HarrisburgRecruiter Since 2001
the smart solution for Harrisburg jobs

RN Supervisor, Utilization Management

Company: Health Net, Inc.
Location: Harrisburg
Posted on: December 4, 2019

Job Description:

Description: Position Purpose: 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 guidelines Evaluate compliance policies and procedures and analyze/recommend enhancements Assist with ensuring consistent data collection from UM staff that is used to assist the company in achieving corporate goals, to improve monitoring and reporting in order to meet external requirements Identify opportunities for process improvements necessary to facilitate department functions Educate staff as necessary to ensure consistent performance and adhere to standards Assist UM Manager and Director with coordinating and facilitating system processes with providers, partners, vendors, and subcontractors as necessary For MCOs, supervise the Transition of Care staff and provide face to face contact with inpatient members at assigned hospitals

Keywords: Health Net, Inc., Harrisburg , RN Supervisor, Utilization Management, Executive , Harrisburg, Pennsylvania

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


TSA Senior Business Development Manager
Description: Description br br Job Requisition: br br TSA Senior Business Development Manager br br Job Description: br br The Civil Group of Leidos is seeking a Senior Business Development Manager (more...)
Company: Leidos
Location: Reston
Posted on: 12/13/2019

Director, Capture Management
Description: Description Job Description:The Health Group of Leidos has a career opportunity for a Capture Director to assist the Military and Veterans Health Solutions MVHS business in pursuing profitable growth (more...)
Company: Leidos
Location: Reston
Posted on: 12/13/2019

Entry Level Sales Manager (BMGDC)
Description: Entry Level Sales Manager Next Gen Training and Support:Our success depends on your success, that's why we have a super-responsive team of experts making sure every Account Executive has everything they (more...)
Company: USHealth Advisors
Location: Reston
Posted on: 12/13/2019


Senior Capture Manager
Description: Description br br Job Requisition: br br Senior Capture Manager br br Job Description: br br The Ground Logistics and Mission Support LMS Division of the Defense Group is seeking a qualified (more...)
Company: Leidos
Location: Chantilly
Posted on: 12/13/2019

IDIQ Program Manager
Description: Description br br Job Description: br br Are you a Business Development Manager who has a passion for being the subject matter expert and enjoys the marketing and business development side of (more...)
Company: Leidos
Location: Reston
Posted on: 12/13/2019

Maintenance Manager
Description: Maintenance Manager Harrisburg, PA 90-100k Our food manufacturing client is looking to hire a Maintenance Manager in the Harrisburg, PA area. This Manager will organize and manage the maintenance department, (more...)
Company: Spearhead Staffing
Location: Harrisburg
Posted on: 12/13/2019

Restaurant Assistant General Manager
Description: Restaurant Assistant General Manager - Start at 55k / yrOur Assistant General Managers not only have an appetite for bottomless fun compassion for our crazy loyal guests, they also maintain high standards (more...)
Company: Red Robin
Location: Chantilly
Posted on: 12/13/2019

Senior Capture Manager
Description: Description br br Job Description: br br The Enterprise Cyber Solutions Operation of the Defense Group is seeking a qualified capture manager to support the pursuit of opportunities across the (more...)
Company: Leidos
Location: Reston
Posted on: 12/13/2019

Senior Proposal Manager
Description: Description br br Job Description: br br Leidos has a career opportunity for a Senior Proposal Manager position within the Strategy Business Development's Capture Operations Excellence Group (more...)
Company: Leidos
Location: Reston
Posted on: 12/13/2019

Senior Clinical Project Manager
Description: Stryker is one of the world's leading medical technology companies and is dedicated to helping healthcare professionals perform their jobs more efficiently while enhancing patient care. The Company offers (more...)
Company: Stryker
Location: Harrisburg
Posted on: 12/13/2019

Log In or Create An Account

Get the latest Pennsylvania jobs by following @recnetPA on Twitter!

Harrisburg RSS job feeds