... and 30% remote. The patient members that they will be assessing are dual eligible Medicare ... staff, utilization management staff, health plan partners and contracted providers. RN Field ...
... and 30% remote. The patient members that they will be assessing are dual eligible Medicare ... staff, utilization management staff, health plan partners and contracted providers. RN Field ...
Provide clinical leadership across utilization management, care management, population health, quality, pharmacy, medical policy, payment policy, and clinical program development. * Lead cross ...
Provide clinical leadership across utilization management, care management, population health, quality, pharmacy, medical policy, payment policy, and clinical program development. * Lead cross ...
Work Arrangement: * This role is remote, and the associate must be located in Ohio (OH ... Collaborate with internal teams (Utilization Management (UM), Integrated Health Care Management ...
Work Arrangement: * This role is remote, and the associate must be located in Ohio (OH ... Collaborate with internal teams (Utilization Management (UM), Integrated Health Care Management ...
Remote Tax Supervisor (public accounting)
Cleveland, OH · Remote
$106K - $139K/yr
A growing CPA firm is seeking an experienced Remote Tax Supervisor to join its team. This ... managing deadlines, and serving as a trusted resource for both clients and team members. A CPA ...
Quick apply
Remote Tax Supervisor (public accounting)
Cleveland, OH · Remote
$106K - $139K/yr
A growing CPA firm is seeking an experienced Remote Tax Supervisor to join its team. This ... managing deadlines, and serving as a trusted resource for both clients and team members. A CPA ...
Mgr BH Clin Liaison/Ops
Dublin, OH · Remote
Work Arrangement: * This role is remote, and the associate must be located in Ohio (OH ... Collaborate with internal teams (Utilization Management (UM), Integrated Health Care Management ...
Mgr BH Clin Liaison/Ops
Dublin, OH · Remote
Work Arrangement: * This role is remote, and the associate must be located in Ohio (OH ... Collaborate with internal teams (Utilization Management (UM), Integrated Health Care Management ...
IHBT Program Manager
Columbus, OH · Remote
$73K - $93K/yr
Oversee documentation audits, utilization management, and billing integrity * Maintain adherence to contractual, regulatory, and licensing standards * Support IHBT Supervisors and leadership staff ...
Quick apply
IHBT Program Manager
Columbus, OH · Remote
$73K - $93K/yr
Oversee documentation audits, utilization management, and billing integrity * Maintain adherence to contractual, regulatory, and licensing standards * Support IHBT Supervisors and leadership staff ...
IHBT Program Manager
Logan, OH · Remote
$73K - $93K/yr
Oversee documentation audits, utilization management, and billing integrity * Maintain adherence to contractual, regulatory, and licensing standards * Support IHBT Supervisors and leadership staff ...
IHBT Program Manager
Logan, OH · Remote
$73K - $93K/yr
Oversee documentation audits, utilization management, and billing integrity * Maintain adherence to contractual, regulatory, and licensing standards * Support IHBT Supervisors and leadership staff ...
IHBT Program Manager
Logan, OH · Remote
$73K - $93K/yr
Oversee documentation audits, utilization management, and billing integrity * Maintain adherence to contractual, regulatory, and licensing standards * Support IHBT Supervisors and leadership staff ...
Quick apply
IHBT Program Manager
Logan, OH · Remote
$73K - $93K/yr
Oversee documentation audits, utilization management, and billing integrity * Maintain adherence to contractual, regulatory, and licensing standards * Support IHBT Supervisors and leadership staff ...
IHBT Program Manager
Coshocton, OH · Remote
$73K - $93K/yr
Oversee documentation audits, utilization management, and billing integrity * Maintain adherence to contractual, regulatory, and licensing standards * Support IHBT Supervisors and leadership staff ...
Quick apply
IHBT Program Manager
Coshocton, OH · Remote
$73K - $93K/yr
Oversee documentation audits, utilization management, and billing integrity * Maintain adherence to contractual, regulatory, and licensing standards * Support IHBT Supervisors and leadership staff ...
Traveling Fixture Installer
Granville, OH · On-site +1
Ability to work independently, with a remote supervisor and the ability to keep in communication ... Effectively and accurately prepare, process, submit, and manage documentation related to assigned ...
Traveling Fixture Installer
Granville, OH · On-site +1
Ability to work independently, with a remote supervisor and the ability to keep in communication ... Effectively and accurately prepare, process, submit, and manage documentation related to assigned ...
Supervisor, Support Administration
Cleveland, OH · On-site +1
$61K/mo
Manage the authorization of expenditures to ensure fiscal responsibility including:use of Cost ... Remote Work: Our positions are not 100'% remote. There is an onsite expectation for all of our ...
Supervisor, Support Administration
Cleveland, OH · On-site +1
$61K/mo
Manage the authorization of expenditures to ensure fiscal responsibility including:use of Cost ... Remote Work: Our positions are not 100'% remote. There is an onsite expectation for all of our ...
