- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) ... and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA meets… more
- Riverside Community Care (Lynnfield, MA)
- Riverside Community Care Love what you do! Senior Clinical Supervisor - Lynnfield Outpatient Riverside seeks a Senior Clinical Supervisor , also know as ... medication management to help achieve personal recovery goals. The Clinical Team Manager (CTM) supervises the outpatient treatment provided by clinicians within… more
- CHRISTUS Health (Longview, TX)
- …the daily operations of a Nursing department on a 24-hour basis. The Supervisor collaborates with other clinical and ancillary departments to meet organizational ... Description Summary: The RN Supervisor is accountable for supervising the delivery of high-quality, cost-effective care to patients. Responsible in assisting the… more
- Commonwealth Care Alliance (Boston, MA)
- …Patient Access Operations and in direct partnership with Care Delivery Business Ops and Clinical Management teams, the Supervisor partners in ensuring the ... Team members and/or other Clinical staff and management . In addition, the Supervisor is the...mentor, and coach - Able to support teams with utilization of telehealth technologies (video, chat, etc.) to support… more
- Stony Brook University (Stony Brook, NY)
- … - Immunology - Evening **Position Summary** At Stony Brook Medicine, a ** Clinical Laboratory Technologist/Shift Supervisor ** is a valuable member of our team, ... skills while adhering to our high standard of excellence. **Duties of a Clinical Laboratory Technologist/Shift Supervisor may include but are not limited to… more
- Tidelands Health (Myrtle Beach, SC)
- …Team Tidelands and help people live better lives through better health!** ** Supervisor Provider Coding Specialist** Are you passionate about quality and committed to ... bring our healing mission to life each day. **A Brief Overview** The Supervisor , Provider Coding Specialist under the general supervision of the Coding Manager, is… more
- Alameda Health System (Oakland, CA)
- Clinical Nurse V + Oakland, CA + Highland General Hospital...FQ MCH/OB Clinic (K6) + Full Time - Day + Management + $64.00- $96.00 + Req #:42878-31844 + FTE:1 + ... on each nursing unit for which responsible. Promotes effective and economic utilization of personnel and supplies. Monitors utilization of personnel and… more
- Alameda Health System (Oakland, CA)
- Clinical Nurse IV + Oakland, CA + Highland...Services As Needed / Per Diem - Varies + Management + $76.03-$106.89 + Req #:42315-31381 + FTE:0.01 + ... of Administration during after hours, weekends, and holidays. Resource for the supervisor is the Administrator on-call; assumes a leadership role within the hospital… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …opportunity! Please note this position aligns to PST business hours.** The **Manager, Case Management ** Team is a Supervisor for Case Managers. This position is ... training in Motivational Interviewing + Experience training clinical and non- clinical staff + Experience managing case management teams and integrated… more
- Stanford Health Care (Palo Alto, CA)
- …Is responsible for managing the workflow of assigned areas in the Clinical Laboratory or Anatomic Pathology, designing and maintaining schedules. Participates in ... Acts as a resource for problem resolution in assigned areas of the Clinical Laboratory or Anatomic Pathology and collaborates with the Section supervisor … more
- Stanford Health Care (Palo Alto, CA)
- …Operations Manager is responsible for the administrative and technical management of Technical Services Testing Operations, which includes: Testing/Processing, ... and technical laboratory problems. May perform federal regulatory responsibilities as General Supervisor defined in 42 CFR 493.1243 if delegated by the laboratory… more
- ERP International (San Diego, CA)
- …Operate and manipulate automated systems such as ADS, MHS Genesis participate in clinical staff Performance Improvement (PI) and Risk Management (RM) functions, ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- Centers for Independence (Milwaukee, WI)
- …Case Manager will work collaboratively with an integrated treatment team to provide clinical direction and support to a pool of clients. Case managers will develop ... evolving goals and client-centered interventions. Reporting Relationships Reports To: Clinical Coordinator - CSP Direct Reports: none Essential Job Functions:… more
- ERP International (San Antonio, TX)
- …to support ERP's Health Solutions division** with contract and operations management . ERP's Clinical Services Division encompasses comprehensive healthcare and ... Possess:** * Proven experience as a PM managing DHA/DoD Clinical Contracts and Contract Health Care Employees. * Must...healthcare contractor with at least 500 employees, in a supervisor or management role + Experience managing… more
- Alameda Health System (Oakland, CA)
- …**SUMMARY:** Under the general direction of a physician and the department supervisor , serves as the technical lead for the cardiac sonographers in reviewing ... to improve imaging quality, reviewing daily assignments with staff and management , performs complex diagnostic ultrasound procedures of the cardiovascular system for… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... net required to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM)...in Nursing Experience Required: Minimum of 7 years of acute/ clinical care experience. Minimum of 2 years of experience… more
- AmeriHealth Caritas (Washington, DC)
- …ON BONUS** **Role Overview:** Under the direction of a supervisor , the Clinical Care Reviewer - Utilization Management evaluates medical necessity for ... overtime, and weekends based on business needs. **Responsibilities:** + Conduct utilization management reviews by assessing medical necessity, appropriateness of… more
- Molina Healthcare (San Francisco, CA)
- … and non- clinical team activities to facilitate integrated, proactive utilization management , ensuring compliance with regulatory and accrediting standards. ... + 3+ years clinical nursing experience. + 2+ years utilization management experience. + Experience demonstrating leadership skills. **Required License,… more
- Centene Corporation (Sacramento, CA)
- … 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 to performance, compliance, quality, and efficiency standards + Collaborates with utilization management team to resolve complex care member issues +… more
- Centene Corporation (Madison, WI)
- …to ensure appropriate care for members and supervises day-to-day activities of BH utilization management team. + Monitors behavioral health (BH) utilization ... changes everything for our 28 million members as a clinical professional on our Medical Management /Health Services...performance, quality, and efficiency standards + Works with BH utilization management team to resolve complex BH… more
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