Utilization Review Manager jobs

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Registered Nurse/Case Management/Utilization Review Nurse -...
Sunrise Hospital and Medical Center 44 reviews - Las Vegas, NV
Case Management Certification (CCM) or CPUR (Certified Professional Utilization Review) preferred. Minimum of three (3) years of acute hospital case management...
Sponsored by HCA Inc - 30+ days ago
UBC Nurse Clinician RN (Case Manager)
Express Scripts 791 reviews - Morgantown, WV
Previous clinical criteria review experience preferred. Performs initial clinical review and analysis of prior authorization cases based on state regulations....
Sponsored by Express Scripts - 23 days ago
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 - 27 days ago

CASE MGR, Registered Nurse Job

Texas Health Resources 116 reviews - Bedford, TX
Texas Health Springwood has an immediate need for a Utilization Review Case Manager in our Springwood hospital location in Bedford....
7 days ago - save job - email - more...

Manager, Utilization Management

First Choice Health 7 reviews - Seattle, WA
Reviews and revises Utilization management policy and procedure manual; The Manager for Utilization Management is primarily responsible for the Utilization...
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3 days ago - save job - email - more...

Manager, Utilization Management

Centene Corporation 164 reviews - Dallas, TX - +2 locations
Compile and review multiple reports on work function activities for statistical and financial tracking purposes to identify utilization trends and make...
10 days ago - save job - email - more...

Nurse Quality Consultant, Critical Care focus ( Job Number:...

Kaiser Permanente 1,934 reviews - Clackamas, OR
Minimum three (3) years of experience with Utilization Management and/or Risk Management principles and practices....
3 days ago - save job - email - more...

Manager, Utilization Management

New Directions Behavioral Health 6 reviews - Kansas City, MO
The Manager, Utilization Management Key Responsibilities include:. The Manager of Utilization Management also provides direct supervision of clinical and non...
8 days ago - save job - email - more...

Utilization Management Manager - Concurrent Review

Central California Alliance for Health 5 reviews - Salinas, CA
$76,523 - $140,649 a year
Utilization Management Manager - Concurrent Review. Under the direction of the Utilization Management Director, this position manages and supervises the...
11 days ago - save job - email - more...

LVN Care Manager - Utilization Management

Heritage Healthcare (SJHH) - Orange, CA 92868
LVN Care Manager - Utilization Management. When performing Utilization review – will collect the necessary information regarding medical necessity using...
St. Joseph Health - 2 days ago - save job - email - more...

CLIN NURSE LIAISON

Reliant Medical Group 14 reviews - Worcester, MA
Two-three year experience as a case manager in a payor or facility setting performing concurrent or retrospective utilization reviews....
7 days ago - save job - email - more...

Manager, Care Management

L.A. Care Health Plan 9 reviews - Los Angeles, CA
The Manager, Care Management is directly responsible for the organization, direction and staffing of LA Care's direct lines of business care management function...
8 days ago - save job - email - more...

Case Manager II

Calaveras County, CA - San Andreas, CA
$24.60 - $29.91 an hour
Agement and review. Human Resources ioral Health Case Manager job classifica-.  Attends staff meetings, treatment planning and monitoring through utilization...
3 days ago - save job - email - more...
Utilization Management Review Nurse
Chinese Community Health Plan - San Francisco, CA
Utilization Management Nurse Reviewer. The Nurse reviewer performs on-site, written or telephonic assessments and utilization review, across the continuum of...
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Sponsored by Chinese Community Health Plan - 23 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

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Company with Utilization Review Manager jobs
791 reviews
Express Scripts is a Fortune 25 company and is the largest pharmacy benefit manager in the U.S.