Epic Ambulatory Analyst - Certification Required - Remote CONUS
Cincinnati, OH · On-site +1
$60K - $84K/yr
... utilization of clinical applications. Works within cross-functional team and with end-users to ... supervisor Excellent customer service skills Ability to multi-task effectively in a rapidly ...
Epic Ambulatory Analyst - Certification Required - Remote CONUS
Cincinnati, OH · On-site +1
$60K - $84K/yr
... utilization of clinical applications. Works within cross-functional team and with end-users to ... supervisor Excellent customer service skills Ability to multi-task effectively in a rapidly ...
Care Management Lead, (RN OR LSW) - Akron - Remote
Akron, OH · On-site +1
$68K - $84K/yr
Drive effective utilization of established best practices and protocols across the team, ensuring ... Working knowledge of case management systems, community service and delivery systems, and Microsoft ...
Care Management Lead, (RN OR LSW) - Akron - Remote
Akron, OH · On-site +1
$68K - $84K/yr
Drive effective utilization of established best practices and protocols across the team, ensuring ... Working knowledge of case management systems, community service and delivery systems, and Microsoft ...
... managing Quality Measures Excellent communication, organization, and critical thinking skills Ability to work independently in a remote setting Experience with electronic medical records and MDS ...
... managing Quality Measures Excellent communication, organization, and critical thinking skills Ability to work independently in a remote setting Experience with electronic medical records and MDS ...
REMOTE MDS NURSE (RN) - WISCONSIN
Toledo, OH · On-site +1
... managing Quality Measures • Excellent communication, organization, and critical thinking skills • Ability to work independently in a remote setting • Experience with electronic medical records ...
REMOTE MDS NURSE (RN) - WISCONSIN
Toledo, OH · On-site +1
... managing Quality Measures • Excellent communication, organization, and critical thinking skills • Ability to work independently in a remote setting • Experience with electronic medical records ...
IT Asset Management Administrator - ITAM Exp Req - Remote CONUS
Cincinnati, OH · On-site +1
$60K - $79K/yr
... utilization and financial accountability. This is a Full Time, remote, IT Asset Management ... Administrator role. What You'll Do Execute day-to-day lifecycle management of IT assets, including ...
IT Asset Management Administrator - ITAM Exp Req - Remote CONUS
Cincinnati, OH · On-site +1
$60K - $79K/yr
... utilization and financial accountability. This is a Full Time, remote, IT Asset Management ... Administrator role. What You'll Do Execute day-to-day lifecycle management of IT assets, including ...
... utilization. This may include fact-based repair or operational recommendations that enable ... management for the customer What we are looking for * Bachelor's degree in relevant field or ...
... utilization. This may include fact-based repair or operational recommendations that enable ... management for the customer What we are looking for * Bachelor's degree in relevant field or ...
... utilization. This may include fact-based repair or operational recommendations that enable ... management for the customer What we are looking for * Bachelor's degree in relevant field or ...
... utilization. This may include fact-based repair or operational recommendations that enable ... management for the customer What we are looking for * Bachelor's degree in relevant field or ...
Uptime Remote Monitoring Specialist
Perrysburg, OH · On-site +1
... utilization. This may include fact-based repair or operational recommendations that enable ... management for the customer What we are looking for * Bachelor's degree in relevant field or ...
Uptime Remote Monitoring Specialist
Perrysburg, OH · On-site +1
... utilization. This may include fact-based repair or operational recommendations that enable ... management for the customer What we are looking for * Bachelor's degree in relevant field or ...
Optometrist - Remote
Columbus, OH · On-site +1
In addition, the Optometrist will also diagnose and treat visual problems and manage diseases ... Staying abreast of changing healthcare landscape and opportunities for utilization of technologies ...
Optometrist - Remote
Columbus, OH · On-site +1
In addition, the Optometrist will also diagnose and treat visual problems and manage diseases ... Staying abreast of changing healthcare landscape and opportunities for utilization of technologies ...
Remote Supervisor Utilization Management information
What is the highest paying job in healthcare management?
In healthcare management, executive roles such as Chief Executive Officer (CEO), Chief Operating Officer (COO), and Chief Medical Officer (CMO) tend to be the highest paying positions, often earning six-figure salaries. These roles require extensive experience, leadership skills, and often advanced degrees or certifications, and they oversee large healthcare organizations or systems.
How to make 2000 a week working from home?
A Remote Supervisor Utilization Management can earn $2,000 or more weekly by working full-time, managing multiple cases efficiently, and possessing relevant certifications such as CCM or ANCC. Increasing experience, demonstrating strong organizational skills, and working for organizations with higher pay scales can also help achieve this income level.
Is a utilization manager the same as a risk manager?
A utilization management supervisor focuses on evaluating healthcare services to ensure appropriate and efficient use of resources, often within insurance or healthcare organizations. A risk manager, on the other hand, identifies and mitigates potential risks to an organization, which can include financial, legal, or safety concerns. While both roles involve assessment and decision-making, they serve different functions and require distinct skill sets.
