- UCLA Health (Los Angeles, CA)
- …and resolving simple and complex patient/provider issues related to the authorization and claims process. You will also conduct performance evaluations, counsel ... processing ambulatory commercial, Medicare Fee for Service, and Medicare Advantage prior authorizations desired + Knowledge of the HMO referral process, eligibility… more
- St Joseph's Addiction Treatment & Recovery Centers (Saranac Lake, NY)
- …Location: Inpatient Facility - Saranac Lake, NY Position: Full-time Utilization Review Specialist Shift/schedule: Monday-Friday, 8:00am-4:30pm Pay Range: $22.00/hour ... and insurance companies to support the admission process and ensure continued authorization for treatment across multiple program types. The position requires a… 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
- WelbeHealth (CA)
- …compliant, and cost-effective care to our participants. By guiding this team, the Utilization Management RN Supervisor drives the continuous improvement of our ... a critical role in our participant's journey and our Utilization Management team ensures we can provide timely, quality,...designated UM team + Assist the team in reviewing prior - authorization requests for medical necessity and appropriateness… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …you to apply! Job Description: Summary: This position supports the Utilization Management (UM) workflows by providing administrative support and customer service. ... Services. + Serves as the primary contact for providers regarding authorization requests. + Contacts members and providers concerning regulatory requirements… more
- Geisinger (Danville, PA)
- Job Summary Obtain and secure prior authorization for high end procedures,hospital scheduled admissions and/or specialty patients. Verifies and completes ... + Assists physicians, insurance companies, employers, and others with requests concerning prior authorization to result in positive resolution. + Coordinates… 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
- MyFlorida (Fort Myers, FL)
- ENVIRONMENTAL SUPERVISOR II - SES - 64035751 1 Date: Apr 24, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... No: 851800 Agency: Department of Health Working Title: ENVIRONMENTAL SUPERVISOR II - SES - 64035751 1 Pay Plan:...private water systems. Definitions for these systems and statutory authorization are found in section 381.0062 of the Florida… more
- HCA Healthcare (Live Oak, TX)
- …and integrity. We care like family! Jump-start your career as a Supervisor of Pharmacy today with Methodist Hospital Northeast. **Benefits** Methodist Hospital ... vary by location._** Come join our team as a Supervisor of Pharmacy. We care for our community! Just...portions of the pharmacy computer system. + Assures proper utilization of medications. Evaluates the therapeutic and cost effective… more
- Mount Sinai Health System (New York, NY)
- …Knowledge of practice operations, insurance processes, referrals, and authorization **Responsibilities** **Supervisory & Administrative Responsibilities** + Conducts ... benchmarks, including no-show, no-show (+) tracking, kiosk usage, MyChart Utilization /Activation, Pre-visit planning, and patient satisfaction. + Conducts daily… more
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