Salary Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles
Location:Calmont Operations Building Department:Utilization Shift:First Shift (United States of America) Standard Weekly Hours:40 Summary:Responsible for supervising/ coaching/ mentoring STAR/ CHIP/ or STAR Kids workgroups (Pods) comprised of UM/ECM RN and support staff to achieve department goals and
Job Description A bit about this role: The Supervisor manages the day-to-day operations of the Utilization Management Coordinators, ensuring timely and accurate processing of prior authorization requests. This role is highly hands-on, focusing on daily execution, immediate problem-solving,
DESCRIPTION OF POSITION: The Utilization Review Supervisor oversees day to day functions of the department and staff. The Manager actively seeks areas for department to improve (i.e - reduction in denials) &/ or be more efficient. SUPERVISION: Reports
Capital Health is the regions leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited
Job Summary The Supervisor provides day-to-day operational support for Transitional Care and Complex Care Management team, focusing on coordinating work schedules, ensuring policy compliance, and monitoring the quality of care delivered to members. This role supports the
Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Established in 1997, L.A. Care Health Plan is an
Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isnt just welcomed its nurtured, celebrated, and promoted,
Supervisor, Care Management Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives and we help one another to succeed. With a culture rooted
Supervisor, Utilization Management - Ops Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers
Utilization Review Supervisor As a key leader within the Utilization Review Services, this role is responsible for assisting and supervising a multidisciplinary team with the day-to-day management of the Utilization Review Services and team members. This position will involve coordinating
Supervisor Utilization Management Hybrid role (3 days/week in office) at our Burlington, Renton, Spokane, Vancouver, Portland, Medford, Salt Lake City, Boise, Lewiston, or Fargo offices. Candidates must reside within commutable distance of that location or be willing to
Supervisor Of Behavioral Health Utilization Review Saint Lukes Crittenton Childrens Center in South Kansas City, MO is seeking a Supervisor of Behavioral Health Utilization Review to join our team. This role facilitates and directs the Utilization Review Department, Case Management and
Job Title To provide daily supervision of utilization management staff. Provide departmental leadership, support, resources and direction to staff. Assists in developing and maintaining a cohesive team with a high level of productivity, accuracy and quality to
Clinical Supervisor, UM Denial Compliance Location: Los Angeles Metropolitan Area Position Type: Hybrid (85% remote, 15% onsite in Burbank, CA) Company: Vivo HealthStaff Overview: Vivo HealthStaff is seeking a Clinical Supervisor for UM Denial Compliance. This role is
Supervisor of Utilization Review The Supervisor of Utilization Review oversees the development, implementation, and maintenance of Utilization Review clinical policies, procedures, and protocols. This position supervises UR Analysts and Acute Care Authorization Analysts and provides clinical and operational oversight for crisis
Utilization Supervisor The Buckeye Ranch is seeking a Utilization Supervisor to join our Care Management Entity (CME). The Utilization Supervisor is responsible for the day-to-day oversight and ongoing development of data management strategies, referrals process, utilization of resources and quality of the Care
Utilization Review Supervisor The Utilization Review Supervisor oversees day to day functions of the department and staff. The Manager actively seeks areas for department to improve (i.e - reduction in denials) &/ or be more efficient. Reports directly to the
Utilization Management Nurse Performs a variety of utilization management activities to promote quality, clinical and cost-effective outcomes. Supervises activities of assigned staff in providing utilization review services. Plans, assigns, reviews, and evaluates work of assigned staff to achieve quality
Utilization Operational Supervisor Regular Exempt GENERAL DESCRIPTION: Oversees and monitors the administrative operations of the Utilization Management unit, ensuring effective management of the precertification process in accordance with organizational standards. Provides direct supervision to Utilization Management Coordinators, ensuring service delivery