- 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
- Integra Partners (Troy, MI)
- The Utilization Management (UM) Nurse Supervisor is responsible for providing direct leadership and oversight to the UM nursing team. This role ensures team ... in a payer or managed care environment. + Strong understanding of utilization review , authorizations, and appeals processes. + Excellent verbal/written… more
- Centene Corporation (Columbus, OH)
- …STATE OF OHIO IDEAL CANDIDATE WILL HAVE PRIOR AUTHORIZAION OR UTILIZATION MANAGEMENT EXPERIENCE PEOPLE LEADER EXPERIENCE STRONGLY PREFERRED **Position Purpose:** ... Supervises Prior Authorization, Concurrent Review , and/or Retrospective Review Clinical ...ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks UM resources… 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
- AdventHealth (Orlando, FL)
- …you'll contribute:** The Population Health Case Manager (PHCM) ensures effective utilization and case management oversight activities as defined by inter ... best practices, agency policies/processes. Ensures clear and appropriate visit utilization using evidence-based and best practice guidelines to achieve positive… more
- Bassett Healthcare (Little Falls, NY)
- …discuss specific positions in our conversations. What you'll do The Registered Professional Nurse (RN), Acute Care in the Emergency Department 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. +… more
- Bassett Healthcare (Oneonta, 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… 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 1 Date: Sep 2, 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
- University of Washington (Seattle, WA)
- **Job Description** The Assistant Nurse Manager (ANM) supports and collaborates with the Unit Manager in the day-to-day operations of their designated unit (s) ... coordination in collaboration with the clinical education department and/or Clinical Nurse Specialist assigned to specific patient populations or projects. The ANM… more
- MyFlorida (Port Saint Lucie, FL)
- …policies and procedures. Work under the direct supervision of the Senior Registered Nurse Supervisor . + Receive verbal orders, including telephone orders from ... REGISTERED NURSE Date: Sep 4, 2025 The State Personnel...and procedures. + Monitor physician's orders for completion. + Review and follow-up on resident incidents or complaints. +… more
- Veterans Affairs, Veterans Health Administration (Walla Walla, WA)
- …through the utilization of the nursing process. The RCP Clinical Nurse Coordinator is responsible for the triage and care coordination of complex patients, ... Summary The Clinical Nurse Coordinator position is located within the Referral...Veteran medical care and services based on a clinical review . Responsibilities Duties include, but are not limited to:… 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
- MyFlorida (Orlando, FL)
- …policies and procedures. Works under the direct supervision of the Senior Registered Nurse Supervisor . + Receive verbal orders, including telephone orders from ... REGISTERED NURSE Date: Sep 5, 2025 The State Personnel...and procedures. + Monitor physician's orders for completion. + Review and follow-up on resident incidents or complaints. +… more