Remote Utilization Management Supervisor - Medicare & Duals
Mass General Brigham Health Plan
- Remote job
Mass General Brigham Health Plan is seeking a supervisor to manage DSNP utilization management staff, ensuring quality reviews and regulatory compliance. You will coach licensed clinicians, monitor productivity, and coordinate cross-functional projects as needed. Remote role with daytime schedule, mostly Monday–Friday; MA regulations govern operations. Requires MA RN license, CCM preferred, and 3–5 years in managed care with inpatient/outpatient review experience. #J-18808-Ljbffr Mass General Brigham Health Plan
$99.47k - $144.64k
...opportunities, and much more. The supervisor will work closely with the Manager, Clinical, to oversee the daily... ...the DSNP (SCO and OneCare products) utilization management staff. The supervisor will... ...) Working Conditions This is a remote role that can be done from most US...Remote workWork at officeMonday to FridayFlexible hoursShift workWeekend work- TriWest Healthcare Alliance seeks a Nurse to supervise daily Utilization Management operations under the TRICARE contract. You will coordinate across teams to meet contractual metrics and ensure quality, efficient care delivery. The role builds staff capability and supports...Remote jobContract work
- ...Interim Utilization Management Supervisor We are seeking an experienced Registered Nurse to serve as an... ...can lead and support employees in a remote work environment. You are comfortable... .... Experience supporting Medicare Advantage, Medi-Cal, or commercial managed...Remote workContract workInterim roleImmediate start
- ...classified as hybrid, onsite or remote. While the majority of our... .... PURPOSE OF THE JOB The Utilization Review Supervisor coordinates the activities... ...Work Experience 1 year of managed care/health plan experience 1 year of Medicaid and Medicare experience Preferred...Remote workFull timeWork experience placement2 days per week1 day per week
- Centene Corp. is seeking a Supervisor, Utilization Management (RN) to lead and supervise our Clinical Review team. This role focuses on ensuring appropriate care for our members and promotes adherence to compliance standards through effective team management and continuous...Remote jobFlexible hours
- CorVel Corporation is looking for a Utilization Review Supervisor RN to direct operations in Rancho Cucamonga. The role includes managing day-to-day operations, ensuring quality service, and handling HR matters. This remote position requires strong communication skills,...Remote job
- TriWest Healthcare Alliance is seeking a Nurse Manager for Utilization Management to supervise daily UM operations under the TRICARE contract.... ...and 3+ years supervisory leadership with UR/case management. Remote work options with occasional travel and DoD background...Remote jobContract work
$77.96k - $120.37k
...Job Description Job Description The Utilization Review Supervisor RN is responsible for directing the operations of their designated... ...resources, customer service, and limited sales management. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES:...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hoursNight shift$75.3k - $135.4k
...a clinical professional on our Medical Management/Health Services team. Centene is a diversified... .... Supervises day-to-day activities of utilization management team. Monitors and tracks UM... ..., and a flexible approach to work with remote, hybrid, field or office work schedules....Remote workFull timePart timeWork at officeFlexible hours$40k - $52.3k
## Utilization Management CoordinatorApplylocations: Remote Ohiotime type: Full timeposted on: Posted Todayjob requisition id: R-426423# **Become a part of our... ...leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military...Remote workWeekly payFull timeTemporary workApprenticeshipHome office- ...of Chandler Public Works & Utilities Department is currently seeking... ...Maintenance & Reliability Supervisor . The position is scheduled... ...membership Flexible schedule/remote work options (when available... ...Works and Utilities maintenance management by using Enterprise Asset...Remote workFull timePart timeCasual workImmediate startMonday to FridayFlexible hours
- ...exciting opportunity for a Supervisor, Coding. This role oversees... ...assurance, and performance management.Shift - 8am-5pm, Monday through... ...abstracting of UTSW accounts utilizing, ICD-10-CM, HCPCS, and CPT... ...and procedures to include the Remote Coding Agreement where...Remote workFull timeLive inWork from homeShift work
- CVS Health is seeking a Senior Manager, Quality Assurance and Audit to lead QA programs across Medicare, Medicaid, and Duals. The role drives regulatory readiness, oversees audit responses, and mentors a remote team of Quality Analysts to achieve best-in-class outcomes....Remote job
- CVS Health is seeking a Senior Manager, Quality Assurance and Audit to lead QA programs across Medicare, Medicaid, and Duals, ensuring regulatory compliance and audit readiness.... ...collaboration. The position emphasizes leadership of remote teams, continuous improvement, and...Remote job
- ...0FTE: 1Job Description: The Supervisor Coding is responsible for the... ...This position is primarily remote. Candidates must be able to... ...degree in Health Information Management or Health Information Technology... ...applications. Experience utilizing reporting tools,...Remote workRelocation package
