- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** Supervise the daily operations of the utilization management (UM) department functions to ensure appropriate coordination ... who is willing and able to work in a hybrid model. The incumbent will be expected to work...standards and federal/state regulations and general principles relating to utilization review. + Computer skills, including Microsoft Office programs.… more
- Centene Corporation (Madison, WI)
- …to ensure appropriate care for members and supervises day-to-day activities of BH utilization management team. + Monitors behavioral health (BH) utilization ... performance, quality, and efficiency standards + Works with BH utilization management team to resolve complex BH...holidays, and a flexible approach to work with remote, hybrid , field or office work schedules. Actual pay will… more
- Centene Corporation (Atlanta, GA)
- …adherence to performance, compliance, quality, and efficiency standards + Collaborates with utilization management team to resolve complex care member issues + ... regulations, accreditation standards, and industry best practices related to utilization management + Works with utilization...holidays, and a flexible approach to work with remote, hybrid , field or office work schedules. Actual pay will… more
- Elevance Health (Tampa, FL)
- …for people enrolled in Medicaid and/or Medicare programs in Florida. **Licensed Utilization Review Ld** **Location:** This is a remote position. The selected ... based on operational needs (holiday and weekend rotation). The **Licensed Utilization Review Ld** is responsible for collaborating with healthcare providers to… more
- Adecco US, Inc. (San Jose, CA)
- Adecco Healthcare is searching for a **Psychological Assessment Clinical Supervisor ** to join our client's team in **San Jose, CA** . **Job Summary** The ... Psychological Assessment Clinical Supervisor is responsible for the supervision of psychological assessment...interns, trainees, staff, and clients. - Skilled in the utilization of an electronic health record for documenting clinical… more
- The Cigna Group (Morris Plains, NJ)
- …with various departments including Pharma Contracting & Strategy, Sales & Account Management , Utilization Management , Office of Clinical Evaluation and ... and managed care) + 2 Letters of Recommendations (one of each: Preceptor, Supervisor ) **Location:** Hybrid in Saint Louis, MO; Bloomington, MN; and Morris… more
- Kinder Morgan (Houston, TX)
- Analyst-Application Development Lead ( HYBRID ) Job ID #: 29032 Location: TX-HOUSTON Functional Area: Technology Position Type: Full Time Experience Required: 5 - 7 ... originality and ingenuity. Incumbents work with minimum supervision, conferring with supervisor on unusual matters. Incumbent will ensure that assigned business… more
- Johns Hopkins University (Baltimore, MD)
- …distribution of time among surgeons, personnel productivity and suite utilization . Oversees the surgical, pre-operative and admission processes and applications ... for both Adult and Pediatric services. Actively monitoring of block time utilization and re-distribution of block time for both services. Serves as a resource for… more
- Dartmouth Health (Lebanon, NH)
- …* Work with clinic leadership to understand current statistics and achieve future utilization and case volumes goals. * Obtain and deliver any required paperwork, ... and processes for surgical and procedural scheduling. Collaborate with manager and supervisor to implement changes. * Collaborate with other surgical and procedural… more
- Children's Aid (Bronx, NY)
- Program Supervisor (Safe Way Forward) 8/20/24Full Time--Bronx Job ID: 007237 Description: Safe Way Forward (1160 Southern Boulevard) $72,000 - $78,000 Sign-On Bonus ... of emotional and physical abuse. **Position Summary:** The Program Supervisor will provide direct supervision to a team of...* Work with the Program Director to ensure that utilization meets the performance-based funding requirement of at or… more