- Comhar Inc. (Philadelphia, PA)
- …quality reviews, which shall include chart audits as well as quality review phone calls to consumers. License Clinical Supervisor SPECIFIC DUTIES:Complete ... Health Services (IBHS) has an immediate opening for an License Clinical Supervisor . License Clinical Supervisor Salary: $55,000-$57,000The License IBHS Clinical … 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
- 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 for ... Ensures UM Physicians are provided the relevant information needed to accurately review a referral. Fosters the relationship between the Pre-Authorization team and… more
- Billings Clinic (Billings, MT)
- …starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Utilization Review RN CARE MANAGEMENT ... loan reimbursement Under the direction of department leadership, the Utilization Review / Management RN. This position is...At hire * Current Montana license as a Registered Nurse At hire * Current working knowledge of payer… more
- BayCare Health System (Cotton Plant, AR)
- …responsibility and clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior** to join our outstanding and ... compassionate team. **The Utilization Review Specialist Senior responsibilities include:** +...services + Perform other duties as assigned by the supervisor including but not limited to processing concurrent denials.… more
- CVS Health (Columbus, OH)
- …in New Albany OH, Chandler AZ or High Point NC. Precertification Nurse Case Manager is responsible for telephonically assessing, planning, implementing and ... health care innovators.Fundamentals:Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit plan… more
- CVS Health (Columbus, OH)
- …in New Albany OH, Chandler AZ or High Point NC Precertification Nurse Case Manager is responsible for telephonically assessing, planning, implementing and ... health care innovators.Fundamentals:Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit plan… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …performance standards is required **Licenses and Certifications** + Nursing\RN - Registered Nurse - State Licensure And/Or Compact State Licensure Must be a ... Registered Nurse with a current Louisiana license.required + Case Mgmt/Social...license.required + Case Mgmt/Social Services\CPUR - Cert Prof Util Review Must be attained within first 24 months in… more
- Louisiana Department of State Civil Service (Jackson, LA)
- Registered Nurse Supervisor A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4525757) Apply Registered Nurse Supervisor A Salary ... based on experience This position has a Special Entrance Rate of pay Registered Nurse Supervisor A - $39.12/hr - $3129.60/bi-weekly Premium Pay paid for each… more
- Commonwealth of Pennsylvania (PA)
- Registered Nurse Supervisor - Selinsgrove Center Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4461280) Apply Registered Nurse ... Department of Human Services is searching for a Registered Nurse Supervisor for the Selinsgrove Center. This...supervision. Critical components of this position include the continual review of nursing services, serving as a patient advocate,… more
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