Current jobs related to Supervisor, Utilization Management - ASH FORK - Centene

  • Customer Service Representative- Utility Office

    3 weeks ago

    Spanish Fork, United States Spanish Fork City Full time

    EFFECTIVE DATE MAY 2023 CUSTOMER SERVICE REPRESENTATIVE DEPARTMENT: FINANCE JOB CLASSIFICATION: FULL-TIME SALARY: STARTING WAGE - $19.06 - $28.59 TECHNET # 2305 PAY GRADE 4 *Fluent Spanish speaking preferred (will include additional compensation) GENERAL PURPOSE Under the direct supervision of the Utility Customer Service Supervisor and general...

  • Customer Service Representative- Utility Office

    1 month ago

    Spanish Fork, United States Spanish Fork City Full time

    Job DescriptionJob DescriptionEFFECTIVE DATEMAY 2023CUSTOMER SERVICE REPRESENTATIVEDEPARTMENT: FINANCEJOB CLASSIFICATION: FULL-TIMESALARY: STARTING WAGE - $19.06 - $28.59TECHNET # 2305PAY GRADE 4PAY GRADES LINK*Fluent Spanish speaking preferred (will include additional compensation)GENERAL PURPOSE Under the direct supervision of the Utility Customer Service...

  • Masonry Project Supervisor

    4 days ago

    American Fork, Utah, United States M-CON MANAGEMENT, LLC Full time

    We are looking for a skilled Masonry Project Supervisor to lead and manage construction initiatives from start to finish. The successful candidate will possess a robust background in masonry and stucco applications, showcasing strong leadership abilities to ensure projects are completed on schedule, within financial constraints, and to the highest quality...

  • Maintenance Supervisor

    3 months ago

    American Fork, United States HOLIDAY INN EXPRESS OF AMERICAN FORK Full time

    Job DescriptionJob DescriptionMaintenance Supervisor HOLIDAY INN EXPRESS AMERICAN FORK takes pride in the overall condition and up keep of our hotel and is seeking energetic, attention to detail individual to join our Maintenance team as a Full-Time Maintenance Supervisor. A Maintenance Supervisor is someone who pays attention to details and takes ownership...

  • Retail Operations Supervisor

    2 weeks ago

    Spanish Fork, Utah, United States Spencer's & Spirit Halloween Full time

    Position: Retail Operations SupervisorCompany: Spirit HalloweenSpirit Halloween, a leader in seasonal retail, is seeking a dedicated Retail Operations Supervisor to assist in the management of our vibrant stores. Our company has a rich history, having evolved from a single location in 1983 to over 1,100 stores across North America, making us the premier...

  • Dietary Cook

    3 days ago

    Ash, United States Frontier Management (OR) Full time

    On Demand Pay-get paid tomorrow for work done today! Feeling stuck? Looking for a new environment where you can thrive? This is the perfect place for you! So many opportunities for growth so you never get bored. Join a team that guides and supports one another through any challenges you may face! This is our Advantage: On Demand Pay-get paid tomorrow for...

  • Line Supervisor

    6 hours ago

    american fork, United States Spectrum Recruiting Solutions Full time

    Line Supervisor Location: American Fork & Draper, UT Reports to: VP of Engineering / Ops Manager Compensation: Starting at $28/hr and up DOE + quarterly performance bonus eligibility Benefits: Comprehensive medical, dental, and vision coverage fully paid for employees and their families, tuition reimbursement, 401(k) with employer match, 3 weeks PTO, and...

  • Line Supervisor

    10 hours ago

    American Fork, United States Spectrum Recruiting Solutions Full time

    Line Supervisor Location: American Fork & Draper, UT Reports to: VP of Engineering / Ops Manager Compensation: Starting at $28/hr and up DOE + quarterly performance bonus eligibility Benefits: Comprehensive medical, dental, and vision coverage fully paid for employees and their families, tuition reimbursement, 401(k) with employer match, 3 weeks PTO, and...

  • Warehouse Operations Supervisor

    6 days ago

    American Fork, Utah, United States Lion Energy Full time

    Warehouse Operations SupervisorLion Energy is seeking a committed and meticulous Warehouse Operations Supervisor to enhance our team. The successful candidate will be instrumental in assisting the Warehouse Manager with the oversight of warehouse functions and ensuring effective inventory control.Key Responsibilities:Support in strategizing and organizing...

  • Retail Operations Supervisor

    1 week ago

    American Fork, Utah, United States Zurchers Inc Full time

    Retail Operations Supervisor Role at Zurchers IncWe are looking for a dedicated, friendly, and reliable individual to become part of our team as a Retail Operations Supervisor. At Zurchers Inc, we provide a supportive work environment along with excellent benefits such as an Employee Discount Program, Paid Time Off, Holiday Pay, and a vibrant workplace...

  • Gym Operations Supervisor

    2 weeks ago

    American Fork, Utah, United States Burn Boot Camp Full time

    ABOUT BURN BOOT CAMP At Burn Boot Camp, our mission is to inspire, empower, and transform lives through community-driven fitness initiatives. We foster a vibrant community where our commitment to one another and our mission is unparalleled. We believe that hard work is invigorating, problem-solving is thrilling, and healthy competition is motivating. Our...

