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,
Site: Mass General Brigham Health Plan Holding Company, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a
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
Posting number: 26-01191 Department: Family Services Job classification: BEHAVIORAL HEALTH SUPERVISOR Posting type: Open Categories: Social Services, Community and Social Services SummaryAre you a knowledgeable behavioral health professional seeking ways to support youth with intensive needs and
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
Overview The Regional Utilization Review Supervisor assists the Regional Director of Utilization Review with ensuring and supporting proper management and implementation of department policy and process. The Regional Supervisor provides clinical group leadership and expert technical guidance to the utilization review
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
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
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 - 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 The Utilization Review Supervisor coordinates the activities of the UR department as they relate to medical necessity reviews, authorizations of inpatient, observation and sub-acute medical levels of care for Medicaid Business Segment members. This position monitors all
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 to ensure members
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
RN Supervisor, Utilization Management 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 objectives. Acts as process owner and subject matter expert for
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 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
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
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
Interim Utilization Management Supervisor We are seeking an experienced Registered Nurse to serve as an Interim Utilization Management Supervisor. The ideal candidate will have leadership experience at the supervisor level or above within Utilization Management, along with direct case management experience. This