Utilization Review Director jobs in Covington, LA

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Preservice Review Nurse - Louisiana - Telecommuter
UnitedHealth Group 2,190 reviews - New Orleans, LA
Perform utilization and concurrent review using Milliman criteria. RN, Registered Nurse, Case Manager, Utilization Management Nurse, Preservice Review Nurse,...
Sponsored by UnitedHealth Group
Behavioral Health Case Manager I / II / Sr. - Louisiana - 10...
Anthem, Inc. 626 reviews - Metairie, LA
Works with medical directors in interpreting appropriateness of care and accurate claims payment. Consults with clinical reviewers and/or medical directors to...
Sponsored by Anthem, Inc.
Director of Resource Management-Hospital
Executive Search Associates Inc. - United States
Performs review or patient's medical records (Medicare, Medicaid, Champus, Blus Cross and others as designated) to insured proper utilization of hospital...
Sponsored by HealthAdministrationNationwide.com

UTILIZATION MANAGEMENT COORDINATOR

Gilsbar 21 reviews - Covington, LA
Utilization management concepts. The Utilization Management Coordinator reviews the appropriateness and medical necessity of proposed procedures/services and...

Quality Improvement Coordinator II

Centene Corporation 238 reviews - Covington, LA
Conduct review of delegated entities for compliance with quality, service performance and utilization, credentialing reviews and medical record audits....

Manager of Case Management

The Clinical Recruiter - North Shore, LA
In conjunction with clinical leadership and physicians the director of case management will lead all aspects of utilization management for the facility...

Case Manager

- Slidell, LA
Reviews all scheduled surgery case for LOC. Reviews all admissions coming into the hospital for appropriateness....

Care Coordinator - RN (Northlake Market Team - Slidell)

Peoples Health, Inc. 18 reviews - Slidell, LA
Answer pages and phone calls received from hospital utilization review regarding a patient's condition during business hours....

Digital Sales Manager North Shore Mandeville

EATEL 7 reviews - Mandeville, LA 70471
Position will conduct periodic sales team reviews and is responsible for reporting and forecasting accordingly....
Director of Quality/Performance Improvement & Infection Cont...
AMG Rehabilitation Hospital - Covington, LA
A minimum of one-year experience in utilization review. He/she is responsible for development and implementation of the hospital’s Utilization Review plan....
Easily apply
Sponsored by AMG Rehabilitation Hospital
AVP Case Management
Ochsner Health System 77 reviews - New Orleans, LA
UTILIZATION MGMT NOM-3151. Provides direct supervision to Directors of Case Management and all associated personnel and is responsible for the program...
Sponsored by Ochsner Health System

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Company with Utilization Review Director jobs
UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier