- 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)
- Job Title: Behavioral Health Utilization Review NurseJob Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing requests ... collaboration with the interdisciplinary team, the UMN handles tasks related to utilization review across various specialties, medical treatments, and services.… more
- Ventura County (Ventura, CA)
- …the general and specialized principles, practices, techniques and methods of utilization review /management, discharge planning or case management. + utilize ... Senior Registered Nurse - Hospital Management Utilization Print...Supervisor Pay - $4.00 per hour + Charge Nurse Premium Pay - $1.50 per hour + Float… 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 (Sacramento, CA)
- …perspective on workplace flexibility. **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… more
- MyFlorida (Chattahoochee, FL)
- REGISTERED NURSE SUPERVISOR - 60005446 Date: Sep 11, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 858609 Agency: Children and Families Working Title: REGISTERED NURSE SUPERVISOR - 60005446 Pay Plan: Career Service Position Number:… more
- University of Colorado (Colorado Springs, CO)
- Nurse Family Partnership Nurse Supervisor & Instructor - Clinical Practice - 37436 Faculty **Description** **The University of Colorado Colorado Springs will ... work visas or permanent resident applications for this position** ** Nurse Family Partnership Nurse Supervisor ...Oversees and ensures timely and accurate data input and utilization of the web-based reports and other reports available… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW** To maintain front end operations of the Case Management Department by ... Word + Strong Communication skills Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West **Responsibilities** **A. Clinical/Technical/Service**… more
- AmeriHealth Caritas (Washington, DC)
- …efficiently document and assess patient cases. + Strong understanding of utilization review processes, including medical necessity criteria, care coordination, ... ON BONUS** **Role Overview:** Under the direction of a supervisor , the Clinical Care Reviewer - Utilization ...cases are escalated to the Medical Director for further review . The reviewer independently applies medical and behavioral health… more
- Dignity Health (Rancho Cordova, CA)
- …with achieving and maintaining compliance with quality improvement, risk management, and utilization review strategies. **Skills for success in the role:** + ... **Job Summary and Responsibilities** **Supplemental Day Home Health Supervisor - weekend coverage 0830-1700** **Job Summary:** We...We are seeking a dedicated and experienced Home Care Supervisor to lead our large progressive Home Health Agency… more
- Bassett Healthcare (Cooperstown, NY)
- …specific positions in our conversations. What you'll do The Registered Professional Nurse (RN), Acute Care in the Operating Room / Perioperative Services unit ... 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. +… more
- Bassett Healthcare (Cooperstown, NY)
- …and enjoy the best quality of life possible. What you'll do The Discharge Nurse is accountable for the delivery of safe patient care utilizing the nursing process. ... The Discharge Nurse assesses, plans, delivers, coordinates, integrates, and evaluates nursing...than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback +… more
- Bassett Healthcare (Cobleskill, NY)
- …Schoharie County and the surrounding region" 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… 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
- HCA Healthcare (Houston, TX)
- …planning, implementation and overall evaluation of individual patient needs. Care coordination, utilization review and management, as well as discharge planning ... physicians and other members of the team on issues related to utilization review including inappropriate admissions and placements. Payer-based requests… 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 1 Date: Oct 1, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 857808 Agency: Veterans Affairs Working Title: SENIOR LICENSED PRACTICAL NURSE - 50000083 1 Pay Plan: Career Service Position Number: 50000083… more
- MyFlorida (Orlando, FL)
- …Estimator Tool (https://compcalculator.myflorida.com/) Requisition # 857206 SENIOR REGISTERED NURSE SUPERVISOR Florida Department of Veterans' Affairs ... claim (degrees, certifications, etc.) to your application. *Other vacant Sr. Registered Nurse Supervisor positions (shifts), including OPS (Temporary), may be… more