- VNS Health (Manhattan, NY)
- …of VNS Health Plans Medical Management clinical and non clinical staff. Makes recommendations to the development, utilization , and evaluation of internal ... OverviewSupervises and coordinates the day-to-day business operations of clinical and non clinical support activities, including monitoring internal processes,… more
- Centene Corporation (Oklahoma City, OK)
- …workplace flexibility. **Must reside in the State of Oklahoma!** **Now Hiring: Remote Supervisor , Utilization Management ** **Centene is looking for a dynamic ... changes everything for our 28 million members as a clinical professional on our Medical Management /Health Services...leader to join our team as a Supervisor of Utilization Management for… more
- Centene Corporation (Tallahassee, FL)
- …to ensure appropriate care for members and supervises day-to-day activities of BH utilization management team. + Monitors behavioral health (BH) utilization ... changes everything for our 28 million members as a clinical professional on our Medical Management /Health Services...performance, quality, and efficiency standards + Works with BH utilization management team to resolve complex BH… more
- Providence (Olympia, WA)
- **Description** The Supervisor for Utilization Management provides a key role in leading, facilitating and managing the hospital utilization ... Supervisor assists the Washington NWR Director of Care Management in support of programs by providing ongoing assessment...and or quality improvement project. Responsible for success of Utilization Management Program in the Washington NW… more
- Molina Healthcare (Columbus, OH)
- …PM EST **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case ... Team (MAT), Health Management (HM), and/or Disease Management (DM). + Monitors key clinical staff...years of experience in case management , disease management or utilization management in… more
- Fairview Health Services (St. Paul, MN)
- **Overview** M Health Fairview has an immediate opening for a Utilization Management Supervisor . This is a 1.0 FTE (80 hours per two week pay period), ... salaried/exempt role. This position is benefits-eligible. The Utilization Management Supervisor is responsible for the supervision and maintenance of the… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …and seeks out continuous learning opportunities to enhance understanding of clinical management , trends in patient care, utilization management and other ... to perform other job-related duties as required by their supervisor , subject to reasonable accommodation. We're Looking for :...clinical experience in Behavioral Health Care settings + Utilization Management experience preferred + CCM or… more
- Trinity Health (Philadelphia, PA)
- …and acceptable clinical outcomes, through integration and implementation of utilization management . **Minimum Qualifications:** + BSN or BA in Nursing ... avoidable delays and denials. Works collaboratively with the Denials Supervisor to identify denial trends and determine opportunities for...Two years of clinical experience, which includes utilization or case management experience in a… more
- Covenant Health Inc. (Knoxville, TN)
- …audits thus promoting a culture of professional expertise in utilization management . + Provides monitoring and oversight of non- clinical utilization ... Overview Registered Nurse, Revenue Integrity & Utilization Management Full Time, 80 Hours...and written communication skills in order to clearly present clinical and financial data to various audiences as necessary.… more
- Stanford Health Care (Palo Alto, CA)
- …practice. Here, your leadership, coaching, and mentoring would further develop our robust, Utilization Management team. Are you driven by health care innovation, ... and Abilities** + Knowledge of principles and best practices of case management , utilization review, social work, care coordination and discharge planning.… more