- Sharp HealthCare (San Diego, CA)
- …requirements for the position, and employer business practices. **What You Will Do** The UM Resource Coord-SCMG serves as a resource to the various teams in the SCMG ... UM Department. Prepares referral requests for outpatient services, elective...and authorizes medical services that meet medical criteria. The review of care is region specific and consists of… more
- Sharp HealthCare (San Diego, CA)
- …Sharp Extended Care (SEC) provider on site and/or telephonically. Keeps SEC Nurse Supervisor or SEC provider of any adverse development, delay in discharge or ... Informs quality department of any quality issues. + Chart review Performs a comprehensive review of medical...issues. + Chart review Performs a comprehensive review of medical history, doctor's orders, progress notes, therapy… more
- LA Care Health Plan (Los Angeles, CA)
- …the safety net required to achieve that purpose. Job Summary The Supervisor , Authorization Technician supports the Utilization Management ( UM ) Specialist by ... Supervisor , Authorization Technician Job Category: Clinical Department: Utilization...Technicians Leads, Authorization Technician and clerical staff in the UM department. Ensure Associate Supervisors are providing consistent and… more
- Dignity Health (Rancho Cordova, CA)
- …Under the guidance and supervision of the department Manager/Director, the Supervisor of Utilization Management is responsible and accountable for coordination of ... supervision this position is responsible for coordinating the daily operations of the UM Pre-Authorization team in order to ensure requests are processed in a… more
- University of Michigan (Ann Arbor, MI)
- Asset Supervisor Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the first page of your resume. ... skills and experience that directly relate to this position. **Summary** The Asset Supervisor 's primary function is to coordinate and supervise the daily work of… more
- LA Care Health Plan (Los Angeles, CA)
- …RN II is responsible for ensuring that delegates contracted to perform Utilization Management ( UM ) functions on behalf of LA Care (LAC) is in compliance with all ... UM regulatory requirements and new legislation through the maintenance...through these processes. Prepares the Delegation Oversight Department for review by external regulatory bodies. Ensures that the Delegation… more
- Centene Corporation (Raleigh, NC)
- …perspective on workplace flexibility. **Position Purpose:** Supervises Prior Authorization, Concurrent Review , and/or Retrospective Review Clinical Review ... day-to-day activities of utilization management team. + Monitors and tracks UM resources to ensure adherence to performance, compliance, quality, and efficiency… more
- University of Michigan (Ann Arbor, MI)
- Pharmacy Technician Supervisor Apply Now **Mission Statement** Michigan Medicine improves the health of patients, populations and communities through excellence in ... + 2:1 Match on retirement savings **Responsibilities As the Pharmacy Technician Supervisor , you will be responsible for performing activities relating to and… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... of Psychiatry has an exciting opportunity for a full-time Supervisor , Research Laboratory to work on the UHealth campus....its sub-studies, reporting to Dr. Deborah Jones at the UM Miller School of Medicine in Miami. In addition… more
- University of Michigan (Ann Arbor, MI)
- Allied Health Supervisor Senior Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the first page of ... objectives, and the Michigan Medicine mission. The Allied Health Supervisor will oversee the supervision of daily operations, partner...posted for a minimum of seven calendar days. The review and selection process may begin as early as… more
- University of Miami (Miami, FL)
- …. The University of Miami is currently seeking a Supervisor , Medical Technologists to work at the UM ... Miami. The incumbent will supervise laboratory personnel and schedules. The Supervisor , Medical Technologists will participate and assign weekly responsibilities to… more
- Immigration and Customs Enforcement (IN)
- …Management b. Resolution of complex and time sensitive utilization related issues c. Collection, review , tracking, and reporting of UM related data on a local, ... for Healthcare Compliance, Office of Health Plan Management. The Senior Utilization Review Consultant will report directly to the IHSC Regional Utilization Manager… more
- Billings Clinic (Billings, MT)
- …here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Utilization Review RN CARE MANAGEMENT (Billings Clinic Main ... loan reimbursement Under the direction of department leadership, the Utilization Review / Management RN. This position is to conduct initial, concurrent,… more
- Pacific Medical Centers (Seattle, WA)
- **Description** The Supervisor Care Management RN is responsible for the supervision of case management (CM) and utilization management ( UM ) functions of US ... referrals are reviewed and processed in a timely manner. It includes timely review of medical necessity and authorization for all admitted patients and outpatient… more
- InnovaCare (San Juan, PR)
- …the business. MMM Holdings, Inc.Job Description Inpatient Unit POSITION: Concurrent Review Nurse (CRN) POSITION DESCRIPTION Manages the inpatient utilization of ... visits to Acute, SNF, and Rehabilitation Inpatient facilities to concurrently review admissions and continued stay to determine appropriate Utilization, Quality… more
- Sharp HealthCare (Santee, CA)
- …the problem, apologizing, tracking the situation, and then presenting it to the PT Supervisor or supporting clinical specialist (PT II or PT III) for resolution in a ... and customer service will be measured by PT Spec III or Supervisor observation, physician and peer feedback, SharpStar nominations and written or verbal… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Nurse Utilization Management ( UM ) Reviewer is responsible for day-to-day timely clinical and service authorization ... review for medical necessity and decision-making. The Nurse Utilization...of service decisions and organizational determinations. The Utilization Management ( UM ) Reviewer is responsible for day-to-day timely clinical and… more
- The Arora Group (Bethesda, MD)
- …high cost diagnoses. + Independently perform difficult and complex assessment, review , coordination, planning, monitoring, evaluation and analysis of cases. + Screen ... to the Nurse Manager, and take direction from the charge nurse and house supervisor as required in maintaining a safe environment for staff and patient(s). +… more
- University of Michigan (Dearborn, MI)
- …interpersonal and communication skills. **Who We Are** The University of Michigan-Dearborn ( UM -Dearborn) is one of the three campuses of the University of Michigan ... system. UM -Dearborn is a comprehensive university offering high-quality undergraduate, graduate,...action requests) including salary changes, student terminations, change in supervisor , change in working title. + Posts all temporary… more
- University of Michigan (Ann Arbor, MI)
- … UM Health Department of Pharmacy Services and to review our Annual report, please visit our website: https://www.medicine.umich.edu/dept/pharmacy **COMPETITIVE ... successful completion and submission of the following: + Completed application via the UM Careers website + Letter of Intent or Cover Letter + Updated curriculum… more