How to make $1000 a week remotely?
A Remote Supervisor Utilization Management role can pay around $1,000 or more per week depending on experience, certifications, and workload. Earning this amount typically involves managing a high volume of cases, utilizing strong organizational skills, and working full-time hours, often with overtime or bonuses for productivity. Building expertise in utilization review and maintaining relevant credentials can help increase earning potential in remote management positions.
What is the difference between Remote Supervisor Utilization Management vs Remote Utilization Review Nurse?
| Aspect | Remote Supervisor Utilization Management | Remote Utilization Review Nurse |
|---|---|---|
| Credentials | RN, often with management or supervisor certifications | RN, with clinical review certifications |
| Work Environment | Supervises teams, manages utilization processes remotely | Performs clinical reviews, assesses patient necessity remotely |
| Employer & Industry Usage | Health insurance companies, managed care organizations | Insurance companies, third-party administrators |
| Primary Focus | Overseeing utilization management operations | Conducting clinical utilization reviews |
Remote Supervisor Utilization Management roles focus on overseeing utilization management teams and processes, ensuring compliance and efficiency. In contrast, Remote Utilization Review Nurses primarily perform clinical assessments to determine the necessity of services. Both roles require RN credentials but differ in responsibilities and scope within the utilization management field.
What are the most commonly searched types of Supervisor Utilization Management jobs in Ohio? The most popular types of Supervisor Utilization Management jobs in Ohio are:
What are popular job titles related to Remote Supervisor Utilization Management jobs in Ohio? For Remote Supervisor Utilization Management jobs in Ohio, the most frequently searched job titles are:
- Contract Hedis Review Nurse
- Telecommute Hedis Review Nurse
- Utilization Management Nurse
- Remote Utilization Management Nurse
- Flex Schedule Remote Utilization Review Nurse
- Part Time Utilization Review Nurse
- Night Shift Remote Utilization Review Nurse
- Evening Optum Health Utilization Review
- Evening Utilization Review Nurse
- Overnight Utilization Review Nurse
What job categories do people searching Remote Supervisor Utilization Management jobs in Ohio look for? The top searched job categories for Remote Supervisor Utilization Management jobs in Ohio are:
- From Home International Utilization Review Nurse
- Cigna Utilization Review Nurse
- Nurse Practitioner Utilization Review
- Assistant Remote Utilization Review
- Remote Occupational Therapy Utilization Review
- Fulltime Cigna Utilization Review Nurse
- Remote Bcba Utilization Review
- Remote Preservice Review Nurse
- Live In Cigna Utilization Review Nurse
- Utilization Review
What cities in Ohio are hiring for Remote Supervisor Utilization Management jobs? Cities in Ohio with the most Remote Supervisor Utilization Management job openings:
Full-time
Posted 6 days ago
Job description
Company Description
Are you an experienced Administrative Assistant looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered "yes" to any of these questions - this is the position for you!
Job Description
RN Field Behavioral Health Case Manager will work 70% in the field and 30% remote. The patient members that they will be assessing are dual eligible Medicare/ Medicaid. There duties include; day-to-day operations of the High Risk Case Management functions to include working with members identified as high risk to identify needs and goals to achieve empowerment and improved quality of life. RN Field Behavioral Health Case Manager assess members' current functional level and, in collaboration with the member, develop and monitor the Case Management Treatment Plan, monitor quality of care; assisting with discharge planning, participating in special clinical projects and communicate with departmental and plan administrative staff to facilitate daily operations of the High Risk Case Management functions. Collaborate with both medical and behavioral providers to ensure optimal care for members.
Daily Responsibilities:
RN Field Behavioral Health Case Manager will be responsible for the Lucas County patient members'
Work telephonically with patients identified as high risk to identify needs, set goals and implement action steps towards achieving goals.
Empower patients to help them improve their quality of life.
Comply with established referral, pre-certification and authorization policies, procedures and processes by related Medical Management staff.
RN Field Behavioral Health Case Manager participate in on-going communication between case management staff, utilization management staff, health plan partners and contracted providers.
RN Field Behavioral Health Case Manager will assist with the implementation of policies and procedures regarding case management and utilization management functions.
Working with these members to identify needs and goals to achieve improved quality of life.
Maintain HIPAA compliance.
Qualifications
Requirements:
MUST have a valid RN License in the State of OH
3 years of Behavioral Health experience
3-5 years of case and/or utilization management experience.
CCM (Certified Case Manager) or other clinical certification preferred
Hours for this Position:
Monday - Friday 8 am - 5 pm.
Advantages of this Opportunity:
Competitive salary
Growing Company
Medical benefits go into effect 30 days after start date
Additional Information
If you are interested in applying to this position, please contact Shanna Ramirez, (407) 636-7030 ext. 170 and click the Green "I'm Interested" Button to email your resume.
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
The greatest compliment to our business is a referral.If you know of someone looking for a new opportunity, please pass along my contact information!
About Healthcare Support
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Maitland, FL, US
Year founded
2003