Utilization Management Supervisor jobs

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SUPERVISOR, TRANSACTION ACCOUNTING & SECURITY RISK MANAGEMENT

* Review and own process narratives to ensure all controls are fully implemented and functioning as designed.Qualifications* Bachelor's degree in Accounting, Business or Finance or equivalent, relevant experience is required. * Re...

CompanyOtter Tail Power Company
AddressFergus Falls, MN
CategoryAccounting/Finance
SalaryCompetitive Wage
Job typeLong-Term
Date Posted 2 days ago See detail

Supervisor, Transaction Accounting & Security Risk Management

Otter Tail Power Company

Fergus Falls, MN

Competitive Wage

* Review and own process narratives to ensure all controls are fully implemented and functioning as designed.Qualifications* Bachelor's degree in Accounting, Business or Finance or equivalent, relevant experience is required. * Re...

Utilization Management Supervisor Non Clinical

Adventhealth Tampa

Tampa, FL

$24.60 - $36.90 an hour

Paid Days Off from Day One. Student Loan Repayment Program. Career Development. Whole Person Wellbeing Resources. Mental Health Resources and Support. AdventHealth Pepin Heart Institute, known across the country for its advances i...

Manager, Utilization Management - Remote (Maine) New

Martin's Point Health Care

Portland, ME

Ensures that utilization review programs and guidelines are aligned with current industry evidence-based practice, as well as local, national, and regulatory compliance standards Manages the utilization review operations of the He...

Assurance (audit/review/compilation) Senior/Supervisor/Manager

Patrick & Raines, Llc

Lorida, FL

Leadership: Manage and complete audits, reviews, compilations, and agreed-upon engagements, setting the highest standards for quality. Innovation: Develop and implement auditing procedures and programs to stay at the forefront of...

Supervisor, Utilization Management

Altais

Oakland, CA

Supervises and coordinates activities of utilization review staff in maintenance of informed policy and procedure manuals, files, records and correspondence. Provide guidance on issues related to referral and authorization process...

RN Supervisor Utilization Management

Dignity Health Medical Foundation

Rancho Cordova, CA

Under general supervision this position is responsible for coordinating the daily operations of the UM Pre-Authorization team in order to ensure requests are processed in a consistent and timely manner while observing regulatory g...

RN - Utilization Management Nurse 2 - Remote - Florida Region

Humana

Vermont, United States

$69,800 - $96,200 a year

Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action 3-5 years of prior clinical experience preferably in an acute care hospital, skilled or rehabilitation clinical setting Comprehensive knowledge...

Supervisor, Health Information Management

Breg, Inc.

Huntsville, AL

$55,500 - $72,600 a year

Responsible for managing, supervising, and training the Health Information Management Team. Including schedule management, achievement of KPIs, competencies and holding the employees accountable for following all Breg policies, p...

Weekend Circulation Manager (Library Supervisor)

Valparaiso University

Valparaiso, IN

Open the building on Saturdays and Sundays. Close and secure the building on Saturday nights. During weekends, manage the day-to-day activities of the Circulation and Media Desks. Share management of the Automated Storage and Retr...

Health Information Management (HIM) Coding Supervisor

Rush University Medical Center

Chicago, IL

RHIA, RHIT, and/or CCS Certification required....

Prior Authorization Utilization Management Nurse Consultant

Cvs Health

Frankfort, KY

Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.. Gathers clinical informat...

Utilization Management Clinician - Behavioral Health

Pacificsource Health Plans

Bend, OR

Collect and assess member information pertinent to members history, condition, and functional abilities in order to promote wellness, appropriate utilization, and cost-effective care and services. Coordinate necessary resources t...

Utilization Management Nurse

Blue Eagle Consulting

Birmingham, AL

Blue Eagle is looking for Pre-Cert Nurse(s) to assist with inpatient and outpatient PA reviews. Current Nursing License and in good standing Prior Authorization and UM expert NCQA and InterQual expertise preferred Facets exper...

Registered Nurse-Utilization Management

Department Of Veterans Affairs

Louisville, KY

Competitive

U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are su...

