- Centene Corporation (Jefferson City, MO)
- …licensure as outlined by the applicable state required. Knowledge of BH utilization management principles preferred. Prior supervisory experience preferred ... to ensure appropriate care for members and supervises day-to-day activities of BH utilization management team. + Monitors behavioral health (BH) utilization … more
- UCLA Health (Los Angeles, CA)
- …Advantage team, you will be responsible for assisting with the day-to-day management of the UM department and coordinators. This will involve coordinating staff ... processing ambulatory commercial, Medicare Fee for Service, and Medicare Advantage prior authorizations desired + Knowledge of the HMO referral process, eligibility… more
- Excellus BlueCross BlueShield (Utica, NY)
- …depending on customer and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of ... productivity and gain efficiencies for performance improvement opportunities in the Utilization Management Department. + Assists in updating departmental… 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 ... a critical role in our participant's journey and our Utilization Management team ensures we can provide...designated UM team + Assist the team in reviewing prior -authorization requests for medical necessity and appropriateness + Identify,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …encourage you to apply! Job Description: Summary: This position supports the Utilization Management (UM) workflows by providing administrative support and ... attendance is expected and required. + Performs other functions as assigned by management . Level II (in addition to Level I Accountabilities) + Assists and performs… 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 providing targeted feedback for continuous improvement. + Review funding prior to admission to ensure all appropriate documentation is presented. +… 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 ... sets (Medicare Guidelines InterQual Health Plan Benefit Interpretation Guidelines and Medical Management Policies and DHMF Utilization Management guidelines… more
- AdventHealth (Orlando, FL)
- …32,000 inpatients and 125,000 outpatients each year **The role you'll contribute:** **The Care Management Supervisor is under the general leadership of the Care ... and performing the daily operations and supervision of team members in the Care Management department.** **The Care Management Supervisor is responsible for… more
- SpaceX (Cape Canaveral, FL)
- Supervisor , Starship Heat Shield - Night Shift Cape Canaveral, FL Apply SpaceX was founded under the belief that a future where humanity is out exploring the stars ... the ultimate goal of enabling human life on Mars. SUPERVISOR , STARSHIP HEAT SHIELD - NIGHT SHIFT The Thermal...manage a staff of ~25 technicians including all performance management related tasks. + Own production output results, continuously… more
- Guidehouse (San Antonio, TX)
- …10% **Clearance Required** **:** None **What You Will Do** **:** The **Project Supervisor ** is responsible for overseeing the daily operations of a project(s) and ... the management of the project staff inclusive of on-site Team Members when applicable. A Project Supervisor is an extension of a client's business office staff.… more
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