- City of Coronado, CA (Coronado, CA)
- …Exempt The Organization The City of Coronado is Accepting Applications for Utility Supervisor The City of Coronado is seeking qualified candidates for the position ... of Utility Supervisor in the Wastewater-Storm Water Division of the Public...rehabilitation and storm drain rehabilitation; determine work assignments and utilization of staff, equipment, and materials; and train staff… more
- Regional One Health (Memphis, TN)
- …special precautions, missed doses, etc. when indicated. * Contacts providers concerning prior authorization and medical necessity drugs for third party insurers ... method of administration. * Consults on drug therapy, drug regimen review and drug utilization review. * Consults on drug storage and control. * Consults on research… more
- Cultivate Behavioral Health and Education (Frisco, TX)
- …Manager, Local Operations Team, and Staff to ensure quality of care, authorization utilization , and implementation of treatment plans as appropriate. The ... and Responsibilities Supervise and manage staff, including BCBAs, Program Supervisor , Apprentices, Training Coordinator, Program Specialist, Senior Technicians, RBTs,… more
- Actalent (Sunrise, FL)
- …direct utilization and capture data effectively. Responsibilities + Review prior authorization requests for medical necessity and appropriateness, utilizing ... a liaison between the Medical Director, physicians, and office staff, resolving prior authorization issues. + Communicate denial determinations to providers when… more
- Commonwealth Care Alliance (Boston, MA)
- …Duties & Responsibilities:** + Conducts timely clinical decision review for services requiring prior authorization in a variety of clinical areas, including but ... 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager...Knowledge, Skills & Abilities (must have):** + Experience with prior authorization and retrospective reviews + Proficiency… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …advocate between Dana Farber Cancer Institute and various health plans. Reporting to the Prior Authorization Supervisor , the Clinical Authorization ... be overturned. + Appropriately escalates complex cases to Drug Authorization Supervisor or Manager of Prior...year of clinical and/or related experience required. Case Management, Utilization Review and/or Prior Authorization … more
- Dignity Health (Rancho Cordova, CA)
- …and the appropriate application of policies and guidelines to Managed Care prior authorization referral requests. Under general supervision this position is ... Summary:** Under the guidance and supervision of the department Manager/Director the Supervisor of Utilization Management is responsible and accountable for… more
- AmeriHealth Caritas (LA)
- …clinical experience in home healthcare or a medical office setting. + Previous prior authorization experience is required.; + Proficiency in Electronic Medical ... **Responsibilities:** Under the direction of a supervisor , the Clinical Care Reviewer - Utilization...a supervisor , the Clinical Care Reviewer - Utilization Management evaluates medical necessity for inpatient and outpatient… more
- ChenMed (Winter Park, FL)
- …rapidly expanding and we need great people to join our team. The Supervisor , Intensive Community Care, RN is a multi-market leadership position responsible for ... guidance to their team. Directly reporting to the Manager of ICC, this Supervisor is responsible for their teams members assigned patient case load whose role… more
- ASM Global (Houston, TX)
- …north dock at NRG Stadium and NRG Center. + Ensuring all shipments received have prior authorization and verifying with the tenant any shipmentswithout prior ... has an excellent and immediate opening for a Dock Supervisor at NRG Park in Houston, Texas. NRG Park...Standards, applicable local codes and NFL's Best Practices. + Utilization of a variety of technological software, platforms, and… more
- Molina Healthcare (Savannah, GA)
- …this family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns ... and comply with CMS guidelines. These staff may also be involved in providing utilization management/ prior authorization services as needed. * Supervises the… more
- Mohawk Valley Health System (Utica, NY)
- …SNH is responsible for the oversight of the case management staff's authorization /coordination/ utilization and provision of member services. Duties include the ... RN Supervisor Case Management - Full Time - Days...direct oversight of the case manager's daily operations of utilization review practice, processes and procedures ensuring accurate member… more
- MyFlorida (Spring Hill, FL)
- DOCUMENT SPECIALIST SUPERVISOR - SES - 64041156 1 Date: Jul 22, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... 857224 Agency: Department of Health Working Title: DOCUMENT SPECIALIST SUPERVISOR - SES - 64041156 1 Pay Plan: SES...back up to Medical Records Tech, process medical records, authorization to disclose. HMS clinic schedule maintenance. Patient Flow… more
- Nobis Works (Atlanta, GA)
- Job Descriptions: Position Summary: The Supervisor , Youth Educational Services will oversee day-to-day operations of Tommy Nobis Centers Early Youth Employment ... at the highest level of quality, + Responsible for acquiring service authorization and maintaining adequate reporting records for each individual receiving services.… more
- Guidehouse (Ojai, CA)
- …**What You Will Do** **:** **Supervisory Responsibilities:** Patient Access Supervisor supervises employees and operations within the Admitting, Emergency Admitting ... complaints and resolving problems. + Implements departmental organization through the Utilization and maintenance of schedules and the adherence to Human Resources… more
- Air National Guard Units (Eielson AFB, AK)
- …Air National Guard. PDCN: D2180P01 / D2181P01 MPCN: 889707 Selecting Supervisor : James Meyer Responsibilities GS-09 - Administers classified and unclassified local ... and software and develops base wide network operating procedures. Analyzes LAN utilization statistics through data collection and performance measures to ensure the… more
- Veterans Affairs, Veterans Health Administration (Miami, FL)
- …follows a capabilities model to achieve goals for eligibility, referral and authorization , care coordination, and utilization management to ensure improved ... improving the Veteran's experience and outcomes. Defines mental health policies, utilization management process and procedures, financial and utilization reports… more
- Beth Israel Lahey Health (Westwood, MA)
- …and master an understanding of product and payer reimbursement landscape and prior authorization guidelines and processes. Collects and communicate all data ... needed to facilitate prior authorization approvals. Convey status updates as...not limited to), delivery, vaccination, synchronization and mobile app utilization . + Handle returns of merchandise and immediately notify… more
- Air National Guard Units (Reno, NV)
- …is to perform preliminary planning and long term forecasting of utilization of aerospace vehicles, engines, and associated support equipment. Responsibilities 1. ... for advising, planning and coordinating aircraft maintenance requirements and utilization scheduling between maintenance, operations, and external organizations. Actively… more
- Cardinal Health (TN)
- …is to provide a detailed outline of clearance criteria as well as prior authorization and advocacy identification for procedures and medications scheduled to ... to representatives for benefit investigation as well as clinical clearance for prior authorization and medical necessity + Extensive patient education/counseling… more
