CrawlJobs Logo

Interim Assistant Nurse Manager, Utilization Management

besmith.com Logo

B.E. Smith

Location Icon

Location:
United States , San Diego

Category Icon
Category:
Nursing

Job Type Icon

Contract Type:
Employment contract

Salary Icon

Salary:

150000.00 - 160000.00 USD / Year
Save Job
Save Icon
Apply Position

Job Description:

An Interim Assistant Nurse Manager, Utilization Management is needed to support daily operations for a utilization management team. The shift is from 8:30 AM to 5 PM.

Job Responsibility:

  • Managing utilization review activities
  • Supporting appeal and grievance processes
  • Ensuring adherence to Medicare and other regulatory requirements
  • Maintaining efficient, high-quality operations

Requirements:

  • Bachelor’s degree required
  • Active RN license required
  • Several years of progressive nursing leadership experience required
  • Direct experience in utilization management, case management, appeals and grievances
  • Knowledge of Medicare and related regulations

Nice to have:

  • Ability to multitask
  • Work independently
  • Adapt in a fast-paced environment
  • Highly organized
  • Patient-focused
  • Adapt quickly to changing needs
  • Excellent communication skills
What we offer:
  • Health insurance
  • Dental insurance
  • Vision insurance
  • Life insurance
  • AD&D
  • Flexible spending account
  • Travel, accommodation, and work-related expenses covered
  • Bi-weekly trips home at client's expense
  • Rental car
  • Comfortable lodging

Additional Information:

Job Posted:
April 05, 2026

Employment Type:
Fulltime
Work Type:
On-site work
Icon
B.E. Smith - All Job Offers
Job Link Share:
Copy Link Icon
Facebook Icon Twitter Icon LinkedIn Icon
PREMIUM
More languages and countries
+ Unlock 31694 hidden job offers
Languages
English Čeština Deutsch Ελληνικά Español Français +15
Countries
United States United Kingdom India Canada Australia +
See plans
Plans from $2.99 / month

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Interim Assistant Nurse Manager, Utilization Management

Nurse Director

Department: 34409 Navicent Health Medical Center - Nursing: Medical/Surgical IU ...
Location
Location
United States , Macon
Salary
Salary:
68.20 - 102.30 USD / Hour
advocatehealth.com Logo
Advocate Health Care
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Must be a graduate of an approved school of professional nursing
  • BSN required
  • MSN preferred
  • Minimum of four (4) years of nursing experience
  • Of the four (4) years of experience required, two (2) years of experience in the area of specialty is preferred
  • Minimum of two (2) years of previous nursing experience in progressively responsible leadership roles
  • Current Registered Nursing License with Georgia Board of Nursing or Current Enhanced Nurse Licensure Compact (eNLC)
  • Recommend certification in relevant specialty
  • CPR/ACLS
  • Must be able to use visual acuity to see monitor screen, computer and hard copy materials
Job Responsibility
Job Responsibility
  • Strategic Direction - Identifies and acts on opportunities to gain competitive advantage and enhance organizational growth
  • Develops and updates well-defined strategic plan (goals and objectives) that are congruent with nursing organizational goals and directions
  • Develops evidence based policies and procedures that are consistently applied and support the strategic plan of the organization
  • Enhances positive image of Advocate through community participation
  • Results Accountability - Maintains an appropriate working environment where activities are planned and scheduled as well as assures proper distribution/utilization of personnel
  • Demonstrates a commitment to achieving organizational/departmental results via actions and behaviors
  • Holds employees accountable for doing their part to achieve results
  • Develops, communicates, implements and role models plans for ensuring compliance with internal and external accrediting/regulatory policies and procedures
  • Engages in self-performance appraisal on a regular basis, identifying areas of strength as well as areas for professional/practice development
  • Pursues formal education, certification, and other professional development opportunities
What we offer
What we offer
  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program
  • Premium pay such as shift, on call, and more based on a teammate's job
  • Incentive pay for select positions
  • Opportunity for annual increases based on performance
  • Fulltime
Read More
Arrow Right

