- Centene Corporation (Tallahassee, FL)
- …licensure as outlined by the applicable state required. Knowledge of BH utilization management principles preferred. Prior supervisory experience preferred ... **We're looking for two remote Supervisors of Behavioral Health Utilization Management to support our Florida market....you'll provide guidance and oversight to a team of Utilization Review Clinicians focused on behavioral health prior… more
- Centene Corporation (Jefferson City, MO)
- …key initiatives and to facilitate on-going communication between utilization management team, members, and providers + Monitors prior authorization, ... Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks UM resources to ensure… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …depending on customer and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of ... productivity and gain efficiencies for performance improvement opportunities in the Utilization Management Department. + Assists in updating departmental… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) ... clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA… more
- AmeriHealth Caritas (LA)
- …the direction of a supervisor , the Clinical Care Reviewer - Utilization Management evaluates medical necessity for inpatient and outpatient services, ... in a fast-paced environment. ;The Clinical Care Reviewer - Utilization Management will also be counted upon...home healthcare or a medical office setting. + Previous prior authorization experience is required.; + Proficiency in Electronic… more
- Actalent (Sunrise, FL)
- Utilization Management Nurse!Job Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing service authorization requests to ... Working under the general supervision of the Director and/or Manager/ Supervisor of Medical Management , and in collaboration...activities as assigned. Essential Skills + Clinical review + Utilization review + Utilization management … more
- Excellus BlueCross BlueShield (Rochester, NY)
- …encourage you to apply! Job Description: Summary: This position supports the Utilization Management (UM) workflows by providing administrative support and ... attendance is expected and required. + Performs other functions as assigned by management . Level II (in addition to Level I Accountabilities) + Assists and performs… more
- Dignity Health (Rancho Cordova, CA)
- …Summary:** Under the guidance and supervision of the department Manager/Director the Supervisor of Utilization Management is responsible and accountable ... sets (Medicare Guidelines InterQual Health Plan Benefit Interpretation Guidelines and Medical Management Policies and DHMF Utilization Management guidelines… more
- Ellis Medicine (Schenectady, NY)
- + The Supervisor of Case Management and Social Work (CMSW) assists with the daily operations of the Department. This person can assist with the hiring and ... of stay (LOS) and cost per case through resource management . + The Supervisor of CMSWS is...CMSWS assist with providing the link between compliance, clinical management , patient progression, gathering and reporting of utilization… more
- AdventHealth (Shawnee, KS)
- …at our hospital in Shawnee Mission, Kansas. **The role youll contribute:** The Care Management Supervisor is under the general leadership of the Care ... operations and supervision of team members in the Care Management department. The Care Management Supervisor...action plans + Balances schedules to meet department needs prior to posting + Communicates changes to expected schedule… more
- AdventHealth (Orlando, FL)
- …**Location:** 7727 LAKE UNDERHILL ROAD, Orlando, 32822 **The role youll contribute:** The Care Management Supervisor is under the general leadership of the Care ... operations and supervision of team members in the Care Management department. The Care Management Supervisor...action plans + Balances schedules to meet department needs prior to posting + Communicates changes to expected schedule… more
- Lactalis American Group Inc. (Londonderry, NH)
- … of maintenance planning and scheduling concepts. + Demonstrated understanding and prior utilization of storeroom management concepts. + Demonstrated ... Maintenance Supervisor Londonderry, NH (http://maps.google.com/maps?q=10+Burton+Drive+Londonderry+NH+USA+03053) Job Type Full-time Description...understanding and prior utilization of maintenance best practices. +… more
- Ellis Medicine (Schenectady, NY)
- …+ Candidates must have a minimum of 2-3 years leadership experience in Case Management , Utilization Management and/or Quality Assessment, or a minimum of ... oversees appropriate response + Responsible for coordination of processes including Utilization Management (UM), meetings, Committee reports, functions and… more
- Ventura County (Ventura, CA)
- Dietary Services Supervisor Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4920341) Apply Dietary Services Supervisor Salary $73,582.75 - ... schedules and assignments and sets priorities for the department to ensure maximum utilization of personnel to provide adequate coverage in processing the work; +… more
- ChenMed (North Miami Beach, FL)
- …license required if available in state. + A minimum of 2 years' onsite case management at ChenMed and/or utilization review or discharge planning in a hospital ... we need great people to join our team. The Supervisor , Intensive Community Care, RN is a multi-market leadership...serve as coach, mentor/trainer to all members of care management team, giving guidance in best practices, troubleshooting to… more
- Cedars-Sinai (Santa Monica, CA)
- …of the Foundation, including patient assignment, risk and specialty network structures, and utilization management . Functions as a key resource for staff and ... **Job Description** The Supervisor , Operations is responsible for the daily oversight...as liaison for areas of operational responsibility with facilities management , patient billing, utilization management ,… more
- Children's Home Healthcare (Van Alstyne, TX)
- …have excellent communication skills and willing to travel to patient homes + Utilization Management Experience + Reliable transportation for patient visits + ... Healthcare is now hiring for a Hybrid RN Clinical Supervisor /Case Manager! Children's HH is the premier leader in...Home Health services from insurance company. 7. Attend quarterly Utilization Review meetings as designated by the Director of… more
- Veterans Affairs, Veterans Health Administration (Fresno, CA)
- …of contact for the National HUD-VASH Program, VISN and VACO. The HUD-VASH Supervisor is responsible for direct Clinical Case Management /referral services in ... work assignment and review, as well as administrative and personnel management functions relative to the staff supervised. Incumbent observes workers' performance;… more
- Veterans Affairs, Veterans Health Administration (Fresno, CA)
- …all clinical and other patient care areas involved with the services. The HUD-VASH Supervisor is to provide clinical case management and supportive services to ... on the HUD Prioritization Notice, are admitted to case management to support the ongoing effort to end Veteran...improve Veteran's health and mental health needs. As the Supervisor , the incumbent assists in planning, establishing, and implementing… more
- Saint-Gobain (Williamsport, MD)
- …improvement will help determine their success. An important function of the Warehouse Supervisor I is the proper scheduling and utilization of people to ... position is night shift, 6 PM EST - 6 AM EST_** The Warehouse Supervisor I is responsible for ensuring daily efficient, accurate, and timely warehouse operations.… more
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