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Supervisor Utilization Management Rn Jobs

Rn Supervisor Jobs
By AMX Healthcare At Oswego, NY, United States
Shifts: Days, evenings or Nights.
Start Date: Flexible Start Dates
Pay Package $2540.00 per week
Assignment Details - OT AVAILABLE!
Rn Supervisor Jobs
By Touchstone Communities At Helotes, TX, United States
Competitive compensation and benefit package
Make Lives Better. Be a part of something meaningful: The Touchstone Experience.
A place where your voice matters
Accrue paid time off starting day 1
Touchstone Emergency Assistance Foundation Grants
Registered Nurse Supervisor - Weekends
Rn Care Manager- Utilization Management
By The CGC Group At New York, NY, United States
Managed care experience or Case Management experience.
Provide utilization management as needed to ensure coordination of health care delivery.
Identify members at risk and refers for Care management and/or disease management as needed.
RN with an active, unrestricted nursing license (Concurrent Review, Medical Management, etc.)
Effectively able to screen and stratify members who are appropriate for care management services.
Ability to create and execute care management care plans and document per EH’s policies and procedures.
Rn Supervisor Jobs
By Touchstone Communities At Hondo, TX, United States
Competitive compensation and benefit package
Make Lives Better. Be a part of something meaningful: The Touchstone Experience.
A place where your voice matters
Accrue paid time off starting day 1
Touchstone Emergency Assistance Foundation Grants
Heres whats in it for YOU!
Rn Supervisor Jobs
By Blue Ridge Therapy Connection At Martinsville, VA, United States
Skilled Nursing Home LTC: 2 years (Preferred)
NEW PAY SCALE** **NEW COMPETITIVE PAY RATES** ***SIGN ON BONUS***
State licensure as a Registered Nurse (RN)
Supervises and evaluated performance of staff nurses and nursing assistants on designated shift.
Performs duties of staff nurse as required.
Plans effective administration of assigned shift.
Manager, Utilization Management, Registered Nurse, Rn
By Humana At ,
Minimum 1 year Utilization Management Experience
Intermediate to advanced computer skills and experience with Microsoft Suite, Word, Excel, Outlook.
Requires cross departmental collaboration, and conducts briefings and area meetings; maintains frequent contact with other managers across the department.
Manager will travel twice a year to South Florida to attend meetings (See Additional Information below)
Minimum 1 year experience with any of the following Team Leadership, Project Leadership, or Subject Matter Expert, SME
Minimum 1-year progressive clinical experience preferably in an acute care clinical setting
Dme Utilization Management Clinical Supervisor
By Kaiser Permanente At , Walnut Creek $71.25 - $92.17 an hour
Demonstrated experience in utilization management, discharge planning, or transfer coordination.
Previous case management experience preferred.
Must be able to work in a Labor/Management partnership environment.
Bachelors degree in nursing or health related field OR four (4) years of experience in a directly related field.
High School Diploma or General Education Development (GED) required.
Knowledge of Nurse Practice Act, TJC, and other federal/state/local regulations.
Rn Utilization Management Reviewer
By Commonwealth Care Alliance At , Boston, 02108
3+ years combined clinical and utilization management experience
Experience with utilization management platform preferred
Knowledge, Skills & Abilities Required:
Ensures accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy
3+ years' experience working in a health plan preferred
Strong collaboration and negotiation skills
Rn Supervisor Jobs
By Orwigsburg Nursing and Rehabilitation Center At Orwigsburg, PA, United States
Has at least 1 year of supervisory experience in long-term care or a physical rehab setting
Manage emergency situations in a prompt, precise, and professional manner
Must possess a Registered Nursing license for the state of Pennsylvania upon hire
The ability to perform physical tasks typical of RN work
Embraces our person-centered care approach to meet each resident's needs and preferences
Possesses a true passion for excellence in nursing care
Rn Utilization Management Jobs
By Carewise Health, Inc At , Remote
A minimum of three years utilization management experience working with individuals with complex care needs experience preferred.
Organization and time management skills are essential.
Utilizes nursing experience and judgment in addition to the client specific guidelines when determining medical necessity and quality check dates.
A minimum of three years clinical nursing experience preferred.
Intermediate level skills in Microsoft applications (Excel, Word, Outlook, and Windows environment).
Excellent verbal and written communication skills.
Rn Coordinator Utilization Management (1.0 Fte)
