- UCLA Health (Los Angeles, CA)
- …and resolving simple and complex patient/provider issues related to the authorization and claims process. You will also conduct performance evaluations, counsel ... processing ambulatory commercial, Medicare Fee for Service, and Medicare Advantage prior authorizations desired + Knowledge of the HMO referral process, eligibility… more
- St Joseph's Addiction Treatment & Recovery Centers (Saranac Lake, NY)
- …Location: Inpatient Facility - Saranac Lake, NY Position: Full-time Utilization Review Specialist Shift/schedule: Monday-Friday, 8:00am-4:30pm Pay Range: $22.00/hour ... and insurance companies to support the admission process and ensure continued authorization for treatment across multiple program types. The position requires a… 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
- Excellus BlueCross BlueShield (Rochester, NY)
- …you to apply! Job Description: Summary: This position supports the Utilization Management (UM) workflows by providing administrative support and customer service. ... Services. + Serves as the primary contact for providers regarding authorization requests. + Contacts members and providers concerning regulatory requirements… more
- Geisinger (Danville, PA)
- Job Summary Obtain and secure prior authorization for high end procedures,hospital scheduled admissions and/or specialty patients. Verifies and completes ... + Assists physicians, insurance companies, employers, and others with requests concerning prior authorization to result in positive resolution. + Coordinates… 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
- WEC Energy Group (Milwaukee, WI)
- Operations Supervisor We Energies, a subsidiary of WEC Energy Group, is seeking a Operations Supervisor in our Milwaukee, Wisconsin location. About Us WEC Energy ... this is the place for you. Job Summary The Operations Supervisor manages internal resources, external contracted resources and business applications/processes based… more
- MyFlorida (Fort Myers, FL)
- ENVIRONMENTAL SUPERVISOR II - SES - 64035751 1 Date: Apr 24, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... No: 851800 Agency: Department of Health Working Title: ENVIRONMENTAL SUPERVISOR II - SES - 64035751 1 Pay Plan:...private water systems. Definitions for these systems and statutory authorization are found in section 381.0062 of the Florida… more
- Air National Guard Units (Duluth, MN)
- …Responsibilities Major Duties: This is not an all-inclusive list A AIRCRAFT MAINTENANCE SUPERVISOR (T32), WS, 8852, 12, (1) Planning: Plans the overall allocation of ... economical and efficient work operations. Analyzes production, cost and personnel utilization records and makes adjustment in operations to correct problems.… more
- Mount Sinai Health System (New York, NY)
- …Knowledge of practice operations, insurance processes, referrals, and authorization **Responsibilities** **Supervisory & Administrative Responsibilities** + Conducts ... benchmarks, including no-show, no-show (+) tracking, kiosk usage, MyChart Utilization /Activation, Pre-visit planning, and patient satisfaction. + Conducts daily… more
- Fallon Health (Worcester, MA)
- …Post-Acute authorization request data and disseminates information to the Utilization Nurses for review. Additionally, supports the authorization process by ... for all Utilization Management requests * Upload clinical to correct authorization , archive to correct folder * Handles an appropriately high volume of daily… more
- Air National Guard Units (Elmendorf AFB, AK)
- …Serves as the program manager for the fleet custodial account, vehicle authorization and utilization programs. Prepares and defends base level submission ... other budgetary accounts. Determines, coordinates, and ensures effective fleet utilization ; conducts and coordinates vehicle validations, establishes and maintains… 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
- Beth Israel Lahey Health (Beverly, MA)
- …difference in people's lives.** Under the general supervision of the designated supervisor (depending on the location) and in collaboration with a clinical overseer, ... registry health data for identified patient populations Monitors patient progress by utilization of disease specific registries to proactively reach out to patients… more
- Army National Guard Units (AR)
- …Makes recommendations regarding appropriateness of requests to the supervisor or higher-level Classification Specialist. 2. Performs position classification ... duties of positions covered by the State. This includes consulting with manager/ supervisor on needs for the position, assisting with job analysis when needed,… more
- Behavior Treatment & Analysis (Antioch, CA)
- …Review progress reports and submit to BTAs Quality assurance team at least 35 days prior from the authorization ending for each client. + Offer coaching and ... clients and providing clinical support to the Associate Clinical Supervisor (ACS). This role involves collaboration with the Executive...retention + Family Satisfaction + Staff billable hours + Utilization of hours in each case. + Excessive client… more
- Sharp HealthCare (Santee, CA)
- …problem, apologizing, tracking the situation, and then presenting it to the PT Supervisor , supervisor point of contact, or supporting clinical specialist (PT ... and customer service will be measured by PT Spec III or Supervisor observation, physician and peer feedback, SharpStar nominations and written or verbal… more
- Cardinal Health (New York, NY)
- …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
- Northern Light Health (Bangor, ME)
- …to appropriate depart/office. Documenting information in Patient's chart. Processing insurance referral/ prior authorization and document this per protocol + ... Care Organizations to gain full understanding of benefit coverage and precertification/ authorization , if appropriate + Quality review procedures are followed to… more
- Northern Light Health (Bangor, ME)
- …to appropriate depart/office. Documenting information in Patient's chart. Processing insurance referral/ prior authorization and document this per protocol. + ... Care Organizations to gain full understanding of benefit coverage and precertification/ authorization , if appropriate + Quality review procedures are followed to… more
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