RN Clinical Review Supervisor — Lead Medical Utilization (AL)
Comagine Health
Comagine Health seeks an experienced Supervisor, Clinical Review to oversee clinical staff performing utilization reviews. The role requires active RN licensure and Alabama residency, guiding reviewers to assess medical necessity and ensure adherence to established criteria. The position emphasizes leadership, training, and collaboration with care teams, with a focus on regulatory compliance and quality improvement in a healthcare setting. #J-18808-Ljbffr Comagine Health
$3,228 - $3,323 per week
...Registered Nurse (RN) | Utilization Review Location: Carmichael, CA Agency: GQR Healthcare Pay: $3,228 to $3,323 per week Shift... ...assignment. Benefits: ~ Day 1 Insurance ~ Cigna medical, MetLife dental and vision insurance ~ License reimbursement...MedicalHourly payWeekly payFull timeContract workTemporary workImmediate startShift work$3,228 - $3,323 per week
...Registered Nurse (RN) | Utilization Review Location: Carmichael, CA Agency: GQR Healthcare... ...Benefits: ~ Day 1 Insurance ~ Cigna medical, MetLife dental and vision insurance... ...valued and make a real impact. We are a leading healthcare staffing provider,...MedicalHourly payWeekly payFull timeContract workTemporary workImmediate startShift work- Comagine Health is seeking Clinical Utilization Review Nurses (RN) based in Alabama to assess medical necessity and quality of care through prospective, concurrent, and retrospective reviews. This full-time remote role supports compliant, cost-effective care under Alabama...MedicalRemote jobFull timeContract work
$35 - $45 per hour
Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment Type: Potential contract to hire Pay... ...environment. This role is responsible for reviewing medical records, treatment requests, and clinical documentation to support timely, accurate, and...MedicalWeekly payContract workWork at officeRemote workMonday to Friday$94.4k - $266.3k
...You Are: A senior Oracle Utilities reporting strategist who brings... ...reporting architectures. You lead with strategy — designing frameworks... ..., quality standards, and review cadences. Engage client business... ...suite of benefits including medical, dental, vision, life, and...MedicalWork experience placementLive inWork at officeLocal area$54 - $66 per hour
We are recruiting for a Utilization Review Nurse to join a large healthcare... ...UM experience with charge, lead, supervisory, or management... ...selection and application of clinical criteria and accurate preparation... ...Pre‑Authorization team, the Medical Director, and Physician...MedicalContract workWork at office$75k
Position: Clinical Supervisor (RN) Join a Company That Puts People First! Aveanna Healthcare is one... ...responsibilities, managing a caseload of medically fragile patients while ensuring that... ...patients from facilities to home care. Review physicians’ orders and update care...MedicalFull timeLocal areaMonday to Friday$60 per hour
...HOSPICE RN CASE MANAGER *** 5k sign on bonus... ...Hospice RN regularly reviews and updates the plan of... .... Performs prescribed medical treatments, including... ...professional nursing care by utilizing all elements of... ...Manager when assigned by Clinical Supervisor/Nursing Supervisor and...MedicalFull timeRelocation packageMonday to Friday- ...Overview Your Role The Utilization Management team independently manages... ...utilization and retrospective clinical reviews across multiple lines of business, assessing medical necessity, coding accuracy, treatment... ...Maintain active, unrestricted RN License in assigned states or...MedicalFull timeWork at office
- ...Required Skills Must have California RN License Must have Strong Clinical Background with a minimum of 5... ...Computer Skills Summary : The Utilization Management team reviews the inpatient stays for our... ...provided by facilities to determine medical necessity when our members...MedicalContract workTemporary workLocumWork at officeHome officeShift work
- ...Job Title Utilization Management Team Leader Job Description The... ...utilization and retrospective clinical reviews across multiple lines of business, assessing medical necessity, coding accuracy,... ...Maintain active, unrestricted RN License in assigned states or...MedicalFull timeContract workPart timeWork at officeLocal areaWork from homeHome officeWeekend workAfternoon shift2 days per week
- ...RN Clinic SupervisorThe RN Clinic Supervisor provides leadership and management of the InnovAge clinic. They are... ...lab, oxygen and others.Manages and reviews the records and charts of participants... ...participants and family regarding medications and treatment instructions....MedicalContract workWeekend work
- ...treatment programs that lead to success. Remote... ...Position Overview The Senior Clinical Supervisor is an advanced-level... ...to address areas of medical necessity and may... ...tasks by mid-level staff Review and monitor delegated... ...congested street Be able to utilize continuous visual...MedicalWork at officeRemote work
$20 per hour
...Catering Lead As a Catering Lead, you will be a part of something... ...closing sales techniques. Utilizes Outlook Calendar as well as... ...schedules, Meal discounts, Medical/Dental/Vision, Paid Sick... ...us know. We look forward to reviewing your application and potentially...MedicalHourly payMinimum wageContract workLocal areaFlexible hours$132.54k - $189.53k
