Expired Utilization Management Supervisor jobs in Harrisburg, PA
Harrisburg, PA
$32,960-$127,473/year (est.)
Responsibilities: Supervises the day-to-day activities of the UM Intake or other non-exempt or non-clinical staff/team to ensure that all processes are completed and deadlines are met. Maintains knowledge of phone/service level requirements (not limited to Abandonment rate, Average Speed of Answer,...
Harrisburg, PA
$70K-$123K / yr.
Job Family : Clinical Appeals Nurse Travel Required : None Clearance Required : None What You Will Do : Under the direct supervision of the Manager of Clinical Denials and Utilization Management. The Registered Nurse will be directly responsible for providing clinical, technical, operational...
Harrisburg, PA
$112K-$155K / yr.
Become a part of our caring community and help us put health first The Supervisor, Utilization Management Pharmacy is a clinical pharmacist who leads a team of pharmacists who perform medical necessity reviews for prescriptions requiring pre-authorization. The Supervisor, Utilization Management...
Harrisburg, PA
$32,960-$127,473/year (est.)
Company : Gateway Health Plan Job Description : JOB SUMMARY This job manages a team of clinicians charged with promoting quality member outcomes, to optimize member benefits, and to promote effective use of resources. Ensures adherence to medical policy and member benefits in providing service that...
Proforce Personnel
Harrisburg, PA
$32,960-$127,473/year (est.)
Active PA: LPN, LVN, or RN license is required Supervise the daily operations of the utilization management (UM) department Supervise the daily operations of the UM staff Ensure appropriate usage of resources in order to facilitate the UM process Ensure compliance within applicable state program...
Harrisburg, PA
$32,960-$127,473/year (est.)
• Supervise the daily operations of the UM staff • Ensure appropriate usage of resources in order to facilitate the UM process • Ensure compliance within applicable state program guidelines • Evaluate compliance policies and procedures and analyze/recommend enhancements • Assist with ensuring...
Harrisburg, PA
$32,960-$127,473/year (est.)
Job: Health Payer Primary Location: US-PA-Harrisburg Description Supervisor, Utilization Management Our client in the healthcare industry has an immediate opportunity for a full time Supervisor, Utilization Management in Harrisburg, PA. This is a permanent placement opportunity! Our client is now...