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


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....
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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