- Centene Corporation (Columbus, OH)
- …between utilization management team, members, and providers + Monitors prior authorization , concurrent review, and/or retrospective clinical review nurses ... EXPERIENCE PEOPLE LEADER EXPERIENCE STRONGLY PREFERRED **Position Purpose:** Supervises Prior Authorization , Concurrent Review, and/or Retrospective Review… more
- Fallon Health (Worcester, MA)
- …expectations. The FH Authorization Coordinator serves to administer the FH prior authorization process as outlined in the Plan Member Handbook/Evidence of ... when the authorization meets the criteria listed in the appropriate Prior Authorization Protocol, authorizations not meeting protocol parameters are prepared… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …coverage denials cannot be overturned. + Appropriately escalates complex cases to Drug Authorization Supervisor or Manager of Prior Authorizations. + ... + 1 year of clinical and/or related experience required. Case Management, Utilization Review and/or Prior Authorization experience is preferred.… more
- State of Massachusetts (Brockton, MA)
- …The CYF Supervisor has the responsibility of monitoring performance and utilization of assigned Area or Site-based CYF contracts and serving as the Service ... Authorization to providers and case managers. The CYF Supervisor position is a community-facing position that serves to...in child/adolescent behavioral health services. . Experience as a supervisor . . Prior experience as a case… more
- WEC Energy Group (Milwaukee, WI)
- Operations Supervisor We Energies, a subsidiary of WEC Energy Group, is seeking an Operations Supervisor in our Milwaukee, Wisconsin location, a part of our CSO ... Milwaukee Area Operations. This is a job family (Operations Supervisor / Sr Operations Supervisor ) where experience is the determining factor. About Us WEC… more
- Samaritas (Charlotte, MI)
- Position Details MENTAL / BEHAVIORAL HEALTH CLINICAL SUPERVISOR - CHARLOTTE Are you a licensed clinician with a passion for supporting recovery and leading others? ... Join our mission-driven team as a Clinical Substance Use Disorder Supervisor , where your leadership will directly impact lives and shape the future of behavioral… more
- ASM Global (Houston, TX)
- …north dock at NRG Stadium and NRG Center. + Ensuring all shipments received have prior authorization and verifying with the tenant any shipmentswithout prior ... has an excellent and immediate opening for a Dock Supervisor at NRG Park in Houston, Texas. NRG Park...Standards, applicable local codes and NFL's Best Practices. + Utilization of a variety of technological software, platforms, and… more
- Mohawk Valley Health System (Utica, NY)
- …SNH is responsible for the oversight of the case management staff's authorization /coordination/ utilization and provision of member services. Duties include the ... RN Supervisor Case Management - Full Time - Days...direct oversight of the case manager's daily operations of utilization review practice, processes and procedures ensuring accurate member… more
- ICL (Gallipolis Ferry, WV)
- …oversite of Production Operator and Production Utility personnel. As the production supervisor , you will ensure effective utilization of equipment; short ... Supervisor , Production Lead or a Process Operator. + Prior experience in a supervisory role. + Must be...J or TN, or who need sponsorship for work authorization now or in the future, are not eligible… more
- University of Colorado (Aurora, CO)
- …Clinics. + Successfully monitors Esketamine patients from the referral process to the prior authorization process to the REMS registration process to scheduling, ... **Office Supervisor - TMS and Esketamine Clinic, Department of...staffing needs, supplies, and equipment. Monitors inventory and supply utilization . Assists the Practice Manager in the ordering processes… more
- Army National Guard Units (Carson City, NV)
- Summary This position is for a AMMUNITION INSPECTOR SUPERVISOR , PD# D2283000, part of the Nevada Army National Guard. The purpose of this position is to supervise ... executing ammunition inspections, explosive handling, and transportation operations. The supervisor plans the use of personnel, equipment, facilities and material… more
- Army National Guard Units (Columbus, OH)
- Summary This National Guard position is for a SURFACE MAINTENANCE MECHANIC SUPERVISOR , Position Description Number D1296000 and is part of the OH G4 SMO CSMS, Ohio ... purpose of this position is to serve as a Full Assistant to a supervisor who has responsibility for providing overall direction and coordination of subordinate work… more
- Army National Guard Units (VA)
- …POSITION. This National Guard position is for a Surface Maintenance Mechanic Supervisor (Title 32) (Permanent), Position Description Number D1295000 and is part of ... the VA MATES, National Guard. Responsibilities As a Surface Maintenance Mechanic Supervisor , WS-5801-13, you will perform the below duties: Planning: Plans on a… more
- WEG Electric Corp. (Duluth, GA)
- Accounts Payable Supervisor /Management Accountant **Department:** Finance **Location:** Duluth, GA About the role: ... (https://apply.hrmdirect.com/resumedirect/ApplyOnline/Apply.aspx?req\_id=3477150&source=3477150-CJB-0) The Accounts Payable (AP) Supervisor -Management Accountant will primarily oversee a small team of… more
- Philips (Reedsville, PA)
- The Production Operations Supervisor (3rd shift) is responsible for managing a compact team, preparing financial forecasts, conducting performance appraisals, ... direction. + Optimizes manufacturing performance by improving productivity, equipment utilization , and efficiency metrics. Enhances operational effectiveness. + Provides… more
- Philips (Colorado Springs, CO)
- The Production Operations Supervisor is responsible for managing a compact team, preparing financial forecasts, conducting performance appraisals, maximizing ... by meticulously optimizing key metrics such as productivity, equipment utilization , cost of non-quality, and overall efficiency, thereby enhancing operational… more
- University of Rochester (Rochester, NY)
- … Management, Social Work, Patient Accounts, Medical Records, Home Care Coordinators, Prior Authorization Teams, Contracting and Finance. + Works closely with ... the quality, productivity, and efficiency of the Health Insurance and Authorization teams and identifying ongoing opportunities for process improvements and… more
- Siemens Energy (Charlotte, NC)
- …through Thursday starting at 5:30am and ending at 4:00pm. You will start your workday prior to the arrival of the team, to allow time to understand all project ... performance against operating plans and standards. Supervise the department for overall Utilization and Efficiency. Communicate and resolve issues with ME team for… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Specialist provides administrative support for any of the programs of Utilization Management, Behavioral Health, Quality Management, or Member Care Management. This ... division. + Serves as the primary contact for providers regarding authorization , information requests, claim inquiries and benefits. Provides triage assistance to… more
- University of Michigan (Ann Arbor, MI)
- …is unique in that it combines clinical/quality considerations with regulatory/financial/ utilization review demands. The position creates a balance between individual ... clinical needs with the efficient and cost effective utilization of resources while promoting quality outcomes. **Organizational Relationships** The RN Case Manager… more
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