Population Health Assistant

This job description indicates the general nature and level of work expected of ...
Location
Location
United States , Oak Brook
Salary
Salary:
24.10 - 36.15 USD / Hour
advocatehealth.com Logo
Advocate Health Care
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High School Graduate
  • Typically requires 5 years of experience in population health management, utilization management, claims, health insurance processing, clinical or care management/quality environment
  • Proficiency in the use of ICD-10, CPT and HCPCS coding preferred
  • Knowledge of medical terminology
  • Ability to manage data systemically
  • Demonstrates organizational ability and attention to detail and accuracy
  • Advanced skills and knowledge in the use of Microsoft Office (Excel, PowerPoint and Word), Internet explorer and similar products
  • Excellent organizational, interpersonal, and communication skills (written and verbal) with the ability to effectively communicate with a variety of individuals
  • Exercises independent judgment and demonstrate excellent problem-solving skills while able to still work well within a team
  • Ability to demonstrate self-direction in prioritizing and accomplishing job responsibilities
Job Responsibility
Job Responsibility
  • Provides, initiates, and prioritizes a variety of confidential population health activities which include but are not limited to telephonic outreach for care gap closure, resource and information gathering, communicating with clinicians, members, patients, insurance companies, and internal partners
  • Performs telephonic care gap outreach by utilizing established criteria through generated lists of culturally diverse patient populations requiring intervention and provides support to assist patients with scheduling appointments, coordinating services, and efficiently documenting outcomes and engagement
  • Communicates effectively with patients, clinicians, and other internal and external stakeholders to coordinate health care needs
  • Collaborates with internal and external stakeholders to coordinate obtaining test results or other relevant health information, update the patient’s electronic medical record, and assist with scheduling visits and/or other healthcare related services
  • Coordinates intake of cases on new and established assignments to expedite the Care Coordination process by facilitating the medical review process, verifying health plan eligibility, obtaining and assessing preliminary clinical and non-clinical data or needed additional data, determining appropriate case type, and triaging to the appropriate resource
  • Initiates and advances the Care Coordination plan, monitors status and advises regarding requirements, process and status
  • Researches, organizes and maintains the team's library of resources, guidelines and policies
  • Performs medical literature review searches to support the department
  • Facilitates implementation of new employer groups in collaboration with Onsite Nurse and sales staff
  • Insures adequate onboarding materials are available and interim reporting tools and processes are in place
What we offer
What we offer
  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program
  • Fulltime
Read More
Arrow Right
New

Senior Lecturer/Associate Professor in Literacy

As a Senior Lecturer / Associate Professor in Literacy, you will play a key role...
Location
Location
Australia , Albury-Wodonga, Bathurst, Port Macquarie, Wagga Wagga
Salary
Salary:
Not provided
csu.edu.au Logo
Charles Sturt University
Expiration Date
June 08, 2026
Flip Icon
Requirements
Requirements
  • A doctoral qualification relevant to literacy or education, with a recognised teaching qualification
  • A strong record of high-quality teaching and student-centred learning
  • An established or emerging research profile aligned to literacy, curriculum or pedagogy
  • The ability to build productive partnerships and contribute to academic leadership
Job Responsibility
Job Responsibility
  • Lead impactful literacy teaching and research
  • Teach across online and on-campus environments
  • Shape future teachers and education practice
  • Contribute to curriculum innovation
  • Build strong relationships with students and partners
  • Provide academic leadership in literacy education
  • Contribute to the School's research profile
  • Supervise higher degree research students
  • Actively engage with professional, community and government stakeholders
  • At Associate Professor level: significant academic leadership, research impact, and contribution to the broader discipline at national/international level
What we offer
What we offer
  • 17% superannuation
  • Fulltime
Read More
Arrow Right
New

Program Manager - Controls and Avionics Solutions

This position is based in Endicott, New York. New York and on-site work will be ...
Location
Location
United States , Endicott
Salary
Salary:
120874.00 - 205486.00 USD / Year
baesystems.com Logo
Baesystems
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor’s degree in engineering, engineering or manufacturing management, or other discipline
  • Demonstrated ability for building strong customer/ stakeholder relationships
  • Strong communication, negotiation, and presentation skills
  • Ability to interpret data and make data-driven decisions
  • Highly adaptable with strong initiative
  • Demonstrated ability to lead and motivate cross-functional teams
  • Knowledge of the global aviation market and regulatory requirements and/ or military aviation market
Job Responsibility
Job Responsibility
  • Maintaining strong customer relationships and leading a multidisciplinary team to execute complex development programs within schedule and budget
  • Leadership and management oversight of a project team assuring that project’s financials, schedule, and technical objectives are met and that the highest level of customer satisfaction is achieved while meeting all contractual commitments
  • Work effectively and collaboratively with Engineering, Operations, and all Program Office functional leadership to assure deliveries continue to exceed customer commitments and achievement of financial commitments to the company
  • Manages, coordinates, plans, organizes, controls, integrates, and executes projects within the Military Aircraft Systems portfolio
  • Participates in the support of new business and in the development of proposals
What we offer
What we offer
  • Health insurance
  • Dental insurance
  • Vision insurance
  • Health savings accounts
  • 401(k) savings plan
  • Disability coverage
  • Life and accident insurance
  • Employee assistance program
  • Legal plan
  • Discounts on home, auto, and pet insurance
  • Fulltime
Read More
Arrow Right
New

Finance Business Partner (Research)