...including cities, counties, utilities, and water districts to plan,... ...~ This leader will develop, lead, and execute an annual business... ...way of life. Benefits include medical, dental, vision, flexible... ...the hiring process, such as reviewing applications, analyzing resumes...MedicalFull timeTemporary workWork experience placementWork at officeLocal areaRemote workFlexible hoursNight shiftAfternoon shift- ...interviews, signing off on clinical notes); overseeing the... ...providing feedback; reviewing referrals and... ...and/or testing cases; leading review of clinical documentation... ...required for patient medical leave; and monitoring... ...ensuring the optimal utilization of programs....MedicalInternship
$70k - $100k
...It takes great medical minds to create powerful solutions... ...is seeking a Medical Reviewer (Registered Nurse) to... ...experience and clinical judgment to review medical... ...adjudication, drug utilization review, and other healthcare... ...Registered Nurse (RN) license to practice in...MedicalFull timeRemote workHome officeMonday to FridayFlexible hours- ...prominent healthcare recruiting firm in California is seeking a Licensed Vocational Nurse to manage data abstraction from medical records and coordinate clinical quality initiatives. The ideal candidate will have an active vocational nurse license and solid experience in paper...Medical
- ...Pediatric Associate Medical DirectorTinkBird Healthcare Staffing... ...Medical Director to provide both clinical and administrative leadership... .... Oversight of referral utilization and specialty care access. Participation... ...and family education. Timely review of laboratory, imaging, and...MedicalFull timeMonday to FridayFlexible hours
$248.5k - $373k
...Medical DirectorOptum is a global organization that delivers care... ...Connecting. Growing together.Clinical Advocacy & Support has an unrelenting... ...coverage and medical claims reviews. Our role is to empower... ...clinical knowledge in various utilization management activities with a...MedicalMinimum wageFull timeWork experience placementLocal areaRemote work$280k - $320k
...Medical Director PositionThe medical director of VITAS... ...duties:Quality of Clinical Care Assure appropriate... ...accuracy of documentation.Review revocations.Review... ...Ensure medications are utilized within accepted standards... ...is the nation's leading provider of end-of-life...MedicalLocal areaFlexible hoursNight shiftWeekend workDay shiftWeekday work$75k - $85k
...Clinical SupervisorHot JobCCTRP - Sacramento, CA 95826OverviewSalary... ...at Saint John'sChoice of 8 medical plansChoice of 3 dental plansVision... ...OverviewTITLE Clinical Supervisor - FCRPSALARY $75,000-$85,000... ...quality of care, as well as reviewing work in progress.Conducts regular...MedicalFull timeInternshipLocal areaTrial periodMonday to FridayShift workWeekend work$82k - $122k
...Position Overview The Clinical Supervisor is responsible for all... ...Treatment plans address medical necessity and may... ...funding meetings (IEP, peer reviews) Stay up to date on... ..., Behavior Technician Leads) Other duties as assigned... ..., crouching, etc.) Utilize continuous visual tracking...MedicalFull timeWork at officeRemote workRelocation packageFlexible hours$90k - $109.39k
...accepting applications for a Lead Carpenter position. Applications... ...Click on the below link to review the full class spec for more information... ...benefits include: ~ Medical ~ Dental ~ Vision ~... ...Other public sector facility or utility. Residential houses/buildings...MedicalFull timeTemporary workFor contractorsWork experience placementWork at officeFlexible hours- ...DescriptionAECOM is seeking a Structural Lead for one of our offices in Sacramento, CA.... ...technical studies, and supporting design reviews and project delivery. The Structural Lead... ...employment status, AECOM benefits may include medical, dental, vision, life, AD&D, disability...MedicalContract workFor contractorsFor subcontractorWork at officeLocal areaWorldwideFlexible hours
- ...can help clients shift to the New using leading-edge technologies on some of the coolest... ...sites• Work with large-scale datasets and utilize data preprocessing techniques to ensure high... ...competitive suite of benefits including medical, dental, vision, life, and long-term...MedicalFull timeWork experience placementLive inWork at officeLocal areaShift work
$53 - $60 per hour
...Registered Nurse, RN, is a member of... ...the physical, medical, psychosocial,... ...to the manager/supervisor 3. Registered... ...identifies/utilizes resources, referrals... ...in the clinical record that:... ...per Team Manager reviews b. Registered... ...is the nation's leading provider of end...MedicalHourly payFlexible hoursShift workNight shiftRotating shiftWeekend workDay shiftAfternoon shiftWeekday work$68.64k - $75k
...abilities to forecast, negotiate, lead staff, manage budgets, and... ...update communication, utilization of preferred suppliers and manufacturers... ..., additional charges, etc.* Reviewer of late invoice payment... ...benefits package that includes: medical, dental, vision, life and...MedicalFull timeContract workFor contractorsWork at officeFlexible hoursNight shift$42.31 - $48.08 per hour
...salary Training & development Clinical Supervisor — Music Therapy LA Musica... ...supports clinical development, reviews documentation quality,... ...targeted professional development. Lead or support clinical... ...ancestry, age, disability, medical condition, genetic information...MedicalHourly payFull timeWork at officeLocal areaAfternoon shiftWeekday work$68k - $78k
...career for you! Pearce is a leading technology-enabled provider... ...administrative requirements. Will review subordinate's time and... ...resolve any project related issues utilizing defined processes. ~ Read... ...health benefits including medical, dental and vision insurance,...MedicalDaily paidFull timeLocal areaFlexible hoursShift work
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