- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW ... information regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to...implemented for compliance, as needed. + As a unit supervisor at the LA General Medical Center: + Has… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW ... and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General...REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
- AmeriHealth Caritas (LA)
- …efficiently document and assess patient cases. + Strong understanding of utilization review processes, including medical necessity criteria, care coordination, ... **Responsibilities:** Under the direction of a supervisor , the Clinical Care Reviewer - Utilization...ability to meet productivity standards in a fast-paced, high-volume utilization review environment. + Availability to work… more
- AmeriHealth Caritas (Washington, DC)
- …efficiently document and assess patient cases. + Strong understanding of utilization review processes, including medical necessity criteria, care coordination, ... ON BONUS** **Role Overview:** Under the direction of a supervisor , the Clinical Care Reviewer - Utilization ...ability to meet productivity standards in a fast-paced, high-volume utilization review environment. + Current driver's license… more
- BJC HealthCare (St. Louis, MO)
- … experience performing care for hospitalized patients. + 2 years of utilization review (UR) experience reviewing hospital admissions for medical necessity ... quality of medical services provided by the medical team. Ensure appropriate utilization , which includes the evaluation of potential under and over- utilization … more
- Commonwealth Care Alliance (Boston, MA)
- …clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA ... CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is… more
- Commonwealth of Pennsylvania (PA)
- Registered Nurse Supervisor (2nd Shift) - Selinsgrove Center Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5002155) Apply Registered ... Nurse Supervisor (2nd Shift) - Selinsgrove Center...services. You can expect to participate in the development, review , training and implementation of center policies and procedures.… more
- ChenMed (Winter Park, FL)
- …in state. + A minimum of 2 years' onsite case management at ChenMed and/or utilization review or discharge planning in a hospital at ChenMed. Special permission ... we need great people to join our team. The Supervisor , Intensive Community Care, RN is a multi-market leadership...patients achieve optimal health, access to care and appropriate utilization of resources. + Consults with, encourages and influences… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW** To maintain front end operations of the Case Management Department by ... Word + Strong Communication skills Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West **Responsibilities** **A. Clinical/Technical/Service**… more
- Atlantic Health System (Morristown, NJ)
- …management, including product evaluation, prevention of waste and damage, room utilization , control of overtime, and appropriate staffing mix. 7. Facilitates ... Required: 1. Bachelor's Degree in Nursing 2. NJ Registered Nurse (RN) License 3. Three (3) years' experience in...100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 -… more
Recent Jobs
-
Alcohol Compliance Rep - Jiffy Lube Live
- Legends (Bristow, VA)
-
Assistant General Manager
- Wawa, Inc. (Gambrills, MD)
-
Supervisory Border Patrol Agent (Special Operations Supervisor)
- Customs and Border Protection (Edinburg, TX)
-
Sales Coordinator
- AccorHotel (Boston, MA)