- Sonora Quest (Sterling, CO)
- …requirements (eg, CLIA '88, JCAHO, CAP, OSHA). Personnel report to department supervisor . May be responsible for the collection, receipt, and processing of ... supplies and materials and assists with inventory management. Ensures efficient utilization of reagents and supplies. Recognizes and provides input towards… more
- UCLA Health (Los Angeles, CA)
- …culture. You can do all this and more at UCLA Health. In this role as a Utilization Review Supervisor within our utilization department you would be ... services within NPH. This role entails overseeing a team of utilization review nurses, ensuring compliance with clinical regulatory standards, and enhancing the… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE ... administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of the… more
- Centene Corporation (Madison, WI)
- …in the United States **Position Purpose:** Supervises the behavioral health (BH) utilization review clinicians to ensure appropriate care for members and ... of BH utilization management team. + Monitors behavioral health (BH) utilization review clinicians and ensures compliance with applicable guidelines +… more
- Centene Corporation (Atlanta, GA)
- …to performance, compliance, quality, and efficiency standards + Collaborates with utilization management team to resolve complex care member issues + Maintains ... knowledge of regulations, accreditation standards, and industry best practices related to utilization management + Works with utilization management team and… more
- SSM Health (MO)
- …management of daily operations within assigned region(s) or ministries related to the Utilization Management (UM) Review area under the direction of managers. ... Responsibilities and Requirements:** PRIMARY RESPONSIBILITIES + Responsible for daily Utilization Management (UM) operations, which includes referrals, medical necessity… more
- BayCare Health System (Cotton Plant, AR)
- …responsibility and clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior** to join our outstanding and ... compassionate team. **The Utilization Review Specialist Senior responsibilities include:** +...services + Perform other duties as assigned by the supervisor including but not limited to processing concurrent denials.… more
- CareFirst (Baltimore, MD)
- …accreditation standards and federal/state regulations and general principles relating to utilization review . + Computer skills, including Microsoft Office ... **Resp & Qualifications** **PURPOSE:** Supervise the daily operations of the utilization management (UM) department functions to ensure appropriate coordination of… more
- Elevance Health (Tampa, FL)
- …plans for people enrolled in Medicaid and/or Medicare programs in Florida. **Licensed Utilization Review Ld** **Location:** This is a remote position. The ... required based on operational needs (holiday and weekend rotation). The **Licensed Utilization Review Ld** is responsible for collaborating with healthcare… more
- Hartford HealthCare (Torrington, CT)
- …*Job Summary* Under the Direction of the Inpatient Nurse Director & Social Work Supervisor , the Inpatient Psychiatric Utilization Review Social Worker will ... work collaboratively with the IP Psychiatry Patient Care Team to assure Utilization Review activities on a 17 bed Adult unit. The Care Manager will liaison with… more