  • Retail Operations Supervisor

    2 weeks ago

    American Fork, Utah, United States C-A-L Ranch Full time

    Career Opportunities with C-A-L Ranch StoresWelcome to C-A-L Ranch Stores, where we pride ourselves on being more than just a retail establishment. Position: Retail Operations SupervisorC-A-L Ranch Stores has a rich history, having been established in 1959. Over the decades, we have evolved into a prominent regional retailer, serving customers across...

  • Gym Operations Supervisor

    7 days ago

    American Fork, Utah, United States Burn Boot Camp Full time

    BURN BOOT CAMP CULTURE At Burn Boot Camp, our mission is to motivate, uplift, and transform lives through community-driven fitness initiatives. We are a vibrant community dedicated to one another and our mission. We believe that hard work is invigorating, problem-solving is thrilling, and competition fuels inspiration. Our proactive, innovative, and...

  • Vehicle Maintenance Technician

    2 weeks ago

    American Fork, Utah, United States M-CON MANAGEMENT, LLC Full time

    At M-CON MANAGEMENT, LLC, we recognize that our workforce is the cornerstone of our achievements, and we strive to provide an exceptional work environment for our employees.Our benefits package includes Regular Bonuses, Health Insurance, Dental and Vision Coverage, a Retirement Plan, Flexible Scheduling, Professional Development Support, Paid Holidays, a...

  • Wood Flooring Operations Supervisor

    2 weeks ago

    American Fork, Utah, United States Dynamond Building Services Full time

    Job Overview*** EXCELLENT OPPORTUNITY FOR A DEDICATED PROFESSIONAL IN A SUPPORTIVE ENVIRONMENT WITH ATTRACTIVE BENEFITS ***POSITION: WOOD FLOORING OPERATIONS SUPERVISORROLE SUMMARYThe Wood Flooring Operations Supervisor is responsible for overseeing the upkeep and enhancement of wood flooring across various client accounts managed by Dynamond Building...

  • Construction Project Supervisor

    2 weeks ago

    American Fork, Utah, United States Landmark Excavating Full time

    Exciting Career Opportunity for Skilled Project Supervisors in the Construction SectorLandmark Excavating is on the lookout for skilled project supervisors to enhance our team. If you possess a robust background in construction oversight and team leadership, this role could be an excellent fit for you.About Landmark Excavating:As a prominent player in the...

  • Fleet Mechanic + Logistics

    2 months ago

    American Fork, United States M-CON MANAGEMENT, LLC Full time

    Job DescriptionJob DescriptionWe believe our employees are the driving force to our success and work hard to give our employees an amazing work experience.Benefits include Regular Bonuses $$$, Health Insurance, Dental, Vision, Retirement Plan, Flexible Schedule, Professional Development Assistance, Paid Holidays, Generous Flex Time Off Plan, and 401(k)...

  • Fleet Mechanic + Logistics

    2 months ago

    American Fork, United States M-CON MANAGEMENT, LLC Full time

    Job DescriptionJob DescriptionWe believe our employees are the driving force to our success and work hard to give our employees an amazing work experience.Benefits include Regular Bonuses $$$, Health Insurance, Dental, Vision, Retirement Plan, Flexible Schedule, Professional Development Assistance, Paid Holidays, Generous Flex Time Off Plan, and 401(k)...

  • Retail Store Supervisor

    4 days ago

    American Fork, Utah, United States Burlington Full time

    About BurlingtonBurlington is a leading off-price retailer offering a wide selection of brand name merchandise at discounted prices. We are committed to providing our customers with an exceptional shopping experience and our associates with opportunities for growth and development.Job SummaryWe are seeking a highly motivated and experienced Retail Store...

  • Shift Manager

    2 days ago

    Blue Ash, Ohio, United States Ampler Burgers Full time

    Ampler Burgers Shift Supervisor Job Description**Job Summary:**We are seeking a highly motivated and experienced Shift Supervisor to join our team at Ampler Burgers. As a Shift Supervisor, you will play a critical role in ensuring the smooth operation of our restaurant during your assigned shifts.Key Responsibilities:Assist the Management Team in driving...

Supervisor, Utilization Management

1 month ago

ASH FORK, United States Centene Full time

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Must reside in the state of Arizona.

Position Purpose: Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management team.

  • Monitors and tracks UM resources to ensure adherence to performance, compliance, quality, and efficiency standards
  • Collaborates with utilization management team to resolve complex care member issues
  • Maintains knowledge of regulations, accreditation standards, and industry best practices related to utilization management
  • Works with utilization management team and senior management to identify opportunities for process and quality improvements within utilization management
  • Educates and provides resources for utilization management team on key initiatives and to facilitate on-going communication between utilization management team, members, and providers
  • Monitors prior authorization, concurrent review, and/or retrospective clinical review nurses and ensures compliance with applicable guidelines, policies, and procedures
  • Works with the senior management to develop and implement UM policies, procedures, and guidelines that ensure appropriate and effective utilization of healthcare services
  • Evaluates utilization management team performance and provides feedback regarding performance, goals, and career milestones
  • Provides coaching and guidance to utilization management team to ensure adherence to quality and performance standards
  • Assists with onboarding, hiring, and training utilization management team members
  • Leads and champions change within scope of responsibility
  • Performs other duties as assigned
  • Complies with all policies and standards

Education/Experience: Requires Graduate of an Accredited School Nursing or Bachelor's degree and 4+ years of related experience.

Knowledge of utilization management principles preferred.

License/Certification:

  • RN - Registered Nurse - State Licensure and/or Compact State Licensure required
Pay Range: $72,400.00 - $130,100.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.