Utilization Review Manager jobs

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Clinical Manager
Visiting Nurse Association & Hospice of VT and NH - West Lebanon, NH
of staff. Ensures the utilization of high quality, cost-effective services provided to a defined group of patients. Reviews and approves the patient’s plan of...
Sponsored by Visiting Nurse Association & Hospice of VT and NH - 28 days ago
Clinical Manager – Wound Care RN
Wound Care and Disease Management Company - Pell City, AL
performance review, orientation and utilization... Director. * Clinical Manager- Wound Care RN will conduct wound healing review per policy and maintain...
Easily apply
Sponsored by Wound Care and Disease Management Company - 30+ days ago

Utilization Management On-Site Care Manager

Evolent Health 3 reviews - Atlanta, GA
Review clinical information for concurrent reviews, extending the length of stay for inpatients as appropriate....
1 hour ago - save job - email - more...

Utilization Manager

Rex Healthcare 29 reviews - Raleigh, NC
A minimum of a Bachelor of Nursing degree required. Utilization Review/Management or strong cardiovascular/thoracic skill experience highly desirable but not... $27.11 - $35.25 an hour
1 hour ago - save job - email - more...

Manager, Utilization Management

Centene Corporation 135 reviews - Tacoma, WA - +4 locations
Bachelor’s degree in related field or equivalent experience. Familiarity with Medicare and Medicaid managed care practices and policies, CHIP and SCHIP....
3 days ago - save job - email - more...

Utilization Manager

Johns Hopkins Bayview Medical Center 52 reviews - Baltimore, MD
Performs utilization review and quality improvement activities to determine the quality of patient care and the medical necessity of admission and continued...
Johns Hopkins Medicine - 6 days ago - save job - email - more...

Utilization Manager

Centene Corporation 135 reviews - Chicago, IL - +5 locations
Compile and review multiple reports on work function activities for statistical and financial tracking purposes to identify utilization trends and make...
7 days ago - save job - email - more...

Utilization Manager

Specialty Pharmacy Jobs - City of Sunrise, FL - +1 location
Have knowledge of utilization review procedures, mental health and substance abuse community resources and network providers....
20 days ago - save job - email - more...

Utilization Management Program Manager

Boston Medical Center Healthnet Plan 116 reviews - Boston, MA
Ability to work in a fast paced environment. Documents include but are not limited to NH UM related policies and procedures, UM program plan and its evaluation...
Monster - 11 hours ago - save job - email - more...

Manager, Inpatient Utilization Management

Heritage Health - Orange, CA 92868
Master’s degree in Nursing or related field preferred. Implements policies, procedures and Work Plans. Promotes staff growth and development by identifying...
St. Joseph Health - 22 days ago - save job - email - more...

Utilization Manager

Kimco 84 reviews - Richmond, CA 94806
MS Office Suite experience. For immediate consideration, please call 925-945-1444, or email your resume to hellman@kimco.com....
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2 days ago - save job - email - more...

Manager, Utilization Management

Heritage Health - Orange, CA 92868
Proficient in Microsoft Office applications. C. onducts staff meetings, assuring policy and procedures are adhered to and when necessary, modified to address...
St. Joseph Health - 22 days ago - save job - email - more...
Care Management RN (Non-ex)
EvergreenHealth Medical Center - Kirkland Campus 21 reviews - Kirkland, WA
for status per defined criteria and reviews for appropriate utilization of resources. Ensures continuity... 4. Provides utilization reviews, meeting all time...
Sponsored by EvergreenHealth - 25 days ago
RN Care Mgr, Emergency Dept
Baltimore Washington Medical Center 29 reviews - Glen Burnie, MD
What You Will Do: The Care Manager – Emergency Department... Care Manager – Emergency Department provides physicians with decision support, based on Utilization Review...
Sponsored by University of Maryland Medical System - 30+ days ago
RN Case Management
Southern Hills Hospital and Medical Center - Las Vegas, NV
planning needs. Performs utilization review ensuring admissions meet criteria for appropriateness of care and medical necessity. Manages the process to review...
Sponsored by HCA Inc - 30+ days ago
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Company with Utilization Review Manager jobs
21 reviews
We’re proud of our advanced medicine, but being in Healthgrade’s the top 5% of the US for quality care means we also have exceptional staff
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