Full Time, Fixed Term (12 months). Level 7 - $101,421 to $110,819 p.a. (plus 17%...
Location
Location
Australia , Wagga Wagga
Salary
Salary:
101421.00 - 110819.00 AUD / Year
csu.edu.au Logo
Charles Sturt University
Expiration Date
June 02, 2026
Flip Icon
Requirements
Requirements
  • A degree in Accounting or Finance (professional accounting body membership is desirable)
  • Experience in project budgeting, forecasting and financial analysis
  • Background in management accounting or business partnering within complex environments
  • exposure to government funding or higher education is advantageous
  • Excellent stakeholder engagement skills, with the ability to work effectively with academics and researchers
  • Familiarity with business intelligence systems and dashboard reporting
Job Responsibility
Job Responsibility
  • Partner with academics to deliver strategic financial insights that enable research success
  • Directly influence world-class projects and decisions shaping the future of education and innovation
  • Lead initiatives that enhance financial governance, deliver accurate and timely reporting, and support key projects such as cost-pricing systems and research budgeting
  • Help build financial capability across the University, fostering collaboration and continuous improvement
What we offer
What we offer
  • Flexibility with a 35-hour work week
  • Access to hybrid work arrangements
  • 17% superannuation
  • Fulltime
Read More
Arrow Right
New

Associate Lecturer/ Lecturer in Oral Health

Make a real impact by educating future oral health professionals to serve the ur...
Location
Location
Australia , Wagga Wagga
Salary
Salary:
80046.00 - 134965.00 AUD / Year
csu.edu.au Logo
Charles Sturt University
Expiration Date
June 16, 2026
Flip Icon
Requirements
Requirements
  • A qualification relevant to the discipline and appropriate to the level being applied for
  • Full registration (for teaching/research) as a Dentist or Oral Health Therapist with the Australian Health Practitioner Regulation Agency (Ahpra)
  • Excellent understanding of the clinical practice of oral health therapy, supported by a record of teaching and subject coordination relevant to the discipline and appropriate to the level being applied for
  • Evidence of the delivery of high quality student-centred learning and teaching in oral health therapy and/or general dentistry
  • A record of research activity or capability relevant to the discipline and appropriate to the level being applied for, as outlined in the position descriptions, may facilitate the progression of research opportunities
Job Responsibility
Job Responsibility
  • deliver high-quality teaching, clinical supervision and learning experiences in Oral Health
  • work with students in both clinical and preclinical settings while contributing to curriculum development, industry engagement and community partnerships
What we offer
What we offer
  • Generous support provided to assist with relocating to Riverina’s beautiful Wagga Wagga or surrounds
  • 17% superannuation
  • Fulltime
Read More
Arrow Right
New

Change Analyst

As Change Analyst you will provide specialist change management expertise to sup...
Location
Location
Australia , Albury-Wodonga, Bathurst, Dubbo, Orange, Wagga Wagga
Salary
Salary:
101421.00 - 110819.00 AUD / Year
csu.edu.au Logo
Charles Sturt University
Expiration Date
June 03, 2026
Flip Icon
Requirements
Requirements
  • Relevant qualifications and/or equivalent experience in organisational change and transformation
  • Experienced in applying change management frameworks and methodologies to large-scale/complex organisational initiatives
  • Skilled in analysing change impacts and shaping clear, targeted responses in policy-driven environments
  • Strong communication and interpersonal skills
Job Responsibility
Job Responsibility
  • Provide specialist change management expertise to support the successful planning and implementation of the Models of Engagement and Assessment initiative
  • Lead change analysis, stakeholder engagement planning and adoption activities to enable a sustainable transition to new models of course delivery and assessment.
What we offer
What we offer
  • Competitive salary and benefits including 17% super
  • Flexible working arrangements that support a healthy work-life balance
  • Fulltime
Read More
Arrow Right
New

Postdoc / Research Fellow in Digital Agricultural Futures

We are seeking a Research Associate / Postdoctoral Research Fellow (Level A) or ...
Location
Location
Australia , Mildura
Salary
Salary:
80046.00 - 134965.00 AUD / Year
csu.edu.au Logo
Charles Sturt University
Expiration Date
June 10, 2026
Flip Icon
Requirements
Requirements
  • Level A: A relevant postgraduate qualification (Masters or PhD) or equivalent experience in digital agriculture, irrigation, spatial science or related fields
  • Level B: A completed PhD (or equivalent standing) with demonstrated independent research capability
  • Experience in applied or multidisciplinary research environments, ideally connected to agriculture, education, or regional systems
  • Knowledge of, or interest in, education and training frameworks, workforce development or professional learning
  • Strong communication and relationship-building skills, with the ability to work effectively with researchers, industry and community stakeholders
  • The ability to manage priorities, work independently and collaboratively, and contribute to impactful research outcomes
Job Responsibility
Job Responsibility
  • Preparing the future workforce for digital irrigated agriculture
  • Working closely with academics, industry partners, education providers and communities across the Murray–Darling Basin
  • Contributing to research that explores digital literacy, education frameworks and innovative delivery models for contemporary agriculture
  • At Level A: contributing to research delivery under the guidance of senior researchers, supporting data collection, analysis, stakeholder engagement and co-authored outputs
  • At Level B: taking a more independent and substantive leadership position, leading defined research components, cultivating partnerships, and producing high-quality scholarly and industry-focused outputs
  • Regular interstate travel is required, along with strong collaboration across multidisciplinary and industry-linked projects
What we offer
What we offer
  • 17% superannuation
  • Relocation opportunity to Mildura, VIC
  • Flexible/hybrid arrangements considered
  • Fulltime
Read More
Arrow Right