Utilization Management RN Supervisor — Care & Authorization
WelbeHealth, LLC.
WelbeHealth, LLC. is seeking a Utilization Management RN Supervisor to oversee the day-to-day UM team and drive compliant, cost-effective care for our participants. You will review prior-authorization requests, mentor staff, and collaborate with providers and clinical colleagues to resolve utilization management issues. We offer a competitive total rewards package, including medical, dental and vision coverage, a 401(k) match, ample PTO, holidays, and opportunities for advancement. #J-18808-Ljbffr WelbeHealth, LLC.
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Utilization Management RN Supervisor — Care & Authorization in New York, NY vacancy
$38 - $40 per hour
Utilization Management RN - Prior Authorization Immediate need for a talented Utilization Management RN - Prior Authorization. This is a 12+ Months Contract... ...experience; experience in utilization management, managed care, or prior authorization is preferred. Required:...SuggestedContract workWork at officeLocal areaImmediate startRemote work$85k - $95k
...of using the platform. The RN Supervisor, Clinical Operations... ...and report to the Director/Manager of Clinical Operations. You... ...criteria guidelines Prior Authorization or Utilization Management experience Excellent... ...access to quality care by improving payer-provider...SuggestedHourly payFor contractorsRemote workFlexible hoursCohere Health
New York, NY4 days ago- ...Now Hiring RN Supervisor! Opportunities for Career Growth... ..., and resident care standards. Excellent... ...Ability to effectively manage and motivate a team of... ...Department assigned. Utilizes 24 Hour Report sheet to... ...performs treatments, as authorized, in a safe...SuggestedImmediate start
Beach-Garden-Rehab-
New York, NY1 day ago - ...is seeking a senior leader to manage Prior Authorization, Concurrent Review, and Appeals teams, ensuring appropriate care for members. The role requires an active RN license and a willingness to participate... ...drive process improvements in utilization management #J-18808-LjbffrSuggestedRemote workWeekend work
Centene Corp.
New York, NY1 day ago $100k - $130k
...seniors. We prioritize preventive care while leveraging data and... ...who need it most. The Utilization Management (UM) team plays a vital role... ...CMS guidelines. As the Lead RN, Utilization Management, you... ...policies, procedures, the prior authorization list, and job aids; improve...SuggestedWork experience placementWork at officeRemote workFlexible hours$39.4 - $53 per hour
...technology-enabled revenue cycle management solutions for health... ...Position Overview The Lead Utilization Review RN is a key contributor to the... ...outcomes-oriented, patient care delivery system, which places... ...who reside and are authorized to work within the United States...Work at officeLocal areaRemote work- Pyramid Consulting is seeking an Utilization Management RN for a 12+ month contract opportunity with a remote location in the United States. The role focuses on prior authorization, clinical document review, and timely case management. Strong nursing credentials and IRN...Remote jobContract workImmediate start
$50 - $55 per hour
...DescriptionJob DescriptionRN Supervisor-Full TimeNOW OFFERING... ...RESPONSIBILITIES:The RN Supervisor assumes... ...responsibilities for the management of resident and staff activities... .... The RN Supervisor utilizes nursing practice and... ...and ensures resident care is administered in accordance...Daily paidShift workWeekend workThe Chateau at Brooklyn Rehabilitation and Nursing Center
New York, NY3 days ago- ...operations. You will process requests, coordinate pre-authorization, and ensure documentation supports timely care and accurate claims processing. The ideal... .../surgical experience, and familiarity with utilization management, Windows, Word and Excel. #J-18808-Ljbffr MJHS
- ...comprehensive, concierge-based care. Ensuring the dignity, safety,... ...care services and supervision utilizing the nursing process and... ...required to maintain an active RN License within your designated... ...of clinical staff and overall management of client cases.Assesses the physical...Full timePart timeWork at officeLocal area
Craig Cares
New York, NY1 day ago $120.68k - $124k
...Registered Nurse (RN) – Charge / Staff Nurse (3pm – 11pm Shift... ...experience to oversee evening resident care, coordinate clinical... ...documentation and shift reports utilizing the facility’s Electronic Health... ...ability, and experience managing high-acuity sub-acute/LTC residents...Permanent employmentFull timeFlexible hoursShift workWeekend workAfternoon shiftTalent Match Recruiting
New York, NY1 day ago- ...RN Supervisor – AristaCare AristaCare is seeking an RN Supervisor responsible for the day‑to‑... ...Supervisor, you are delegated the administrative authority, responsibility, and accountability to... ...and ensure the highest quality of care at all times. Shift Availability Full Time...Full timePart timeLocal areaRelocation packageShift work
AristaCare
New York, NY22 hours ago - ...family in revising or altering the plan of care.Assigns a nurse or therapist to provides... ...with the health care team or appropriate manager at the start of the next business day... ...evaluating services to the patient and family.Utilizes opportunities to involve patient/family...Monday to FridayWeekend work
ArchCare
New York, NY2 days ago - ...DescriptionPosition OverviewThe Registered Nurse (RN) Supervisor plays a key leadership role in managing nursing operations during assigned shifts at Constant Care Agency’s partner nursing facilities... ...as the on-site clinical authority during assigned shifts.Respond to...Immediate startShift workNight shiftWeekend workAfternoon shift
Constant Care Health Services
New York, NY3 days ago - ...Description Our facility is in need of a RN Supervisor on our vent unit at Miller Nursing Home.... ...assess, plan, implement, and evaluate care for a group of patients, supervise assigned... ...to all developmental ages. The Hospital Authority of Miller County provides great benefits...
