- Southeast Georgia Health System (Brunswick, GA)
- …or reassigning staff to ensure adequate staffing levels and collaborating with nurse management team and staffing coordinator. Trains and/or assists in ... program Tuition reimbursement Legal services plan plus more! As a Registered Nurse Unit Supervisor , you will be responsible for the independent… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …Staff on a designated shift including the effective and efficient allocation, utilization , and management of the financial, human, and material resources. ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:7 Days on 7 Days OffNortheast Georgia Health System is rooted in a foundation of improving the health of… more
- TulaRay (Frackville, PA)
- …of professional nursing practices. Work is reviewed and evaluated by a Registered Nurse Supervisor , physician or dentist through observation, review of reports ... shift. Charge nurses make assessments and decisions in regard to staff utilization and supplies and equipment needs. Charge nurse supervises paraprofessional… more
- Sutter Health (Alameda, CA)
- …maintained at all times in alignment with mission, goals and objectives. Management and leadership skills needed include conflict management , negotiation, team ... and assists in meeting financial targets by effectively managing utilization , productivity, personnel and supplies. Participates as necessary in referral… 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 Management Reviewer has...of denied service requests Additional duties as requested by supervisor **Working Conditions:** + Standard office conditions. + Weekend… more
- Corewell Health (Southfield, MI)
- …for everyone. Together, we are Corewell Health. Scope of work The Clinical Utilization Management (UM) Supervisor is responsible for monitoring, ... Clinical UM Supervisor will provide daily, regional supervision of Clinical Utilization Management teams, comprised of UM Coordinators and Analysts. This… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Utilization Management RN (Outpatient) Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... and to support the safety net required to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for executing the… more
- Centene Corporation (Tallahassee, FL)
- …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
- Intermountain Health (Murray, UT)
- …to members and providers in accordance with notification standards. Implements utilization management processes and coordinate medical services with other ... management intervention. Perform all required documentation and entry into utilization management operating system for authorization and determination.… more
- Dignity Health (Rancho Cordova, CA)
- …Summary:** Under the guidance and supervision of the department Manager/Director, the Supervisor of Utilization Management is responsible and accountable ... (Medicare Guidelines, InterQual, Health Plan Benefit Interpretation Guidelines and Medical Management Policies, and DHMF Utilization Management guidelines… more
- Commonwealth Care Alliance (Boston, MA)
- …management and leadership with the development, refinement and enhancement of utilization management workflows, policies and procedures. + Participate in ... **Why This Role is Important to Us:** Supervisor & The Team Leader reports to the...reports to the UM Manager. The Team Leader provides management ,oversight and mentorship to team members and ensures that… more
- CVS Health (Columbus, OH)
- …in New Albany OH, Chandler AZ or High Point NC Precertification Nurse Case Manager is responsible for telephonically assessing, planning, implementing and ... coordinating all case management activities with members to evaluate the medical needs...clinical resources for assistance in determining functionality.- Consults with supervisor and others in overcoming barriers in meeting goals… more
- Actalent (Kansas City, MO)
- …+ MINIMUM 2 years clinical experience in a clinical setting + Experienced in Utilization Management and knowledge of URAC & NCQA standards + Broad knowledge ... Sunday to Thursday OR Tuesday to Saturday basis doing utilization review for PAC patients. This role is looking...proactively obtain patient status updates. + Work alongside the Supervisor , and work closely with Market Engagement Directors to… more
- Immigration and Customs Enforcement (IN)
- … Utilization Review Consultant will report directly to the IHSC Regional Utilization Manager with the Utilization Management Program Administrator. This ... cases for high level of review and participates in Utilization Management Review Committee activities as needed....preferred. Meet the minimum education requirements for either a nurse , nurse practitioner, or physician assistant … more
- Commonwealth of Pennsylvania (PA)
- Registered Nurse Supervisor Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4486080) Apply Registered Nurse Supervisor Salary ... expertise to the next level and become a Registered Nurse Supervisor at the Southeastern Veterans' Center...goals. Make assessments and decisions in regard to staff utilization , supplies and equipment needs in accordance with safety… more
- Hartford HealthCare (Wethersfield, CT)
- …Resource Management Associate's focus is on providing support and coordination of utilization management services for the utilization management ... department. *_Position Responsibilities:_* 1. Monitors and manages assigned utilization management reports, including the Payer End of Day report, Utilization… more
- Central Maine Medical Center (Rumford, ME)
- …of throughput; including placement of admissions and transfers. Essential Responsibilities: + CMMC Supervisor Nurse (RN) will report to the Nurse Leader ... for promoting and maintaining quality patient care through effective management of the activities of the total Patient Care...of Central Staffing, BH and RH Supervisor Nurse (RN) will report to the VP of Nursing.… more
- Alameda Health System (San Leandro, CA)
- …+ FTE:0.01 + Posted:March 13, 2024 **Summary** Must have Inpatient Hospital Adult Psych Unit Nurse supervisor or Nurse Lead or Nurse assistant manager ... Clinical Nurse IV, House Supervisor , Psych Unit,...structure of a unit which promotes effective and economic utilization of personnel and supplies; assures availability and operability… more
- Highland General Hospital (San Leandro, CA)
- Must have Inpatient Hospital Adult Psych Unit Nurse supervisor or Nurse Lead or Nurse assistant manager or Nurse Manager or Nurse Leader ... 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
- MyFlorida (Marianna, FL)
- SENIOR REGISTERED NURSE SUPERVISOR - 67044164 (SUNLAND) Date: Apr 25, 2024 Location: MARIANNA, FL, US, 32446 MARIANNA, FL, US, 32448 MARIANNA, FL, US, 32447 The ... No: 825496 Agency: Agency for Persons with Disabilities Working Title: SENIOR REGISTERED NURSE SUPERVISOR - 67044164 (SUNLAND) Pay Plan: Career Service Position… more
