Utilization Review Manager jobs

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RN Utilization Manager
ABQ Health Partners - Albuquerque, NM
Utilization Review or Case Management Certificate. Certified Case Manager. At least 2 years experience providing case management and/or utilization review...
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Sponsored by ABQ Health Partners - 21 days ago
Registered Nurse Case Manager - Case Management (FT Days) -...
Methodist Specialty & Transplant Hospital - San Antonio, TX
Prefer at least one year experience in utilization review, resource management, discharge planning or case management....
Sponsored by HCA Inc - 30+ days ago

Inpatient Services Program Manager (RN) Dallas Texas (North...

Fresenius Medical Care 906 reviews - Dallas, TX
Reviews profit and loss statements with the Area Manager or Regional Acute Care Manager. Acute Care Manager. Submit required monthly reports to the Area Manager...
14 days ago - save job - email - more...

Medicare Utilization Management Precert Manager

Riverside Health 3 reviews - Maryland
The Medicare Utilization Management Precert Manager will be responsible for managing the utilization.  Proficiency in medical management software utilized for...
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1 day ago - save job - email - more...

Utilization Management Manager

Heartland Health 40 reviews - Saint Joseph, MO
The Utilization Manager will assure application management of revenue cycle, and all other utilization functions to include coordination with patient financial...
8 days ago - save job - email - more...

Site Manager

Canon Solutions America 43 reviews - New York, NY - +1 location
Monitor performance reviews of indirect reports. Set developmental goals and conduct periodic performance reviews with direct reports;...
11 hours ago - save job - email - more...

Care Transitions Manager - RN

CommuniCare Health Services - Fort Washington, MD 20744 - +3 locations
Attend Utilization Review Meetings, Update road map accordingly, Communicate updates to patient and family. Care Transitions Manager - RN Required....
14 hours ago - save job - email - more...

Manager - Utilization Management

HealthCare Partners 68 reviews - Long Beach, CA
Minimum 2 - 4 years management experience in UM with 2-4 years managed care/HMO experience in utilization review....
10 days ago - save job - email - more...

Manager, Utilization Management

Centene Corporation 159 reviews - Columbus, OH - +2 locations
Compile and review multiple reports on work function activities for statistical and financial tracking purposes to identify utilization trends and make...
11 days ago - save job - email - more...

Health Services Manager RN - Field Based - TX

UnitedHealth Group 1,632 reviews - College Station, TX
Experience in utilization review, concurrent review and/or risk management. Certified Case Manager, CCM, discharge planning, utilization review, concurrent...
12 days ago - save job - email - more...

RN CLIN DOC IMPROVEMENT LEAD

UTILIZATION MANAGEMENT - CARUFEL - FARGO ND - Fargo, ND
Improve the overall quality and completeness of clinical documentation on a concurrent basis through daily review of open records and interaction with...
Sanford Health - 1 day ago - save job - email - more...

Clinical Manager- Wound Care RN

Accelecare - Baton Rouge, LA - +5 locations
The Wound Center Clinical Manager - RN will conduct wound healing review per policy and maintain documentation of all quality review activities....
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11 days ago - save job - email - more...
Sr Professional Care Manager - Shadyside
UPMC 227 reviews - Pittsburgh, PA
Performs clinical review on admission and/or continued stay using Inter. The Senior Care Manager (CM) coordinates the clinical and financial plan for patients....
Sponsored by UPMC - 30+ days ago
Registered Nurse Case Manager
St. David's Medical Center 20 reviews - Austin, TX
Responsibilities of the Case Manager:. Performs admission certification screening for patients in accordance with Utilization Plan using ISD criteria, and...
Sponsored by HCA Inc - 30+ days ago
Care Management Supervisor
QualChoice 5 reviews - Little Rock, AR
• Must have experience is the areas of Utilization Review, Managed Care, and Quality Management. This position provides overall direction for crisis...
Sponsored by QualChoice - 30+ days ago

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Company with Utilization Review Manager jobs
227 reviews
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