Miller County Hospital
New York, NY1 day ago - ...Description Assure that effective quality nursing care is delivered which is outcome focused through utilization of the nursing process. Identify needs and... ...Education Requirements for a Registered Nurse (RN) New York State Registered Nurse license in good...Weekend workAfternoon shift
Independencenh
New York, NY3 days ago $83.2k - $87.36k
...related reasons. Description RN Supervisor Salaried: $83,200 - $87,360... ...residents receive high-quality care while supporting staff,... ...scheduling adjustments, and overtime authorization as needed Support staff... ..., coaching, and performance management activities Ensure compliance...Hourly payWeekly payDaily paidFull timePart timeTraineeshipRelocation packageShift workNight shiftAfternoon shiftLivingLegendsHealth
New York, NY2 days ago- ...is to provide direct nursing care to the residents and to supervise... ...of Nursing Services or Nurse Supervisor to ensure the highest degree... ...surveys (inspections) made by authorized government agencies as may be... ...graduated of an approved LPN/RN Program. SUPERVISORY RESPONSIBILITIES...Full timeTraineeshipWork at officeLocal areaShift work
Hospital Authority of Columbus GA
New York, NY1 day ago - ...experienced Licensed Practical Nurse (LPN) for our managed care nursing team in New York. The role focuses on pre-authorization, concurrent review, and discharge planning in alignment with Medicare guidelines and Utilization Management processes. Responsibilities include...
- JOB SUMMARY: The RN Supervisor provides direct and indirect patient care to all age groups. The RN assesses, plans, implements, and evaluates the patient care... ...of life for the communities we serve, the Hospital Authority of Miller County is committed to the delivery of superior...Local areaImmediate startShift work
$60 - $85 per hour
Towne Home Care is hiring for an RN Supervisor to join our growing team! The RN Supervisor will assess new and incoming home care clients, as well as... ...of Microsoft Office Software and/or ability to utilize online software to complete charting and required paperwork...Weekly payFull timeCasual workWork at officeRemote workMonday to FridayFlexible hoursWeekend work- ...Job Title: Utilization Management Registered Nurse (UM RN) – SNF / MLTC Location: Remote (Must reside in NY... ...Medicare, and Managed Long-Term Care (MLTC). This is a 100% remote position... ...care organizations regarding authorizations, medical necessity reviews, and continued...Full timeRemote workMonday to Friday
Medix
New York, NY1 day ago $20 - $30 per hour
...health industry by delivering exceptional care, utilizing state-of-the-art facilities, and... ...Reports to: SeniorDirector of Revenue Cycle Management Department/Location: Remote FLSA... ...Prescreen referrals to project/anticipate authorizations. Provide recommendations regarding...Remote workGuidelight Health
New York, NY22 hours ago$99.31k - $131.09k
...transforming the reality of senior care by providing an all-... ...’s journey and our Utilization Management team ensures we can provide... ...the Utilization Management RN Supervisor drives the continuous improvement... ...team in reviewing prior-authorization requests for medical...WelbeHealth
New York, NY1 day ago$75k - $100k
...Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity... ...with evidence-based criteria, authorize requested services as appropriate. Our... ...Health Services objectives of quality care and reasonable cost. Would enjoy identifying...For contractorsWork at officeLocal areaImmediate startRemote workWPS—A health solutions company
New York, NY1 day ago- Ensemble Health Partners is seeking a Lead Utilization Review RN to support medical necessity determinations and discharge planning, ensuring high-quality documentation and appropriate care levels. The role emphasizes collaboration with physicians, nurses, coding professionals...
$40k - $52.3k
Become a part of our caring community Humana is seeking a Utilization Management (UM) Coordinator to join the Wisconsin... ...Reporting to the UMPA Administrative Supervisor, you will provide non-clinical... ...and outpatient prior authorization (PA) requests as outlined by Humana...Full timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$35 - $40 per hour
...offerings for clinical, case management, member engagement,... ...analytics. Job Title RN Utilization Management Reviewer... ...requiring prior authorization in a variety of clinical... ...to primary care team, specialty providers... ...duties as requested by supervisor. Qualifications RN –...Hourly payTemporary workRemote workMonday to FridayFlexible hoursWeekend workSagility LLC
New York, NY1 day ago- Humana is seeking an UM Administration Coordinator to support utilization management operations remotely. The role involves handling member/provider calls, processing prior authorizations, and performing back-office administrative tasks with strict adherence to processes...Remote jobWeekend work
$63.1k - $94.65k
...enabled revenue cycle management solutions for... ...have current compact RN license, or be... ...are seeking Virtual Utilization Review Specialist... ...utilization of health care resources and... ...required by their supervisor, subject to reasonable... ...reside and are authorized to work within the...Temporary workWork at officeLocal areaRemote workMonday to FridayShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Utilization Management RN Supervisor — Care & Authorization. Be the first to apply!
Related searches
- outpatient rn New York, NY
- sedation rn New York, NY
- 1099 rn New York, NY
- ed rn New York, NY
- registered nurse office New York, NY
- rn visa sponsorship New York, NY
- labor & delivery rn New York, NY
- registered nurse remote New York, NY
- mother baby postpartum rn registered nurse New York, NY
- injection rn New York, NY