- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW ... information regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to...implemented for compliance, as needed. + As a unit supervisor at the LA General Medical Center: + Has… 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 ... and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General...REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
- Actalent (Sunrise, FL)
- Utilization Management Nurse !Job Description The ...on department activities as assigned. Essential Skills + Clinical review + Utilization review + ... Working under the general supervision of the Director and/or Manager/ Supervisor of Medical Management, and in collaboration with an...or LPN License. + Minimum of one year of utilization review experience and discharge planning in… more
- AmeriHealth Caritas (Newark, DE)
- …efficiently document and assess patient cases. + Strong understanding of utilization review processes, including medical necessity criteria, care coordination, ... + Demonstrated ability to meet productivity standards in a fast-paced, high-volume utilization review environment. + Availability to work Monday through Friday,… more
- AmeriHealth Caritas (Washington, DC)
- …to efficiently document and assess patient cases + Strong understanding of utilization review processes, including medical necessity criteria, care coordination, ... **Role Overview** Under the direction of a supervisor , the Clinical Care Reviewer - Utilization...ability to meet productivity standards in a fast-paced, high-volume utilization review environment The range displayed in… more
- AmeriHealth Caritas (Philadelphia, PA)
- **Role Overview** Under the direction of the unit Supervisor , the Clinical Care Reviewer- Shift Care is responsible for managing requests for pediatric shift care ... the case is presented to the Medical Director for medical necessity review . Upon approval of services, responsibilities include timely notification and education to… more
- Commonwealth Care Alliance (Boston, MA)
- …clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA ... CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is… more
- Centene Corporation (Jefferson City, MO)
- …flexibility. **_ Remote Role _** **Position Purpose:** Supervises Prior Authorization, Concurrent Review , and/or Retrospective Review Clinical Review team to ... ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks UM resources to ensure adherence to… more
- Centene Corporation (Tallahassee, FL)
- …this leadership role, you'll provide guidance and oversight to a team of Utilization Review Clinicians focused on behavioral health prior authorizations.** **If ... you have experience in managed care, behavioral health utilization review , and leadership, we want to...Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required… more
- ChenMed (Winter Park, FL)
- …in state. + A minimum of 2 years' onsite case management at ChenMed and/or utilization review or discharge planning in a hospital at ChenMed. Special permission ... we need great people to join our team. The Supervisor , Intensive Community Care, RN is a multi-market leadership...patients achieve optimal health, access to care and appropriate utilization of resources. + Consults with, encourages and influences… more
- Bassett Healthcare (Cooperstown, NY)
- …discuss specific positions in our conversations. What you'll do The Registered Professional Nurse (RN), Acute Care in the Special Care unit is accountable for the ... needs. The RN contributes to the support of patients through interdisciplinary teamwork. Registered Nurse I: The RN I status is only appropriate for a new nurse… more
- Bassett Healthcare (Delhi, NY)
- …enjoy the best quality of life possible. What you'll do The Registered Professional Nurse I, Acute Care is accountable for the delivery of safe patient care ... and job description is only appropriate for a new nurse in the first year of practice, as support...than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. Analyzes… more
- Bassett Healthcare (Delhi, NY)
- …enjoy the best quality of life possible. What you'll do The Registered Professional Nurse II, Acute Care is accountable for the delivery of safe patient care ... no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. Analyzes assessment data to… more
- Fresenius Medical Center (New York, NY)
- …and programs. Collaborates with the Medical Director and the Clinical Coordinator /Charge Nurse or Nurse Supervisor regarding the provision of quality ... oversight as needed to, the Clinical Coordinator/Charge RN or Nurse Supervisor acting as nurse ...+ Addressing patient concerns, issues, and questions including the review of patient satisfaction surveys. + Developing and communicating… more
- STG International (Milledgeville, GA)
- …made or filed by your assigned personnel; make appropriate reports to the Charge Nurse / Nurse Supervisor as required or as necessary. + Collaborate with ... the procedures for reporting hazardous conditions or equipment. + Recommend to the Charge Nurse / Nurse Supervisor the equipment and supply needs of your… more
- MyFlorida (Land O' Lakes, FL)
- SENIOR LICENSED PRACTICAL NURSE - 50000083 Date: Jul 1, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 853668 Agency: Veterans Affairs Working Title: SENIOR LICENSED PRACTICAL NURSE - 50000083 Pay Plan: Career Service Position Number: 50000083 Salary:… more
- Veterans Affairs, Veterans Health Administration (Hampton, VA)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... Duties include but not limited to: Community Living Center (CLC) Registered Nurse (RN) is responsible for providing competent, evidence-based care to assigned… more
- MyFlorida (Bunnell, FL)
- …Open Competitive This position under the supervision of the Senior Registered Nurse Supervisor and Nursing Director as assigned. Primary duties include ... SENIOR REGISTERED NURSE - 64068640 Date: Jul 2, 2025 The...Performs other job-related duties as delegated by the nursing supervisor . Participates in record review for quality… more
- City of New York (New York, NY)
- …CAS Visiting Psychiatric Services (VPS) Unit is recruiting for two (2) Psychiatric Nurse Practitioner for the roles below. Under the supervision of the Medical ... for independent judgement within NYS licensing guidelines, the VPS Psychiatric Nurse Practitioner is responsible for performing psychiatric evaluations of clients at… more
- Health Advocates Network (Dallas, PA)
- …practices. Work is reviewed and evaluated by a Registered Nurse Supervisor , physician or dentist through observation, review of reports and conferences ... shift. Charge nurses make assessments and decisions in regard to staff utilization and supplies and equipment needs. Charge nurse supervises paraprofessional… more
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