By Network Health At , Menasha, 54952
Provides education regarding utilization management activities and processes to members, caregivers, providers, and their administrative staff.
Experience in insurance, managed care and utilization management preferred.
Participates in Utilization Management auditing (i.e. Utilization Management Inter-reviewer reliability and denial files).
Supports Utilization Management department programs and goals through active participation.
Identifies and screens candidates for Case Management intervention and determines appropriate level of care from Utilization Management criteria.
Performs other duties and responsibilities as assigned.
Rn Supervisor A Jobs
By State of Louisiana At , Mandeville $5,477 - $9,856 a month
Educational opportunities made available to staff.
A baccalaureate degree in nursing will substitute for one year of the required experience.
A doctorate in nursing or public health will substitute for two years of the required experience.
Specialized degrees will substitute for a maximum of two years of the required experience.
To provide first line supervision of nursing services either in a clinical, educational, or programmatic setting.
Earned Annual (personal) AND Sick Leave for eligible staff. Leave is accumulated and balances roll over each year.
Rn Utilization Management Nurse Cst Est Location Remote
By Optum At , Atlanta, 30319
Experience in utilization review and/or utilization management
Collaborate with UnitedHealthcare Medical Directors on performing utilization management
Follow all Standard Operating Procedures in end-to-end management of cases
Experience in acute, long-term care, acute rehabilitation, or skilled nursing facilities
Apply clinical expertise when discussing case with internal and external Case Managers and Physicians
Identify delays in care or services and manage with MD
Supervisor Long Term Services & Support Utilization Management Review, Rn - Remote
By AmeriHealth Caritas At , Philadelphia, 19103
Monitors staff work assignments and makes appropriate adjustments based on staffing levels, staff experience, and number/request types of authorizations/appeals received.
Assesses candidates and ensures that optimal qualifications are met as a member of the department’s interview team.
Reviews quality audits and shares audit results in a timely manner with associates, providing necessary education and counseling to improve performance.
Responsible for writing and finalizing annual reviews for direct reports with Manager input.
Accurately answers questions regarding CHC benefits for members and providers.
Maintains awareness and complies with Plan CHC authorization timeliness standards based on DHS/NCQA requirements.
Rn Supervisor Jobs
By NaphCare, Inc. At , Atlanta
NaphCare Benefits for part time employees include:
Coordinate, structure, implement and guide the delivery of the nursing service program within the facility
Take and document all patient history and vital signs
Assist with daily triage/sick call, minor medical/surgical procedures and patient assessments
Assist with examinations and/or treatments
Assist in evaluating the quality and effectiveness of clinical services
Rn Utilization Management Nurse 2 - Se Region - Remote
By Humana At , , Tx
2 or more years of clinical experience preferably in an acute care, skilled or rehabilitation clinical setting
Comprehensive knowledge of Microsoft Word, Outlook and Excel
Previous Medicare/Medicaid Experience a plus
Call center or triage experience
Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment
Rn Supervisor Jobs
By Bethany Village Horseheads, NY At Good Hope, PA, United States
General working knowledge of the aging services industry.
Proven supervisory and leadership skills
Plans, manages and evaluates nursing care on a designated shift by current policies, regulations, and guidelines that govern long-term care facilities.
Current RN licensure in the Commonwealth of Pennsylvania.
Makes written and oral reports/recommendations to the Director of Nursing as necessary, concerning the operation of the nursing department.
Delegates to each medication/treatment nurse the administrative authority, responsibility, and accountability necessary to perform his/her assigned duties.
Rn Supervisor Jobs
By Elmhurst Rehabilitation & Healthcare Center At Providence, RI, United States

RN Supervisors needed: 2 openings: 3-11 and 11-7. Meet Our Residents’ and Patients’ Needs………Elmhurst Rehabilitation and Healthcare Center is part of Marquis Health Services, one of the Northeast’s ...

Rn Supervisor Jobs
By Empro Staffing At Mount Vernon, NY, United States

NEW GRADUATE RN- REGISTERED NURSES SUPERVISOR ARE WELCOME!!We offer:Sick PayWeekly PayHoliday OT PayOvertime PayDirect DepositCommuter BenefitsHealthcare BenefitsReferral Bonus $New Grads ...

Rn Supervisor Jobs
By Ryders Health Management At Newington, CT, United States

Benefits For RN Supervisors Include: