PalmSpringsRecruiter Since 2001
the smart solution for Palm Springs jobs

Supervisor, Utilization Management

Company: Centene Corporation
Location: Ontario
Posted on: November 13, 2019

Job 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
    Education/Experience: 3+ years of utilization management/quality improvement experience. Working knowledge and understanding of basic utilization management and quality improvement concepts. Previous experience as a lead in a functional area or managing cross functional teams on large scale projects.

    For Arizona Complete Health-Behavioral Health UM Team:
    Licenses/Certifications: Licensed Clinical Social Worker (LCSW), Licensed Master Social Worker (LMSW), Licensed Marriage & Family Therapist (LMFT), Licensed Professional Counselor (LPC), Licensed Associate Marriage & Family Therapist (LAMFT), Licensed Associate Counselor (LAC), Licensed Associate Master Social Worker (LAMSW) or Registered Nurse (RN), LPN, LVN

    For Sunflower Behavioral Health UM Team:
    Licenses/Certifications: Licensed Specialist Clinical Social Worker (LSCSW), Licensed Clinical Professional Counselor(LCPC), Licensed Clinical Marriage and Family therapist (LCMFT), or Licensed Registered Nurse (RN)

    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.

Keywords: Centene Corporation, Palm Springs , Supervisor, Utilization Management, Executive , Ontario, California

Click here to apply!

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

I'm looking for
in category
within


Other Executive Jobs


REGISTERED NURSE CASE MANAGER - RN CM
Description: REGISTERED NURSE CASE MANAGER - RN CM CareerStaff Unlimited is looking to hire a Case Manager with ANY specialty for a 8:00AM-4:00PM shift, full-time contracted assignment in San Diego, CA. Qualified (more...)
Company: CareerStaff Unlimited - LA JOLLA, CA
Location: San Diego
Posted on: 12/11/2019

Regional Account Manager - Process Automation
Description: This is a remote field sales position. The ideal candidate will work out of their home office and be based in Los Angeles CA, San Diego CA or Portland OR. br br ABOUT SICK, INC:SICK, INC. is one (more...)
Company: SICK USA
Location: San Diego
Posted on: 12/11/2019

General Manager
Description: Consider a Career at MTMFrom entry level customer service positions, to challenging technology and leadership roles, MTM offers a wealth of employment opportunities. Our corporate culture promotes healthy (more...)
Company: MTM
Location: Orange
Posted on: 12/11/2019


REGISTERED NURSE CASE MANAGER - RN CM
Description: REGISTERED NURSE CASE MANAGER - RN CM br -- br CareerStaff Unlimited is looking to hire a Case Manager with ANY specialty for a 8:00AM-4:00PM shift, full-time contracted assignment in San Diego, CA. (more...)
Company: CareerStaff Unlimited - LA JOLLA, CA
Location: San Diego
Posted on: 12/11/2019

Manager of Strategic Customers (MSC)
Description: Manager of Strategic Customers MSC What makes DHL great Our people We know each employee's individual contributions make us the 1 Delivery and Logistics Company in the world. DHL currently has an (more...)
Company: DHL Express
Location: San Diego
Posted on: 12/11/2019

Project Manager
Description: Project Manager Turtle Beach has been an audio technology innovator for more than 35 years and created the market for advanced gaming headsets. These headsets allow video game players to experience high-quality, (more...)
Company: Turtle Beach
Location: San Diego
Posted on: 12/11/2019

Vice President Operations/Integrator
Description: At Rise Bar we are passionate about health and active living, continuously striving to improve and Rise. We make the highest quality protein bars with simple and nutritious ingredients. Our values drive (more...)
Company: Rise Bar
Location: Irvine
Posted on: 12/11/2019

Chief Nursing Officer
Description: Palomar Health, located in San Diego, CA is looking for a Chief Nursing Officer to join our Poway Medical Center campus. Reporting to the COO, this position is responsible for the coordination, integration (more...)
Company: Palomar Health
Location: Poway
Posted on: 12/11/2019

Director of Business Development
Description: The Director of Business Development - Syndications is responsible for developing and implementing a comprehensive plan to increase the company's revenues and profits through re-syndication and revitalization (more...)
Company: e+CancerCare
Location: Irvine
Posted on: 12/11/2019

"Management"- Mgn, Asst and Leads "Apply Today!"
Description: Join our Management team today Are you a natural leader who loves to inspire others to succeed Do you want to be part of a community of caregivers committed to helping people feel their best If the (more...)
Company: Massage Envy
Location: Poway
Posted on: 12/11/2019

Log In or Create An Account

Get the latest California jobs by following @recnetCA on Twitter!

Palm Springs RSS job feeds