Supervisor, Utilization Management – Retrospective

Position Overview:Under the supervision of the Manager of the Utilization Review Program, the Utilization Review (UR) Nurse plays a crucial role in ensuring the efficient and precise evaluation of initial medical necessity assessments throughout the preauthorization and retrospective review processes.Work Environment:This position is remote; however, due to...

Position Overview:Under the guidance of the Manager of the Utilization Review Program, the Utilization Review (UR) Nurse plays a crucial role in ensuring the efficient and precise management of initial medical necessity evaluations throughout the preauthorization and retrospective review processes.Work Environment:This position is primarily remote; however,...

Position Overview:Under the supervision of the Manager of the Utilization Review Program, the Utilization Review (UR) Nurse plays a crucial role in ensuring the efficient and precise management of initial medical necessity evaluations throughout the preauthorization and retrospective review processes.Work Environment:This position is remote; however, due to...

The UM Clinical Support Specialist plays a vital role in assisting the Director and Supervisor of UM by collecting, analyzing, and reporting data. This role involves maintaining data logs related to utilization and productivity, developing and monitoring various reports, and providing support to the clinical team by handling inbound and outbound calls that...

About UsNeuroPsychiatric Hospitals is a leading healthcare provider with a unique approach to patient care. Our hospitals offer a comprehensive range of services, including neuropsychiatric and complex medical care, to patients with diverse needs.Job SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team. As a key member of...

About UsNeuroPsychiatric Hospitals is a leading healthcare provider with a unique approach to patient care. Our hospital system has been serving patients with neurological and medical needs for over 15 years, and we continue to expand our services to meet the growing demand for our specialized care.Job SummaryWe are seeking a highly skilled Clinical...

Job OverviewWe are looking for an experienced Underground Utilities Construction Supervisor to manage various aspects of utility projects. This role involves overseeing project planning, directing your team, scheduling, budgeting, and execution.Midwest Contracting specializes in underground wet utilities, including Storm, Sewer, Fire, and Water systems. You...

Job OverviewSTANDARD CONSTRUCTION COMPANY, INC is a reputable civil contracting firm based in Arizona, seeking an UNDERGROUND UTILITIES CONSTRUCTION SUPERVISOR.Our expertise lies in infrastructure enhancements, subsurface utility management, drainage solutions, and both industrial and commercial developments.KEY RESPONSIBILITIESThe Utilities Supervisor will...

Position Overview:Under the supervision of the Manager of the Utilization Review Program, the Clinical Review Nurse is tasked with ensuring timely and precise evaluation of initial medical necessity assessments throughout the preauthorization and retrospective review processes.Work Environment:This role is designated as remote; however, due to payroll and...

Position Overview Are you ready to take on a challenging role in utility project management? As a Utility Project Manager, you will be responsible for overseeing complex utility coordination, design, and relocation projects. This position demands a high level of accountability for budget management related to utility design and relocation within...

Position Overview Are you ready to take on a challenging role in utility project management? As a Utility Project Manager, you will oversee complex utility coordination, design, and relocation efforts. This position involves significant responsibility for managing budgets associated with utility design and relocation for various transportation...

Job Overview Are you ready to take on a challenging role in project management? As a Utility Project Manager, you will oversee complex utility coordination, design, and relocation tasks. This position demands a high level of responsibility for managing budgets related to utility design and relocation for various transportation improvement initiatives. ...

As a Public Utilities Specialist (Power Contracts & Energy Services), you will:Serve as a principal expert/project manager for developing and negotiating unique/complex multi-functional contracts for which there may be no contractual precedents or existing policy. Develop and implement new policies and procedures. Routinely represent Western in presenting...

Job OverviewWe are looking for an experienced Underground Utility Superintendent to oversee the construction of essential infrastructure, specifically focusing on water and sewer lines.Key Responsibilities:Manage all phases of the construction project from initial planning through to completion.Supervise onsite staff and subcontractors to ensure efficient...

Job DescriptionSOLV Energy is a leading engineering, procurement, and construction (EPC) services provider for utility-scale solar, high-voltage substation, and energy storage markets across North America.Job SummaryThe EPC Regional Manager is responsible for overseeing and managing multiple construction projects within an assigned region. This role requires...

About CVS HealthAt CVS Health, we are dedicated to a singular mission: to enhance every moment of your health journey. Our commitment is to provide human-centric healthcare solutions in a rapidly evolving landscape. We believe that the manner in which we deliver our services is as crucial as the services themselves. Our Heart At Work Behaviors embody this...

About the RoleBanner Health is seeking a highly skilled Behavioral Health Utilization Manager to join our team. As a key member of our healthcare team, you will play a critical role in ensuring that our patients receive the highest quality care.Key ResponsibilitiesManage Utilization Reviews: Conduct thorough reviews of patient cases to determine medical...

Job SummaryAbstrakt Marketing Group is seeking a highly skilled Service Supervisor to join our team. As a Service Supervisor, you will be responsible for providing first-line supervision of field technicians to ensure the completion of preventive maintenance and small technical projects in a high-quality and timely manner.Key ResponsibilitiesDevelop and...

About CVS HealthAt CVS Health, we are united by a common mission: to bring compassion to every aspect of health care. Our commitment is to provide personalized, accessible, and affordable health solutions in a rapidly evolving landscape.Position OverviewThis role as a Utilization Management Nurse Consultant is entirely remote, allowing flexibility for...

Job SummaryWe are seeking a highly skilled Care Management Resource Coordinator to support the efforts of our Social Work, Case Management, and Utilization Management teams. This role will play a critical part in promoting a positive patient-family experience during hospitalization, facilitating safe and timely discharge of patients, and reducing risk of...