- Repligen (Clifton Park, NY)
- …expanding and growing and we are currently seeking to add an experienced Production Supervisor , 2nd shift. This supervisor will oversee all aspects of the second ... efficiency. Aid in troubleshooting equipment as needed to maximize machine utilization . Supervise, coach, and develop manufacturing staff to ensure a motivated… more
- Legend Biotech USA, Inc. (Raritan, NJ)
- …inbound, outbound, storage, and replenishment. Work with and assist inventory management systems and execute cycle count and reconciliation activities to ensure ... inventory accuracy. Support the optimization and efficient utilization of the warehouse space. Assist in regulatory inspections, perform safety and quality audits,… more
- JobElephant (Bowling Green, OH)
- …and leading the operational and logistical functions for BGSU Firelands Events Management activities. This position acts as project manager for external clients to ... Space; Set-up; Dates/Times). All records must be entered into the event management system for all event information and contracts, R25 for space reservations,… 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 ... adherence to performance, compliance, quality, and efficiency standards + Collaborates with utilization management team to resolve complex care member issues +… more
- Molina Healthcare (Los Angeles, CA)
- …services professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term ... **Essential Job Duties** * Assists in implementing health management , care management , utilization management , behavioral health and other program… more
- AmeriHealth Caritas (Washington, DC)
- …the direction of a supervisor , the Clinical Care Reviewer - Utilization Management evaluates medical necessity for inpatient and outpatient services, ... overtime, and weekends based on business needs. **Responsibilities:** + Conduct utilization management reviews by assessing medical necessity, appropriateness of… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print... Review Nurse is an RN that has Case Management experience whose primary charge is to ensure that ... (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE SUPERVISOR I Salary $111,656.88 - $167,136.48 Annually Location Los… more
- Martin's Point Health Care (Portland, ME)
- …Summary The Supervisor is responsible for day-to-day operations of the utilization review team, which includes clinical and non-clinical staff, in the areas of ... years of medical management experience in a managed care setting including utilization review + RN experience in a clinical setting required + Leadership and/or … more
- Hackensack Meridian Health (Edison, NJ)
- …a leader of positive change. The role of ** Supervisor , Care Management ** integrates and coordinates utilization management , care coordination, discharge ... acute care setting. + Familiar with hospital resources, community resources, and/or resource/ utilization management . + Care coordination, case management or… more
- Ventura County (Ventura, CA)
- Senior Registered Nurse - Hospital Management Utilization Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5061650) Apply Senior Registered ... Nurse - Hospital Management Utilization Salary $118,668.43 - $141,888.74 Annually...+ Preceptor Pay - $2.50 per hour + House Supervisor Pay - $4.00 per hour + Charge Nurse… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) ... authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role...requirements are met + Additional duties as requested by supervisor + Maintains knowledge of CMS, State and NCQA… 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
- Actalent (Sunrise, FL)
- Job Title: Behavioral Health Utilization Review NurseJob Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing requests for ... reports on department activities as assigned. Essential Skills + Experience in utilization management , behavioral health, and mental health. + Proficiency in… more
- Catholic Health Services (Melville, NY)
- …Utilization and Appeals Coordinator will perform activities to help facilitate utilization management and appeals functions to include coordination of ... payment related activities. Position Responsibilities: + Prepares necessary documentation for utilization management and appeals processes, performs data … more
- Citizenship and Immigration Services (Camp Springs, MD)
- … Management Division, Headquarters Asset Management Branch. As a Management and Program Analyst (National Utilization Officer), you will coordinate, ... property, and fleet programs. Responsibilities Serves as the USCIS National Utilization Officer (NUO) managing the agency's property reutilization program. Plans and… more
- Helio Health Inc. (Syracuse, NY)
- …Educate program staff on current principles and standards of practice surrounding utilization and denials management . + Use effective relationship management ... review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ourSyracuse… more
- Mount Sinai Health System (New York, NY)
- …Excel and Word + Strong Communication skills Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West **Responsibilities** **A. ... **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW** To maintain front...EOW** To maintain front end operations of the Case Management Department by monitoring all incoming correspondence and ensuring… more
- Ascension Health (Baltimore, MD)
- …for resources and removal of barriers. + Maintain ongoing dialog with supervisor and other health providers to ensure effective implementation of health plan. ... of hire. **Additional Preferences** + One year of **recent** experience in Case Management required. + Local and national travel options are available depending on… more
- Northeast Alabama Regional Medical Center (Anniston, AL)
- Under the direction of the Case Management Coordinator, coordinates, negotiates, procures and manages the care of patients to facilitate achievement of positive ... care as appropriate. Participates in performance improvement initiatives related to the management of patient care. Works with physicians to ensure accurate and… more
- State of Massachusetts (Brockton, MA)
- …of Mental Health* **Title:** *DMH Child Youth and Family Case Management Supervisor - Human Services Coordinator II* **Location:** *Massachusetts-Brockton-165 ... Supervisor has the responsibility of monitoring performance and utilization of assigned Area or Site-based CYF contracts and...and liaison to the Community Service Agencies. The CYF Supervisor will oversee case management and administrative… more
