- Actalent (Sunrise, FL)
- Job Title: Behavioral Health Utilization Review NurseJob Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing requests for ... reports on department activities as assigned. Essential Skills + Experience in utilization management , behavioral health, and mental health. + Proficiency in… more
- Catholic Health Services (Melville, NY)
- …Utilization and Appeals Coordinator will perform activities to help facilitate utilization management and appeals functions to include coordination of ... payment related activities. Position Responsibilities: + Prepares necessary documentation for utilization management and appeals processes, performs data … more
- Saint Francis Health System (Tulsa, OK)
- …8:00am - 12:00pm **OR** 1:00pm - 5:00pm Job Summary: Provides administrative and clinical support to the hospital and treatment team throughout the review of ... in the Patient Care Committee for patient care reviews, and in Utilization Review Staff Committee, providing data and contributing to improvement of internal… more
- Helio Health Inc. (Syracuse, NY)
- …Educate program staff on current principles and standards of practice surrounding utilization and denials management . + Use effective relationship management ... track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting our Inpatient,… more
- BayCare Health System (Tampa, FL)
- …built on a foundation of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/RN responsibilities ... + Community discounts and more Equal Opportunity Employer Veterans/Disabled **Position** Utilization Review RN **Location** Tampa:St Josephs | Clinical |… 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 ... a salary, based on specific SUD / supervisory experience, starting at $65,000. The Clinical Supervisor is accountable to the Director of the Substance Use… more
- Catholic Health (Buffalo, NY)
- …hours based on role of management and oversight of team Summary: The Clinical Denials and Appeals, Clinical Supervisor is responsible for the people, ... payers) and internal stakeholders including, but not limited to, Utilization Review, Case Management , Clinical ...but not limited to, Utilization Review, Case Management , Clinical Documentation Integrity, Health Information … more
- Mount Sinai Health System (New York, NY)
- …on Excel and Word + Strong Communication skills Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West **Responsibilities** **A. Clinical ... **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW** To maintain front...EOW** To maintain front end operations of the Case Management Department by monitoring all incoming correspondence and ensuring… more
- Children's Home Healthcare (Albuquerque, NM)
- …A VALID RN LICENSE* Children's Home Healthcare is now hiring for a RN Clinical Supervisor /Case Manager! Children's HH is the premier leader in Pediatric Home ... this growing professional team! We are seeking an experienced Clinical Supervisor in the Albuquerque area. The...skills and willing to travel to patient homes + Utilization Management Experience + Reliable transportation for… more
- Boston University (Boston, MA)
- **FLOATING CLINICAL CARE SUPERVISOR , School of Dental Medicine, Clinical Affairs** **Job Description** **FLOATING CLINICAL CARE SUPERVISOR , School of ... Date** 8/21/2025 **Salary Grade** Grade 47 **Position Type** Full-Time/Regular The Floating Clinical Care Supervisor is responsible to manage, provide guidance… more
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