- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR ...for medical care evaluation studies. + Attends Utilization Review Committee meetings to inform the ... I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE SUPERVISOR I Salary $111,656.88 -… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II...over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, ... Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR II Salary $118,457.04 - $177,314.88… more
- Spectrum Billing Solutions (Skokie, IL)
- …revenue cycle management company for healthcare organizations. We are looking to add a Utilization Review (UR) Supervisor to our growing team. The UR ... information to ensure medical necessity and compliance of utilization review guidelines. + Obtain initial and continuing authorization for treatment… more
- Henry Ford Health System (Troy, MI)
- …system-wide improvements and operational processes to ensure optimal and compliant utilization review strategies. Under minimal supervision from the Manager ... GENERAL SUMMARY: The Supervisor of Utilization Management has an...Ford is one of the nation's most respected academic medical centers and is leading the Future of Health:… more
- AmeriHealth Caritas (LA)
- …Systems to efficiently document and assess patient cases. + Strong understanding of utilization review processes, including medical necessity criteria, care ... a supervisor , the Clinical Care Reviewer - Utilization Management evaluates medical necessity for inpatient...ability to meet productivity standards in a fast-paced, high-volume utilization review environment. + Availability to work… more
- AmeriHealth Caritas (Washington, DC)
- …Systems to efficiently document and assess patient cases. + Strong understanding of utilization review processes, including medical necessity criteria, care ... the direction of a supervisor , the Clinical Care Reviewer - Utilization Management evaluates medical necessity for inpatient and outpatient services,… more
- BJC HealthCare (St. Louis, MO)
- …performing care for hospitalized patients. + 2 years of utilization review (UR) experience reviewing hospital admissions for medical necessity + Must ... Evaluate the cost and quality of medical services provided by the medical team. Ensure appropriate utilization , which includes the evaluation of potential… more
- Commonwealth Care Alliance (Boston, MA)
- …for day-to-day timely clinical and service authorization review for medical necessity and decision-making. The Utilization Management Reviewer has a ... to the Utilization Management Manager. * Conducts timely clinical decision review for services requiring prior authorization in a variety of clinical areas,… more
- Commonwealth Care Alliance (Boston, MA)
- …for day-to-day timely clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has ... 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager...**Essential Duties & Responsibilities:** + Conducts timely clinical decision review for services requiring prior authorization in a variety… more
- Helio Health Inc. (Syracuse, NY)
- …degree preferred. + Licensed/credentialed applicants preferred. + Two years of experience in utilization review in a hospital, health care, or managed care ... of federal and state regulations applicable to treatment and reimbursement. + Utilization review procedures and techniques. Our Comprehensive Employee Benefits… more
- Mount Sinai Health System (New York, NY)
- …State & Federal regulation. + Enters concurrent review information for Review Nurses in Allscripts + Obtains/Prepares Medical Records and other documentation ... **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW** To maintain front...record keeping. Responsible for accurate filing of records, obtaining medical records and mailing of both internal and external… more
- Molina Healthcare (Milwaukee, WI)
- …Care Access and Monitoring team responsible for prior authorizations, inpatient/outpatient medical necessity/ utilization review , and/or other utilization ... right place at the right time. + Functions as a hands-on supervisor , coordinating and monitoring clinical and non-clinical team activities to facilitate integrated,… more
- Dignity Health (Rancho Cordova, CA)
- …years Utilization experience required in health plan/UM operations, Acute or subacute utilization review . - Graduate of an accredited school of nursing. - BS ... Summary:** Under the guidance and supervision of the department Manager/Director the Supervisor of Utilization Management is responsible and accountable for… more
- Select Medical (Fort Worth, TX)
- …**Baylor Scott & White Institute for Rehabilitation** Fort Worth, TX **Nursing Supervisor ** Inpatient Rehab **Day shift (6:45 am - 7:15 pm)** Compensation depends ... years of experience. **Minimum Pay Rate: 35.00/hr.** **Benefits of becoming a Nursing Supervisor with us:** + Team-oriented and collaborative culture + Paid Time Off… more
- Rush University Medical Center (Chicago, IL)
- **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Pediatrics-Res Adm **Work ... Associate Clinical Research Coordinators, Clinical Research Coordinators, volunteers, and/or medical students working in the pediatric research areas under the… more
- HCA Healthcare (San Antonio, TX)
- …and personal growth, we encourage you to apply for our Laboratory Supervisor opening. We promptly review all applications. Highly qualified candidates ... Do you have the career opportunities as a Laboratory Supervisor you want with your current employer? We have...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- Children's Home Healthcare (Albuquerque, NM)
- …authorizations for Home Health services from insurance company. 7. Attend quarterly Utilization Review meetings as designated by the Director of Professional ... Home Healthcare is now hiring for a RN Clinical Supervisor /Case Manager! Children's HH is the premier leader in...on a 60 days basis per company policy. 9. Review /approve plan of care and all related documents prior… more
- RWJBarnabas Health (Elizabeth, NJ)
- …+ Provides the Director with regular updates/summaries of key performance indicators, quality review and feedback, and productivity / utilization of staff + ... Supervisor , Emergency Dept- Patient Access ServiceReq #:0000202569 Category:Leadership Status:Full-Time Shift:Evening Facility:Trinitas Regional Medical Center… more
- Commonwealth of Pennsylvania (PA)
- Registered Nurse Supervisor (2nd Shift) - Selinsgrove Center Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5002155) Apply Registered Nurse ... Supervisor (2nd Shift) - Selinsgrove Center Salary $96,225.00 -...services. You can expect to participate in the development, review , training and implementation of center policies and procedures.… more
- City of Asheville (Asheville, NC)
- …applications are received. Education and Experience SKAs/Performance Aptitudes: + Data Utilization : Requires the ability to review , classify, categorize, ... Shop Supervisor Print (https://www.governmentjobs.com/careers/ashevillenc/jobs/newprint/5023862) Apply Shop Supervisor...access to the City of Asheville's benefit suite including Medical , Dental, and Life insurance options + Enrollment in… more