- AmeriHealth Caritas (LA)
- …clinical experience in home healthcare or a medical office setting. + Previous prior authorization experience is required.; + Proficiency in Electronic Medical ... **Responsibilities:** Under the direction of a supervisor , the Clinical Care Reviewer - Utilization...a supervisor , the Clinical Care Reviewer - Utilization Management evaluates medical necessity for inpatient and outpatient… more
- Dignity Health (Rancho Cordova, CA)
- …and the appropriate application of policies and guidelines to Managed Care prior authorization referral requests. Under general supervision this position is ... Summary:** Under the guidance and supervision of the department Manager/Director the Supervisor of Utilization Management is responsible and accountable for… more
- ChenMed (Winter Park, FL)
- …rapidly expanding and we need great people to join our team. The Supervisor , Intensive Community Care, RN is a multi-market leadership position responsible for ... guidance to their team. Directly reporting to the Manager of ICC, this Supervisor is responsible for their teams members assigned patient case load whose role… 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
- Molina Healthcare (Savannah, GA)
- …this family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns ... and comply with CMS guidelines. These staff may also be involved in providing utilization management/ prior authorization services as needed. * Supervises the… 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
- Trinity Health (Livonia, MI)
- …crediting, billing, benefit investigation, insurance optimization, call center, and/or prior authorization activities. Oversees colleagues performing functions ... time **Shift:** Rotating Shift **Description:** **POSITION PURPOSE** The Pharmacy Supervisor - Technician (certified and licensed) provides safe, quality technical… more
- MyFlorida (Spring Hill, FL)
- DOCUMENT SPECIALIST SUPERVISOR - SES - 64041156 1 Date: Jul 22, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... 857224 Agency: Department of Health Working Title: DOCUMENT SPECIALIST SUPERVISOR - SES - 64041156 1 Pay Plan: SES...back up to Medical Records Tech, process medical records, authorization to disclose. HMS clinic schedule maintenance. Patient Flow… more
- Nobis Works (Atlanta, GA)
- Job Descriptions: Position Summary: The Supervisor , Youth Educational Services will oversee day-to-day operations of Tommy Nobis Centers Early Youth Employment ... at the highest level of quality, + Responsible for acquiring service authorization and maintaining adequate reporting records for each individual receiving services.… more
- Air National Guard Units (Birmingham, AL)
- …SERVICE POSITION. This National Guard position is for a AIRCRAFT MAINTENANCE SUPERVISOR (T32), Position Description Number D1444000 and is part of the AL 117TH ... economical and efficient work operations. Analyzes production, cost and personnel utilization records and makes adjustment in operations to correct problems.… more