review clinicians to ensure appropriate care for members ... of BH utilization management team. + Monitors behavioral health (BH) utilization review clinicians and ensures compliance with applicable guidelines +… more
- Sharp HealthCare (San Diego, CA)
- …or clinical experience in area of specialty. + 2 Years clinical experience in Utilization Review , Discharge Planning and/or Case Management in a hospital and/or ... **What You Will Do** Supervisory responsibility for the acute care utilization management team. This position supervises, provides oversight and coordination of… more
- WellLife Network (Lake Success, NY)
- QA Utilization Review Specialist - QAS043 -...needed or directed. + Attend trainings as assigned by supervisor , within and outside of the agency. + Maintain ... Hybrid Education Level Graduate Degree Salary Range $26.44 - $28.85 Hourly QA Utilization Review Specialist About WellLife Network:WellLife Network is a leading… more
- BayCare Health System (St. Petersburg, FL)
- …foundation of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior responsibilities include:** + Functions ... services + Perform other duties as assigned by the supervisor including but not limited to processing concurrent denials....Nursing or Business **Experience:** + Required 2 years in Utilization Review or + Required 2 years… more
- BayCare Health System (Clearwater, FL)
- …foundation of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior responsibilities include:** + Functions ... services + Perform other duties as assigned by the supervisor including but not limited to processing concurrent denials....Nursing or Business **Experience:** + Required 2 years in Utilization Review or + Required 2 years… more
- Amity Foundation (Tucson, AZ)
- …building. Remembrance, Resolution, Reconciliation, Restoration, Renewal Job Summary: As the Utilization Review Specialist, you will contribute to the ... under pressure generated by association with substance abuse students. Title: Utilization Review Specialist Reports To: Dragonfly Program Director Job… more
- Stanford Health Care (Palo Alto, CA)
- …and Abilities** + Knowledge of principles and best practices of case management, utilization review , social work, care coordination and discharge planning. + ... Here, your leadership, coaching, and mentoring would further develop our robust, Utilization Management team. Are you driven by health care innovation, partnerships,… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …This position is responsible for coordinating, integrating, and monitoring the utilization of physical health (PH) medical and healthcare services for members, ... regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review . Refer to and work closely with Case Management to address member… more
- Catholic Health Services (Melville, NY)
- …timely follow through. | Reviews providers' requests for services and coordinates utilization /appeals management review . | Assist Utilization and Appeals ... was named Long Island's Top Workplace! Job Details Position Summary: The Utilization and Appeals Coordinator will perform activities to help facilitate … more
- City and County of San Francisco (San Francisco, CA)
- …of changes in billing regulations, collection procedures and Utilization Review guidelines. The 1663 Patient Accounts Supervisor also performs related ... DPH for the duration of the eligible list. Under direction, the Patient Accounts Supervisor assigns, supervises and reviews the work of staff engaged in the billing,… more
- 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
- CoreCivic (Brentwood, TN)
- …TN office location._ The Utilization Management/Case Management Nurse provides Utilization Review and Case Management functions for the organization under ... in planning care. Creates plan for care across the continuum. + Performs utilization review ensuring admissions meet criteria for appropriateness of care and… more
- Providence (Anaheim, CA)
- **Description** Under the direction of the Utilization Supervisor / Manager, this position is responsible for the distribution, review , accurate and timely ... Assistant Certification (CMA) upon hire. + 1 year of experience in utilization management or case management with experience in medical terminology and coding.… more
- Trinity Health (Muskegon, MI)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The Pharmacy Supervisor is a licensed registered pharmacist accountable for leading, managing ... / or programs that support direct or indirect patient care. The Pharmacy supervisor promotes and advocates for patients, pharmacists / colleagues and the practice of… more
- Children's Aid (Manhattan, NY)
- Social Work Supervisor (MST-SA) 2/3/25Full Time--Manhattan Job ID: 007485 Description: Manhattan Family Services Center (60 Lafayette St, 3rd Floor) $72,000 - ... truancy and failing grades. **Position Summary:**The**Multi-systemic Treatment-Substance Abuse (MST-SA) Supervisor **in our Family Assessment Program (FAP) will serve the… more
- Children's Aid (Bronx, NY)
- Social Work Supervisor (FFT) 2/28/25Full Time--Bronx Job ID: 007611 Description: Bronx Family Services Center (958 East 176th St) $72,000 - $78,000 Sign-On Bonus ... Eligible **Position Summary:**The**Functional Family Therapy (FFT) Supervisor **in our Family Assessment Program (FAP) will serve the combined roles of an… more
- HCA Healthcare (Asheville, NC)
- …satisfaction and personal growth, we encourage you to apply for our Supervisor Pharmacy Medication Reconciliation opening. We promptly review all applications. ... integrity. We care like family! Jump-start your career as a(an) Supervisor Pharmacy Medication Reconciliation today with Mission Hospital. Benefits Mission Hospital,… more
- 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
