RN Supervisor, Utilization Management — Remote/Hybrid
$75.3k - $135.4kFultonmontgomeryny
- Remote job
Fultonmontgomeryny is seeking a Clinical Review Supervisor for its Medical Management/Health Services team in New York. The role involves overseeing the utilization management team, ensuring quality and regulatory compliance while coaching staff and resolving complex member issues. Candidates must have a nursing degree and valid RN licensure, along with at least four years of relevant experience. The position offers competitive pay ranging from $75,300 to $135,400 per year, along with a comprehensive benefits package including health insurance and flexible work schedules. #J-18808-Ljbffr Fultonmontgomeryny
- ...healthcare provider in California is seeking a Supervisor of Utilization Management to oversee operations of the Pre-... ...and facilitate team meetings. A California RN license is required. This position offers a hybrid work environment and focuses on improving patient...Remote work
$75.3k - $135.4k
...professional on our Medical Management/Health Services team. Centene... ...day-to-day activities of utilization management team. Monitors and... ...preferred. License/Certification RN - Registered Nurse - State... ...approach to work with remote, hybrid, field or office work schedules...Remote workFull timePart timeWork at officeFlexible hours$75.3k - $135.4k
Fulton Montgomery Regional Chamber of Commerce in New York seeks a Clinical Manager to supervise the Prior Authorization and Clinical Review teams. The ideal candidate will possess New York RN licensure and have a Bachelor's degree in Nursing along with a minimum of 4...Remote jobFlexible hours- ...At AZ Blue, we have a hybrid workforce strategy,... ...as hybrid, onsite or remote. While the majority of... ...PURPOSE OF THE JOB The Utilization Review Supervisor coordinates the... ...a Registered Nurse (RN) Required Certifications... ...Experience 1 year of managed care/health plan experience...Remote workFull timeWork experience placement2 days per week1 day per week
- Cambia Health Solutions is seeking a Supervisor Utilization Management to lead a team dedicated to improving health care delivery. This hybrid role requires leadership skills and clinical expertise to ensure quality care through effective utilization management programs...Suggested
- Cambia Health Solutions is seeking a Supervisor Utilization Management to lead a team in Portland. The role involves overseeing team activities... ...experience, and be a current Registered Nurse (RN). This hybrid position offers competitive pay and numerous benefits....
- Cambia Health Solutions is seeking a Supervisor Utilization Management in Vancouver, WA. This hybrid position involves leading a team in the clinical services department to ensure cost-effective and quality care. The successful candidate will have a nursing background and...
- Blue Cross Blue Shield of Arizona is seeking a Utilization Review Supervisor in Phoenix, AZ. This hybrid role requires coordination of medical necessity reviews and... ...have 2 years of clinical experience and an active RN license in Arizona. The position entails evaluating...
- ...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 workFlexible hours
- ...is seeking a Clinical Review Supervisor to provide operational supervision... ...of clinical staff conducting utilization review activities. This fully remote position requires an RN license and relevant... ...in patient care and medical management. The role focuses on quality...Remote work
- CommonSpirit Health is seeking a Supervisor of Utilization Management (UM). This remote position requires overseeing the Pre-Authorization team while ensuring compliance with guidelines. Your leadership will be essential in promoting quality patient care. The ideal candidate...Remote job
$77.96k - $120.37k
Santa Barbara Cottage Hospital is seeking a Utilization Review Supervisor RN to direct operations within the department. This remote role requires a leader adept in managing a team, ensuring service quality, and handling human resources matters. The ideal candidate will...Remote job- 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
- ...clinical interviews for incoming RN’s Conduct new hire trainings... ...visits/meetings (in person/remote/calls) and supervisions in Outlook... ...is given access to the RN Supervisor by the DOE, ensure staff is trained... ...plan Work Location: Hybrid remote in Bronx, NY 10453 #J-...Remote jobLocal area
$77.96k - $120.37k
...Utilization Review Supervisor RN The Utilization Review Supervisor RN is responsible for directing the operations of their designated... ...human resources, customer service, and limited sales management. This is a remote position. Essential functions and responsibilities...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hoursNight shift$70.3k - $87.87k
