Utilization Review Manager jobs

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Utilization Review Manager
Experience in patient assessment, treatment planning, case management or utilization review, and communication with external review organizations or comparable...
Manager of Utilization Review
Aspire Health Plan - Monterey, CA
The Manager of Utilization Review will:. ER visits, re admissions, OOA utilization and identification of potential high cost cases....
Case Manager Utilization Review Nurse - Full Time
Utilization review for Medicare, Managed Care and Commercial payors. (Certified Professional Utilization. He/she will monitor utilization....

Nurse, RN, Primary Care, Full Time, 8:30am-5pm, Mon-Fri (ASN...

Grand View Health - 8 reviews - Chalfont, PA 18914
The incumbent manages utilization and practice metrics to further refine the delivery of care model to maximize clinical, quality, and fiscal outcomes for...

Clinical Care Manager (RN) - Children's Hospital - Complex C...

UPMC - 486 reviews - Pittsburgh, PA 15219 (Middle Hill area)
Review member's current medication profile; Present or contribute to complex case reviews by the interdisciplinary team summarizing clinical and social history,...

Clinical Care Manager (RN) - Transition Coordinator - Childr...

UPMC - 486 reviews - Pittsburgh, PA 15219 (Middle Hill area)
Review member's current medication profile; Present or contribute to complex case reviews by the interdisciplinary team summarizing clinical and social history,...

Clinical Care Manager (RN) - Transition Coordinator at UPMC...

UPMC - 486 reviews - Pittsburgh, PA 15232 (Shadyside area)
Review member's current medication profile; Present or contribute to complex case reviews by the interdisciplinary team summarizing clinical and social history,...

Clinical Care Manager

Aetna - 2,280 reviews - Charleston, WV  +7 locations
Click here to review the benefits associated with this position. Health Services strategies, policies, and programs are comprised of utilization management,...

Coding Training Manager - Silver Spring, MD

Kaiser Permanente - 4,936 reviews - Silver Spring, MD
Excellent command of the ICD-9-CM and CPT-4 classification systems with thorough understanding of the effect of data quality on prospective payment, utilization...

Clinical Care Manager (RN or LCSW)

Aetna - 2,280 reviews - Philadelphia, PA
Click here to review the benefits associated with this position. You will have the opportunity to utilize advanced clinical judgment and critical thinking...

Remote Support Center Manager

Konica Minolta US - Phoenix, AZ
Writing and delivering Employee Performance Reviews. All Covered, IT Services Division of Konica Minolta Business Solutions (KMBS) , is the leading national IT...

Facilitator (Multiple Openings, Multiple Shifts)

Johnson & Johnson Family of Companies - 2,167 reviews - Cornelia, GA
Line Item Fill Rate (LIFR), schedule adherence and cycle time • Interpret administrative policies for associates, review associates performance and make...

RN Clinical Manager Med Surg Full Time Days

Desert Regional Medical Center - 21 reviews - Palm Springs, CA
Assists in the collection of data for unit based improvement, and other ongoing reviews which serve as quality trending....
Psychiatric Utilization Review (RN, LCSW or LMHC) Case Manag...
Florida Hospital - 861 reviews - Orlando, FL 32885
Collaborates with Utilization Review Appeals Processor in achieving targeted outcomes. Participates in coordinating and arranging second-level review....
RN - Utilization Review Specialist - 100% FTE, Day
UW Health - 57 reviews - Madison, WI
Recent experience as an inpatient utilization review nurse or UM coordinator. The Utilization Review (UR) Specialist has well-developed knowledge and skills in...

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