- Merck & Co. (Durham, NC)
- …safety, integration of new/existing technologies, customer service, resource utilization , financial performance and fiscal stewardship. GENERAL PROFILE Demonstrates ... key clients and/or customers to support business needs PEOPLE MANAGEMENT Coaches/mentors direct reports accountable for their area within… more
- Comhar Inc. (Philadelphia, PA)
- …Manager Supervisor Shift:Monday-Friday 8:30AM-5:00PMBilingual Blended Case Manager Supervisor Position SummaryCOMHAR's Targeted Case Management (TCM) program ... needs and work to achieve their goals. Our case management unit also has 2 specialty teams that provide...the city.It is expected that Bilingual Blended Case Manager Supervisor maintain current knowledge of the Standards of Practice… more
- Comhar Inc. (Philadelphia, PA)
- …Manager Supervisor Shift:Monday-Friday 8:30AM-5:00PMBilingual Blended Case Manager Supervisor Position SummaryCOMHAR's Targeted Case Management (TCM) program ... needs and work to achieve their goals. Our case management unit also has 2 specialty teams that provide...the city.It is expected that Bilingual Blended Case Manager Supervisor maintain current knowledge of the Standards of Practice… more
- National Beef (Tama, IA)
- …professional to join our team as a Refrigeration, Boiler and Engine Room Supervisor . With competitive pay and benefits, safe and stable work, and an environment ... on Iowa Premium, click here!Responsibilities:Refrigeration, Boiler and Engine Room Supervisor responsibilities include but are not limited to:Job Summary:The purpose… more
- University of New Mexico - Hospitals (Algodones, NM)
- …to base pay. Sign-on Bonus and Relocation Reimbursement available!Department: Care Management Services FTE: 1.00 Full Time Shift: Days Position Summary: Responsible ... appropriate patients within designated specialty area requiring patient case management interventions by utilizing established procedures including census review,… more
- University of New Mexico - Hospitals (Algodones, NM)
- …Medical necessity and manage the insurance authorization throughout the stay . Department: Utilization Management - UH FTE: 0.05 Casual Pool (as needed) Shift: ... This is a Utilization Review position. We review all admissions and...of resources. Conduct initial and ongoing assessments, initiate disease management protocols, determine and manage outcomes, ensure continuity of… more
- Pathways Vermont (Burlington, VT)
- …and improvements.Program: Soteria Job Title: Soteria House Program Manager Supervisor : Alternative Mental Health Services Director Location: Burlington, Vermont ... residents receive excellent services, including: Individualized Service Plans Monitoring utilization of services, including duration, medication, incidents, external connections,… more
- Marion County (Salem, OR)
- …and implement specific services in the community. SUPERVISION RECEIVED Work under a supervisor who assigns work establishes goals and reviews the results for overall ... diversion opportunities, and Long-Term Psychiatric Care needs. With clinical supervisor acting as CMHP delegate, initiate authorization process for requests… more
- Southeastern Integrated Care LLC (Whiteville, NC)
- Summary: The Team Leader is responsible for the supervision and management of team operations and staffing. Team Leader ensures that services are provided to the ... indirect interventions. Essential Duties and Responsibilities: The team leader (clinical supervisor ) must provide individual therapy for recipients served by the… more
- Marion County (Salem, OR)
- …to the following Program Development & ManagementProvide program development and management /oversight of a diverse group of programs and teams. Program oversight ... objectives of the programs, to ensure high-quality service delivery.Develop performance management systems and set metric benchmarks to ensure accountability and… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... the safety net required to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day… 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 ... (Medicare Guidelines, InterQual, Health Plan Benefit Interpretation Guidelines and Medical Management Policies, and DHMF Utilization Management guidelines… more
- Universal Health Services (San Antonio, TX)
- Responsibilities Position Summary : The Utilization Management Supervisor is responsible for planning, organizing, and managing daily operations of the ... Utilization Management team. The Supervisor duties include but are not limited to ensuring positive communication amongst treatment team members, modeling… more
- Centene Corporation (Tallahassee, FL)
- …**THIS POSITION IS REMOTE/WORK FROM HOME, NO TRAVEL, SUPPORTING A MARKET PLACE UTILIZATION MANAGEMENT TEAM.** **APPLICANTS MUST BE ABLE TO WORK EITHER CENTRAL ... to ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks UM resources to ensure adherence… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …requests for specific services. Under the supervision of the Health Service Supervisor , the Utilization Management Representative is primarily responsible ... **Responsibilities** The Utilization Management Representative (UMR) provides office support for all units within the Utilization Management and/or… more
- Hackensack Meridian Health (Hackensack, NJ)
- …standards, and regulatory/payor requirements. The role integrates and coordinates utilization management , care coordination, discharge planning functions and ... performance improvement activities for the case managers. The Supervisor Case Management is accountable for the...needs, manage the length of stay, and promote efficient utilization of resources; specific functions within this role include:… more
- UCLA Health (Los Angeles, CA)
- …Advantage team, you will be responsible for assisting with the day-to-day management of the UM department and coordinators. This will involve coordinating staff ... schedules to efficiently handle incoming referrals and phone call volume. You will develop workflows, desktop procedures, forms, training materials, and protocols for achieving team objectives and key performance indicators. You will hire and train… more
- Highmark Health (Pittsburgh, PA)
- …analysis field in a healthcare organization **Preferred** + 3 years with utilization review/ management + 1 year as a supervisor or manager of Utilization ... customers of Helion's technology platform(s). **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities to include, but are not limited to: involved… more
- Universal Health Services (Shippensburg, PA)
- Responsibilities Clininical Supervisor - Social Work/ Utilization Management Roxbury is currently hiring a Clinical Supervisor to oversee the clinical ... Insurance If you would like to learn more about the Supervisor , Social Work/ Utilization Management position before applying, please contact Terri Pendleton,… more
- WelbeHealth (Los Angeles, CA)
- …compliant, and cost-effective care to our participants. By guiding this team, the Utilization Management RN Supervisor drives the continuous improvement of ... a critical role in our participant's journey and our Utilization Management team ensures we can provide...external), clinical staff, and others to timely resolve any utilization management issues **Job Requirements:** + Minimum… more
