Remote Utilization Management Supervisor - Medicare/DSNP
your Jared
- Remote job
Mass General Brigham Health Plan Holding Company, Inc. is seeking a supervisor to oversee DSNP utilization management staff, including coaching and evaluating licensed clinicians. The role focuses on adherence to national and MA regulations and quality reviews. Qualified candidates will have 3–5 years in managed care, an RN license, and familiarity with InterQual tools. This remote position may involve occasional weekend work and requires a HIPAA-compliant workspace. #J-18808-Ljbffr your Jared
- ...Brigham Health Plan Holding Company, Inc. is seeking a supervisor to oversee DSNP utilization management staff, including coaching and evaluating licensed... ...license, and familiarity with InterQual tools. This remote position may involve occasional weekend work and requires...Remote jobCasual work
- ...Brigham Health Plan Holding Company, Inc. seeks a Supervisor, Clinical to oversee the DSNP utilization management team and coach licensed staff. The role... ...project participation to meet business needs. The remote position requires MA RN licensure, 3-5 years in managed...Remote job
- Mass General Brigham Health Plan is seeking a supervisor to manage DSNP utilization management staff, ensuring quality reviews and regulatory compliance... ..., and coordinate cross-functional projects as needed. Remote role with daytime schedule, mostly Monday-Friday; MA regulations...Remote jobMonday to Friday
$99.47k - $144.64k
...opportunities, and much more. The supervisor will work closely with the Manager, Clinical, to oversee the daily operations of the DSNP (SCO and OneCare products) utilization management staff. The... ...Working Conditions This is a remote role that can be done from most...Remote workWork at officeMonday to FridayFlexible hoursShift workWeekend work- ...Supervisor Utilization Management The Supervisor Utilization Management is responsible for the direct supervision of the daily operations of the Centralized Utilization Management department in order to assure that utilization management needs are addressed. This position...Remote workLocal area
- 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
- ...Hospital and Mental Health Residential (HMHR) Treatment Utilization Management Supervisor (Project/Program Manager III). This position holds direct... ...days in the officeas well as telecommuting.The ratio of remote to onsite work will be dependent on business needs and is...Remote workContract workMonday to Friday
$128k - $160k
...Supervisor, Utilization Management Pharmacist Charlotte, North Carolina, United States; Denver, Colorado, United States; New York, New York, United... ...careers while making a meaningful impactall in a fully remote, high-performing, and collaborative environment. Position...Remote workLocal 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... ..., and a flexible approach to work with remote, hybrid, field or office work schedules....Remote workFull timePart timeWork at officeFlexible hours- 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
$39.16 - $60.42 per hour
...Laboratory leadership and other facility management and departments to ensure the provision... ...ensure the delivery of quality care. Utilizes available engagement metrics and national... ...and expectations. If applying for a remote or hybrid role, this includes remote work...Remote workHourly payLocal areaShift workDay shift- ...clinical pharmacists, drive key programs, and engage in hands‑on activities like prior authorizations and provider outreach. This fully remote leadership role supports patient care and cross‑functional collaboration. The ideal candidate will hold an active pharmacist...Remote job
- ...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
$107.6k - $170.3k
...work onsite daily.• Hybrid: A blend of remote and onsite work, with at least three onsite... ...develop strategic outreach, stakeholder management, executive engagement, and... ...proficiency in MS Office.Understanding of utility industry issuesDemonstrated leadership skills...Remote workPermanent employmentLocal areaWork from homeFlexible hoursNight shift3 days per week- ...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
- ...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
- ...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
- ...Managing the end-to-end authorization process, the full-time remote Utilization Management Coordinator will oversee patient eligibility verification, maintain detailed documentation, and act as a liaison between hospital staff and health payers while ensuring compliance...Remote workFull time
- ...DSNP Supervisor, RN Integrated Resources, Inc is a premier staffing firm recognized as one... ...seek to improve processes that impact the managed long term support and services... ...staff. Knowledge: Requires knowledge of Utilization Management (UM) and managed care principles...
$65k - $88.6k
...Become a part of our caring community** **This is a remote position.** The Supervisor, Encounter Data Management develops business processes to ensure successful... ...reconciliation of encounter submissions to Medicaid/Medicare. Ensures encounter submissions meet or exceed all...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome 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
- ...Claims Supervisor At Gallagher Bassett, we're there when it matters... ...it well. Whether you're managing claims, supporting clients, or... ...This role is eligible for fully remote work. How you'll make an impact... ...optimal efficiency. Utilize Technology: Harness the power...Remote workLocal area
- ...Leading a remote team, the full-time Lead Utilization Management Coordinator will oversee daily operations, ensure timely processing of authorization requests, and provide guidance and support to the UM Coordinator team while promoting workflow efficiency and quality...Remote workFull time
- ...** ** **Job: ** Materials Supervisor Job Code: Q84- PK-Supvr... ...knowledge of warehouse inventory management systems, bar-coding... ...ability to monitor materials utilization, and to track the procurement... ...control issues (central and remote locations); • Knowledge of...Remote workFull timeContract workWork experience placementLocal area
$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- 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
$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
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