Wound Care Certified Home Health Utilization Management Nursing, RN

Centerwell Home Health

Tampa, FL

$69,800 - $78,700 per year

Requires cross departmental collaboration, and conducts briefings and area meetings; maintains frequent contact with other managers across the department.Use your skills to make an impact Typically requires Bachelors degree or e...

RN Utilization Management - Per Diem

The Guthrie Clinic

Sayre, PA

$85.1K - $108K a year

Coordinate and facilitate correct identification of patient status.Collaborate and set standards with registered nurse (RN) case managers (CMs) and outcome managers to ensure that all hospitalized patients have the correct admissi...

RN Care Coordinator, Utilization Management -Per diem - Days

Hackensack Meridian Health

Hackensack, NJ

$81.2K - $103K a year

BSN or BSN in progress and/or willing to acquire within 3 years of hire or transfer into the position. Effective decision-making skills, demonstration of creativity in problem-solving, and influential leadership skills. Excellent...

Utilization Management Clinician - Behavioral Health

Pacificsource Health Plans

Springfield, OR

$88K - $111K a year

Collect and assess member information pertinent to members history, condition, and functional abilities in order to promote wellness, appropriate utilization, and cost-effective care and services. Coordinate necessary resources t...

Utilization Management Coord- Full- Time

Augusta University Medical Center

Augusta, GA

$78.1K - $98.9K a year

Utilization Management Coord- Full- TimeWork Location: Req Number: 34297Department Name: CARE FacilitationShift: DayPosition Status: Full TimeEmployment Status: RegularThis button is used to apply to this position only.If you are...

Staff Utilization Management Pharmacist (Contract)

York State Department Of Labor

New York, NY

Bachelor's degree/Pharm.D. Must have an active license with the Board of Pharmacy in the state of residence. Pharmacy degree from an accredited college of pharmacy. Ability to participate in Federal prescription programs (Medicare...

Manager Utilization Management

Kaiser Permanente

Santa Clara, CA

Chairs and Co-chairs local committees focused on creating, implementing and monitoring work plans to achieve UM targets and performance improvement. Provides expertise into target setting processes. Shares accountability with othe...

Utilization Management Nurse 2 -Post Acute Pre Auth WEEKENDS

Humana

Louisiana, United States

$69.9K - $88.5K a year

Licensed Registered Nurse (RN) in the state of Florida, or compact license, with no disciplinary action. Prior clinical experience preferably in an acute care, skilled or rehabilitation clinical setting Comprehensive knowledge of...

Utilization Management Nurse Consultant

Cvs Health

Bismarck, ND

Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.. Gathers clinical informat...

Case Manager/Utilization Review Manager - Case Management

Arnot Health

Elmira, NY

$40.56 - $51.55 an hour

Seeks and provides peer consultation about cases presenting problems and/or experiencing significant deviation from the plan of care. Arranges for and participates in coverage during long, short, and unexpected absence of self and...

Utilization Mgmt Reviewer - System Care Management - Per-diem

The Guthrie Clinic

Sayre, PA

$42.8K - $54.2K a year

The Utilization Reviewer: Secures authorization as appropriate Documents payer authorization Screens the appropriateness of level of care/service Facilitates issue resolution with payer sources in collaboration with other...

Utilization Managed Care Nurse

Access Healthcare Physicians, Llc

Spring Hill, FL

From $65,000 a year

401(k). Dental insurance. Health insurance. Life insurance. Paid time off. Vision insurance. 8 hour shift. Day shift. Monday to Friday. Medical records: 1 year (Preferred). CTST: 1 year (Required). RN: 5 years (Required). HEALTH P...

Market Medical Director, Utilization Management - WellMed - Remote

Optum

San Antonio, TX

401(k)

Assists in development and maintaining an efficient UM program to meet the needs of the health plan members and commensurate with company values. Educates primary care physicians regarding systems, structures, processes and outcom...

Case Manager Utilization RN ED Night 40/hr

Kaiser Permanente

San Marcos, CA

Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of app...

Case Manager Utilization RN, 40/hr Day

Kaiser Permanente

Anaheim, CA

Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of app...

Case Manager Utilization RN- Per Diem

Kaiser Permanente

Irvine, CA

Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of app...