Utilization management supervisor jobs in United States

To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click here. · Job Summary · The Supervisor Utilization Management - Government Programs provides leadership and oversight to the utilization management team, ensuring day-to-day activities align with ...

The Utilization Management Supervisor oversees staff assignments to facilitate referral processing in accordance with established policy. · ...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. · ...

Job summary · As a Utilization Management Supervisor at Boncura/Duly Health and Care, you will oversee staff assignments to facilitate referral processing in accordance with established policy. · ResponsibilitiesThe Supervisor, Utilization Management (Outpatient Services)/(AUM) i ...

+ Supervises Prior Authorization Concurrent Review andor Retrospective Review Clinical Review team to ensure appropriate care to members. · Monitors and tracks UM resources to ensure adherence to performance compliance quality efficiency standards · Collaborates with utilization ...

To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click here. · Job Summary · The Supervisor Utilization Management - Government Programs provides leadership and oversight to the utilization management team, ensuring day-to-day activities align with ...

To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click here. · Job Summary · The Supervisor Utilization Management - Government Programs provides leadership and oversight to the utilization management team, ensuring day-to-day activities align with ...

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing ...

The Utilization Management Supervisor will primarily be responsible for managing the UM nursing staff in the day to day operations of the department. · ...

Supervises daily Utilization Management (UM) program operations. · ...

The Supervisor is responsible for the supervision of the FMOLHS Utilization Team. Ensures compliance with healthcare regulations and provides supervision and guidance to clinical staff. · Collaborates with physician leaders and market stakeholders. · Implements the organizations ...

Performs a variety of utilization management activities to promote quality clinical and cost effective outcomes Supervises activities of assigned staff in providing utilization review services. · ...

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing ...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. · ...

Job Summary · The Supervisor Utilization Management - Government Programs provides leadership and oversight to the utilization management team, ensuring day-to-day activities align with timelines and quality standards. The key responsibilities for this role involve monitoring uti ...

Supervises daily Utilization Management (UM) program operations.This position reports to a Manager of Utilization Management in either Prospective, Retrospective, · or Appeals and Reconsideration for the TRICARE contract. · The supervisor coordinates across teams to support meeti ...

+Provide daily supervision of utilization management staff. · +Develop and maintain a cohesive team with high level of productivity accuracy and quality to achieve departmental goals and objectives. · ResponsibilitiesProvides daily leadership direction resources training evaluati ...

This role is for a clinical professional on the Medical Management/Health Services team, · supervising Prior Authorization Nurses and utilization management activities. · ...

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence ...

Careers With Purpose · Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the wo ...