- Centene Corporation (New York, NY)
- …license.** **Inpatient Utilization Management** **Position Purpose:** Supervises Prior Authorization , Concurrent Review, and/or Retrospective Review Clinical ... between utilization management team, members, and providers + Monitors prior authorization , concurrent review, and/or retrospective clinical review nurses… more
- Commonwealth Care Alliance (Boston, MA)
- …Duties & Responsibilities:** + Conducts timely clinical decision review for services requiring prior authorization in a variety of clinical areas, including but ... 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager...Knowledge, Skills & Abilities (must have):** + Experience with prior authorization and retrospective reviews + Proficiency… more
- University of Rochester (Rochester, NY)
- …as defined by NYS Laws and Regulations. The Pharmacy Medication Utilization and Inventory Compliance Manager has direct supervision and management responsibilities ... in medication dispensing. **ESSENTIAL FUNCTIONS** **_Clinical Staff Pharmacist - Medication Authorization and Distribution_** + Directs and supervises the work of… more
- Samaritas (Charlotte, MI)
- Position Details MENTAL / BEHAVIORAL HEALTH CLINICAL SUPERVISOR - Eaton County 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… 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
- 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
- Stark County Board of Developmental Disabilities (Canton, OH)
- …billings, and utilization , as needed; this may include working with payment authorization specialists (PAS); + Submits prior authorizations prior to the ... is available for consultation with primary "on-call" SSA; + Each SSA Supervisor has responsibilities and project assignments relative their expertise and the unit… more
- Air National Guard Units (Montgomery, AL)
- …EXCEPTED SERVICE POSITION. This National Guard position is for a AIRCRAFT MAINTENANCE SUPERVISOR (T32), Position Description Number D1444000 and is part of the AL ... economical and efficient work operations. Analyzes production, cost and personnel utilization records and makes adjustment in operations to correct problems.… more
- Philips (Reedsville, PA)
- The Production Operations Supervisor (2nd 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
- 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
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