...MI, U.S. Job Summary The Supervisor of Utilization Review (UR) oversees the development... ...also participates in management meetings, workgroups, and... ...(LMFT) Registered Nurse (RN) Must maintain Child... ...in an office environment. Hybrid (onsite/remote) work schedule available....Remote workFull timeWork at office- ...Centene Corporation in Missouri is seeking a supervisor for their Prior Authorization team within the Medical Management/Health Services department. The role ensures quality... ...of related experience, and have an active RN license. Benefits include competitive pay, health...Remote workFlexible hours
$56.6k - $82.1k
...are recruiting for a mission-driven Supervisor, Call Center (Hybrid Remote, must live in Denver Metro Area) to... ...The supervisor works closely with management to achieve service-level goals, improve... ...patience, respect and equality. Utilizes problem solving skills and...Remote workFull timeLive inWork at officeImmediate startShift work- Audit Supervisor (Woodland Hills hybrid) About the job Audit Supervisor (Woodland Hills... ...role in overseeing and managing audit engagements while also... ...flexibility of working fully remote, providing an opportunity... ...remote work environment. Utilize technology and virtual...Remote workFlexible hours
$71.1k - $97.8k
Humana Inc is seeking a Utilization Management Nurse to leverage clinical expertise for optimal treatment and... ...healthcare providers and patients in a hybrid home/office work model. The ideal candidate should hold an active RN license and have over 3 years of clinical...Remote jobWork at officeWork from homeHome office$75k - $100k
Description Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness,... ...experience. Work Location We are open to remote work in the following approved states:... ...Benefits ~ Remote and hybrid work options available ~ Performance...Remote workFor contractorsWork at officeLocal areaImmediate start$71k - $90.5k
...RN Case Manager - Hybrid Cityblock Health Detroit, MI, US / Onsite/Remote The RNCM manages a panel of rising and high intensity members to support integrated chronic... ...(ICD or CPT) to validate gap closures. Utilize care facilitation tools, electronic health...Remote workWork experience placement$80.64k - $92.75k
...leading caregiving services company seeks an AP Supervisor to oversee accounts payable operations and lead remote teams. The role requires 3-5 years in accounts payable... ...while supporting month-end activities. This hybrid position involves coming into the El Segundo office...Remote workWork at office$32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Hot Job Gibson City, IL 60936 Overview Salary Range $32.00 - $48.00 Hourly... ...HOURS & SHIFT REQUIREMENTS: Full time position. Hybrid (combination of in person and remote considered) GENERAL SUMMARY The...Remote workHourly payFull timeWork at officeRelocation packageShift work$42 - $46 per hour
...depending on experience and is in Hanover, MD and also REMOTE. The Utilization Management Supervisor is responsible for serving as a resource for medical management... ...Requires current, active, unrestricted license such as RN, LCSW (as applicable by state law and scope of practice...Remote workHourly payFull timeContract workCurrently hiringWork at officeMonday to FridayFlexible hours- ...Documentation Integrity Supervisor The Outpatient... ...will be accountable for managing a team of CDI specialists... ...This Position is 100% Remote; can work from anywhere... ...this position requires an RN licensure with three years... ...health records and utilize AI/NLP technologies...Remote jobWork at office
- Two95 International Inc. is seeking a HIM Operations Supervisor in Philadelphia, PA. This hybrid position focuses on overseeing Health Information Management workflows, primarily related to patient identity and chart correction. The ideal candidate should possess supervisory...Remote job
$140k - $170k
...have over 10 years of civil litigation experience and may have no-fault or insurance experience, although it's not required. This hybrid remote position involves 4 days in-office and 1 day remote each week with flexible hours. A competitive salary between $140k to $170k,...Remote workWork at officeFlexible hours1 day per week$92.7k - $125.4k
Hybrid role (3 days/week in office) at our Burlington... ...’s dedicated team of Utilization Management (UM) Leaders are... ...leadership team, our Supervisor Utilization Management... ...unrestricted Registered Nurse (RN) license in a state... ...locations or work remotely). Demonstrated...Remote workFull timeContract workWork at officeImmediate startWork from homeRelocationFlexible hours3 days per week$53.46 - $79.52 per hour
...RN Supervisor Um Prior Auth Inspired by faith. Driven by innovation. Powered by humankindness... ...by law. As our Supervisor of Utilization Management (UM), under the guidance and... ...for high-quality patient care. As a remote employee, we will provide you with the...Remote workWork at office
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