- ...be submitted.Job SummaryThe Supervisor provides operational, technical... ...testing and therapy, and remote monitoring of cardiac implanted... ...development, equipment management, and program growth to meet... ...diagnostic exercise testing utilizing treadmill and bicycle ergometry...Remote workFull time
- ...Overview : The MCRS Second Responder Supervisor supports the Mobile Crisis Manager by overseeing second responder... ...to ensure second responders are utilized in alignment with operational needs... ...In general, this is a remote position, that will not require daily...Remote workWork at officeImmediate startHome officeFlexible hoursShift workNight shift
- CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant in a full‑time role. The position requires RN licensure, 3+ years... ...including holidays. Applicants should be able to work remotely from home within their state after training and meet...Remote jobFull timeWork from homeShift work
- ...POSITION SUMMARY: The Reliability Supervisor will oversee the PM... ...reporting to the Maintenance Manager. This position is responsible... ...Class Manufacturing Concepts and Remote Condition Monitoring into new... ...to achieve greater than 85% utilization.Manage the daily carryover log...Remote workContract workFor contractorsWork experience placementLocal areaShift work
- ...across the ACA Marketplace, Medicare, and Medicaid. NeueHealth... ...required documentation for utilization reviews. Enter authorization... ...into the utilization management system accurately and efficiently... ...responsibilities are performed remotely. Position requires...Remote workFull timeWork at office
- ...2699892Reference26-01255Remote50% Remote Summary: The Production Supervisor oversees daily manufacturing activities... ...practices. Ensure efficient utilization of equipment, materials, and labor... .... Bachelor's degree in Operations Management, Industrial Engineering, Manufacturing...Remote workShift work
- ...are seeking a Lead Generalist Supervisor to take on a key leadership... ...sales performance with team management. The Supervisor will: Close... ...Operations & Systems Utilize BookingKoala and internal systems... ...Environment & Schedule Remote-based position Flexible scheduling...Remote workContract workFlexible hoursWeekend work
$25 per hour
...This role may support a hub-managed account where recruiting occurs... .... Typically, the Onsite Supervisor relies on a supporting hub to... ...actively seek out new ways to utilize or improve technologies, systems... ...client facility environment or remotely. This role routinely uses...Remote workFull timeTemporary workFixed term contractWork at officeLocal areaImmediate startFlexible hoursShift workNight shiftRotating shiftAfternoon shift$104.6k - $137.24k
...Description:The Sr Production Supervisor leads and develops a team of... ...including yield, equipment utilization, scrap, and on‑time delivery... ...technicians, engineers, and management. Communicate production... ...roles that are designated as remote-eligible, employees cannot be...Remote workFull timeWork experience placementLive inLocal areaImmediate startFlexible hoursShift work- Within our brand new state-of-the-art 600-person manufacturing facility in Lubbock, Leprino is seeking a Utilities Supervisor to lead critical plant utility systems, including ammonia refrigeration, steam, power, and compressed air, while supporting larger levels of cheese...Local area
- ...Health in the United States seeks a Senior Manager, Quality Assurance and Audit to lead QA programs across Medicare, Medicaid, and Duals. You will drive compliance, oversee audits... ...team of Quality Analysts in a largely remote environment. This role requires strategic...Remote work
$90.08k - $111.28k
...Sonoma, Stanislaus, and Yolo. For hybrid and remote roles, candidates are still required to... ...Credit Union's (TCU) Direct Lending Management team oversees the lifecycle of direct consumer... ...meaningful performance metrics, and utilize reporting tools to support operational...Remote workFor contractorsWork at officeImmediate startMonday to Friday$100k - $115k
...and consistency.Partner with management and cross-functional teams to... ...skills, including GD&T, and utilize inspection tools to verify accuracy... ...10Experience as machine shop supervisor, foreman or other lead role... ..., such as hybrid or remote work for many of our positionsEmployee...Remote workWork at officeWork from homeFlexible hours$20 - $30 per hour
...behavioral health industry by delivering exceptional care, utilizing state-of-the-art facilities, and prioritizing the well-... ...impact! Reports to: SeniorDirector of Revenue Cycle Management Department/Location: Remote FLSA Status: Exempt Travel Requirement: None...Remote work- ..., or Division of Facilities Management - South District The Division... ...Operations Manager and Area supervisors in re-allocating plant... ...leaving the steam plant, by utilizing accepted methods of titration... ...schedules, training and more Remote work arrangements for eligible...Remote workFull timeContract workTemporary workPart timeApprenticeshipWork experience placementImmediate startMonday to FridayFlexible hoursShift workNight shiftWeekend workAfternoon shift
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