- 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...business. **Knowledge, Skills and Abilities (KSAs)** + Oversight of Utilization Management clinicians while championing process improvement,… more
- Saint Francis Health System (OK)
- …placement in various levels of care and receipt of necessary services. The Utilization Management (UM) Registered Nurse will communicate with providers the ... Time \#ALDIND **MUST BE LOCAL IN THE TULSA AREA. HYBRID ROLE** **Shift: Full time weekend day Friday, Saturday,...nor does it prohibit the assignment of additional duties. Utilization Review Management - Yale Campus Location:… more
- Centene Corporation (Austin, TX)
- …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
- Dairyland Power Cooperative (La Crosse, WI)
- ** SUPERVISOR , VEGETATION MANAGEMENT ( Hybrid , La Crosse, WI)** **Hiring Salary for Level II: $99,900-149,900** _Compensation is determined by a combination of ... candidate's unique blend of experience, educational background, and skill level._ The Supervisor , Vegetation Management is responsible to direct the activities… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Inpatient Management Onsite Care Management Supervisor will direct and coordinate the activities of Onsite Care ... a week-to-week basis, management may occasionally approve the onsite care management supervisor to perform limited functions telephonically, at its sole… 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
- Eversource Energy (Plymouth, MA)
- …productivity of district/substation operations\. Responsible for monitoring district performance through utilization analyses\. This is a hybrid role\. The first ... utilization and workload trends and productivity\. Keeps district/substation management informed of results\. + Identifies, develops and implements work process… more
- BayCare Health System (Tampa, FL)
- …of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/RN responsibilities include:** + Functions as the ... necessity of outpatient observation and inpatient stays and the utilization of ancillary services + Perform other duties as...services + Perform other duties as assigned by the supervisor including but not limited to processing concurrent denials.… more
- California Energy Commission (Sacramento, CA)
- Data Management and Analytics Unit Supervisor PROGRAM AND PROJECT SUPERVISOR , PUBLIC UTILITIES COMMISSION $12,562.00 - $15,724.00 per Month New to State ... Position Details Job Code #: JC-501077 Position #(s): ###-962 Working Title: Data Management and Analytics Unit Supervisor Classification: PROGRAM AND PROJECT … more
- Eversource Energy (Hartford, CT)
- …CPT, TN, J\-1, O\-1, etc\.\)\. _Eversource supports work\-life balance by offering hybrid schedules for certain roles\. Eligibility is based on job responsibilities, ... with the third day set by the employee and supervisor based on department needs\. These guidelines apply to...or should the policy change\._ The Senior Engineer, Asset Management will have the primary responsibility for ensuring that… more
- University of Utah Health (Salt Lake City, UT)
- …years of Case Management experience. + Two years working as a supervisor or equivalency. **Licenses Required** + Current license to practice as a Registered ... This position is responsible for the day to day management of the Case Management Department. Plans,...of direct reports. + Functions as Case Manager and/or Utilization Review Nurse as necessary. + Tracks and analyzes… more
- Cedars-Sinai (CA)
- …emphasis on visualization, efficiency, and automation required. Three (3) plus years of Management / Supervisor experience in a Healthcare IT team. Two (2) plus ... " list, which highlights hospitals that have excelled in the utilization of electronic functionalities, telemedicine, digital imaging, artificial intelligence and… more
- Eversource Energy (Manchester, NH)
- …CPT, TN, J\-1, O\-1, etc\.\)\. _Eversource supports work\-life balance by offering hybrid schedules for certain roles\. Eligibility is based on job responsibilities, ... Tuesdays and Wednesdays, with the third day set by the employee and supervisor based on department needs\. These guidelines apply to roles approved for remote… more
- Cedars-Sinai (Los Angeles, CA)
- …of service cash collections and cash flow, and provide efficient and appropriate utilization of resources. Acts as a resource for team members by assisting with ... and CSMC policies and procedures, performance feedback and evaluations, change management , and cost containment efforts. Responsible for the integrity of the… more
- Eversource Energy (Westwood, MA)
- …CPT, TN, J\-1, O\-1, etc\.\)\. _Eversource supports work\-life balance by offering hybrid schedules for certain roles\. Eligibility is based on job responsibilities, ... Tuesdays and Wednesdays, with the third day set by the employee and supervisor based on department needs\. These guidelines apply to roles approved for remote… more
- Ramsey County (Plato, MN)
- …professional experience in public health, environmental health, community health, health information management , or supervisor of operations in a related field. ... Public Health Program Supervisor Print (https://www.governmentjobs.com/careers/ramsey/jobs/newprint/5160818) Apply Public Health Program Supervisor Salary… more
- CVS Health (Houston, TX)
- …product, and services offerings, as well as resolving any issues with respect to the utilization of the product. The position will be a part of a high performing ... probing questions, and demonstrating superior listening skills. + Document in the hybrid field sales integrated tech stack the call interactions, COIs, and lead… more
- Arizona Public Service (Phoenix, AZ)
- …and workplace evolution to inform investment decisions. Workplace Strategy & Space Management + Direct space planning, utilization , and move management ... Supervisor , Facilities Strategy and Planning Apply now "...enterprise growth and operational performance. Real Estate & Portfolio Management + Oversee real estate acquisitions, dispositions, and lease… more
- Guidehouse (Lewisville, TX)
- …Required** **:** None **What You Will Do** **_This position is classified under a Hybrid schedule consisting of two days working in the Lewisville, TX office and ... three days working from home._** The **Hospital Project Supervisor PFS** is responsible for overseeing the daily operations...overseeing the daily operations of a project(s) and the management of the project staff inclusive of onsite Team… more
- Cuyahoga County Board of Developmental Disabilities (Cleveland, OH)
- …+ Supervise the practice of Service and Support Administration. + Collaborate with management team to plan and develop or modify local practice in response to ... Prior Authorization Review Process, implementation of AAI Administrative Review, and utilization of Medicaid State Plan Services. Deliver technical assistance to… more