- 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 ... leader to join our team as a Supervisor of Utilization Management for our Oklahoma Medicaid Plan. This remote role is ideal for someone with strong… more
- VNS Health (Manhattan, NY)
- …Will Do + Supervises the day-to-day operations of VNS Health Plans Medical Management clinical and non clinical staff. Makes recommendations to the development, ... utilization , and evaluation of internal processes to ensure customer...in addressing and resolving day-to-day operational issues. + Assists management team in the development of long- and short-… 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
- Sharp HealthCare (San Diego, CA)
- …Will Do** The UM Care Coordinator, under the direct supervision of the Supervisor , Utilization Management Care Coordinators, prepares referral requests for ... managed care, as it related to the position.Bring to attention of the Supervisor , Utilization Management Care Coordinators, and UM Manager, areas of UM… 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 ... adherence to performance, quality, and efficiency standards + Works with BH utilization management team to resolve complex BH care member issues related to BH… more
- Sutter Health (Sacramento, CA)
- …System Office-Valley **Position Overview:** Responsible for overall supervision of the utilization management process. Implements policies and procedures to ... ensure efficient daily operations of intake authorization requests. Monitors the utilization management and quality management activities, supervises… 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
- AmeriHealth Caritas (Charleston, SC)
- …about us at www.amerihealthcaritas.com . **Responsibilities:** Under the direction of the Supervisor , the Behavioral Health Utilization Management Reviewer ... years of behavioral health and substance use disorder experience.; + Utilization management experience in a managed care organization preferred. + Proficiency in… more
- Beth Israel Lahey Health (Winchester, MA)
- …needs of the organization. + Travel Requirements: N/A **REPORTING RELATIONSHIPS:** + Reports to Supervisor , Utilization Management . + May be responsible for ... to manager. + Assists Case Managers with all aspects of utilization review/discharge planning/performance improvement processes. + Functions as liaison for all… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Authorization Technician Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... purpose. Job Summary The Supervisor , Authorization Technician supports the Utilization Management (UM) Specialist by handling all administrative and… more