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RN Supervisor Utilization Management
4 weeks ago
CommonSpirit Health Rancho Cordova, United StatesOverview ***This position is hybrid in-office and work from home. Dignity Health Medical Foundation established in 1993 is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Healt ...
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RN Supervisor Utilization Management
2 weeks ago
Dignity Health Rancho Cordova, United States**Overview*******This position is hybrid in-office and work from home.**Dignity Health Medical Foundation established in 1993 is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity ...
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Cornerstone Staffing Solutions Rancho Cordova, United StatesAre you a leader? · A medical professional who leads by proactive example? · Pay Range: $44 -$51 with stipend · Work Schedule: Mon-Sat, 8:00a - 4:30p · We are seeking a medical professional for the role of Supervisor of Utilization Management. · You will be taking on the rol ...
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State of California Sacramento County, United StatesJob Posting: Unit Supervisor · California Energy Commission · JC Unit Supervisor · PROGRAM AND PROJECT SUPERVISOR, PUBLIC UTILITIES COMMISSION $11, $14,967.00 per Month · Final Filing Date: 5/31/2024 · Application Methods: Electronic (Using your CalCareer Account) By Mail ...
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State of California Sacramento County, United StatesJob Posting: Unit Supervisor · California Energy Commission · JC Unit Supervisor · PROGRAM AND PROJECT SUPERVISOR, PUBLIC UTILITIES COMMISSION $11, $14,967.00 per Month · Final Filing Date: 6/8/2024 · Application Methods: Electronic (Using your CalCareer Account) By Mail D ...
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California Energy Commission Sacramento County, United StatesJob Description and Duties · Under the general direction of the Program Manager, PUC of the Clean Energy & Technology Branch, the Program and Project Supervisor, PUC (Supervisor) serves as the highest-level resource specialist and performs very difficult technical work relating ...
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State of California Sacramento County, United StatesJob Posting: Unit Supervisor · California Energy Commission · JC Unit Supervisor · PROGRAM AND PROJECT SUPERVISOR, PUBLIC UTILITIES COMMISSION $11, $14,967.00 per Month · Final Filing Date: 6/7/2024 · Job Description and Duties · Under the general direction of the Program ...
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State of California Sacramento County, United StatesJob Posting: Unit Supervisor · California Energy Commission · JC Unit Supervisor · PROGRAM AND PROJECT SUPERVISOR, PUBLIC UTILITIES COMMISSION $11, $14,967.00 per Month · Final Filing Date: 6/7/2024 · Application Methods: Electronic (Using your CalCareer Account) By Mail D ...
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State of California Sacramento County, United StatesJob Posting: Building Performance and Metrics Unit Supervisor · California Energy Commission · JC Building Performance and Metrics Unit Supervisor · PROGRAM AND PROJECT SUPERVISOR, PUBLIC UTILITIES COMMISSION $11, $14,967.00 per Month · Final Filing Date: 5/13/2024 · Job De ...
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Public Utilities Commission Sacramento County, United StatesJob Description and Duties · Individuals interested in applying for this vacancy must have eligibility. If you are new to state service or need to gain eligibility to this classification, please to open the examination bulletin and follow the instructions on "How to apply". · T ...
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California Energy Commission Sacramento County, United StatesJob Description and Duties · Under the general direction of the Program Manager, PUC of the Reliability Reserve Incentives Branch, the Program and Project Supervisor, PUC (Supervisor) serves as the highest-level resource specialist and performs very difficult technical work rela ...
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California Energy Commission Sacramento County, United StatesJob Description and Duties · Under the general direction of the Program Manager, PUC of the Clean Energy & Technology Branch, the Program and Project Supervisor, PUC (Supervisor) serves as the highest-level resource specialist and performs very difficult technical work relating ...
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Public Utilities Commission Sacramento County, United StatesJob Description and Duties · Individuals interested in applying for this vacancy must have eligibility. If you are new to state service or need to gain eligibility to this classification, please to open the examination bulletin and follow the instructions on "How to apply". · Th ...
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California Energy Commission Sacramento County, United StatesJob Description and Duties · Under the general direction of the Program Manager of the Standards Compliance Branch, the incumbent has full supervisorial responsibility for the most complex and sensitive programs including administrative oversight, planning, organizing, directing ...
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Program and Project Supervisor, Public Utilities
2 weeks ago
California Energy Commission Sacramento County, CA, United StatesPlease let us know how you heard about this position by taking a brief survey at CEC Recruitment Survey. · - **Individuals who are eligible for a Training and Development assignment may also be considered for this position(s).** · You will find additional information about the jo ...
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Program and Project Supervisor, Public Utilities
2 weeks ago
California Energy Commission Sacramento County, CA, United StatesPlease let us know how you heard about this position by taking a brief survey at CEC Recruitment Survey. · - **Individuals who are eligible for a Training and Development assignment may also be considered for this position(s).** · You will find additional information about the jo ...
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California Energy Commission Sacramento County, CA, United StatesPlease let us know how you heard about this position by taking a brief survey at CEC Recruitment Survey. · - Training & Development Assignment may be considered for this position._ · You will find additional information about the job in the **Duty Statement**. · Working Condition ...
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Program and Project Supervisor, Public Utilities
2 weeks ago
California Energy Commission Sacramento County, CA, United StatesPlease let us know how you heard about this position by taking a brief survey at CEC Recruitment Survey. · Training & Development Assignment may be considered for this position. · You will find additional information about the job in the **Duty Statement**. · Working Conditions · ...
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Program and Project Supervisor, Public Utilities
2 weeks ago
California Energy Commission Sacramento County, CA, United StatesPlease let us know how you heard about this position by taking a brief survey at CEC Recruitment Survey. · Individuals who are eligible for a Training and Development assignment may also be considered for this position(s). · - You will find additional information about the job in ...
Registered Nurse Utilization Supervisor - Rancho Cordova, United States - JobRialto
Description
Job DescriptionMinimum Qualifications:
RN CA License required - Graduate of an accredited school of nursing.
Five or more year's clinical experience is required.
Three to five years Utilization Management experience required.
One to three years charge/lead/supervisory/management experience required.
Ability to demonstrate leadership and management skills.
7 years UM experience with Charge/Lead/Supervisory/Management experience in the Utilization Management department.
Experience working with health plan auditors.
Bachelor of Science in Nursing and/or master's level degree preferred
Working knowledge of InterQual. Knowledgeable of NCQA and ICE.
Duties:
Lead and supervise a team of utilization management nurses, providing guidance, support, and oversight.
Develop and implement departmental policies, procedures, and protocols to ensure efficient utilization review processes.
Coordinate staffing assignments, schedules, and workload distribution within the utilization management team.
Conduct performance evaluations, provide feedback, and identify training needs for staff members.
Serve as a resource and mentor for utilization management nurses, offering clinical expertise and guidance in complex cases.
Collaborate with other departmental supervisors and managers to streamline processes and enhance interdisciplinary communication.
Monitor team performance metrics and outcomes, identifying areas for improvement and implementing corrective actions as needed.
Ensure compliance with regulatory requirements, accreditation standards, and organizational policies related to utilization management.
Participate in the development and implementation of quality improvement initiatives to optimize healthcare delivery and outcomes.
Foster a culture of continuous learning, professionalism, and collaboration within the utilization management team.
Serve as a liaison between the utilization management team and other departments, stakeholders, and external entities.
Stay informed about current trends, best practices, and innovations in utilization management and healthcare delivery.
Education: Masters Degree