Utilization Review Manager jobs

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Utilization Review Case Manager / RN
MedSolutions - Franklin, TN
Utilization Review Case Manager Nurse / RN. Performs utilization review activities for Post Acute Care requests and contacts providers where additional...
Easily apply
Sponsored by MedSolutions - 20 days ago
MANAGER,CLINICAL RESOURCE CENTER (Utilization Review/Pre-Cer...
Temple University Health System - Philadelphia, PA
CCM - Certified Case Manager (Preferred). The manager will oversee the department's delivery of a focused case management program, discharge planning and...
Sponsored by Temple University Health System - 30+ days ago
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Medical Review RN Manager - Medicare

HP 2,887 reviews - Chico, CA
Medical Review RN Manager - Medicare. The medical review manager monitors edit. Allocates medical review expertise to....
8 hours ago - save job - email - more...

Clinician Manager RN of Utilization Review Management

Express Scripts 738 reviews - Pine Brook, NJ
Work collaboratively with the Clinical Program Manager and IT to provide inputs in developing new system enhancements or fixes and to QA the newly developed...
3 days ago - save job - email - more...

General Professional V - Contracts Unit ...

State of Colorado 40 reviews - Denver, CO
And reviews and responds to contractual disputes or contractor nonperformance. Reviews and responds to open records requests related to contracting documents;...
2 days ago - save job - email - more...

Manager of Utilization Management - Psych Admin (FT Days)

Methodist Healthcare System 11 reviews - San Antonio, TX
Manager of Utilization Management - Psych Admin (FT Days) The Manager serves as utilization management liaison between Utilization Review Committee, Quality...
Nurse.com - 6 days ago - save job - email - more...

MI Duals - Utilization Management Manager

Aetna 367 reviews - Detroit, MI 48207 (Elmwood Park area)
Utilization management/utilization review, prior authorization, and concurrent review experience is required. Click here to review the benefits associated with...
8 days ago - save job - email - more...

Utilization Management Manager

Riverside Health System 26 reviews - Newport News, VA
Utilization Review Manager. The Utilization Review Manager is responsible for maintaining their own caseload while overseeing the Utilization Review team....
10 days ago - save job - email - more...

Utilization Management Manager

MDwise, Inc - Indianapolis, IN
The Utilization Management Medical Management Manager is responsible for providing workflow and clinical direction, organization, and monitoring of all Prior...
9 days ago - save job - email - more...

FVC Nurse Manager Vascular Access RN Laredo TX

Fresenius Medical Care 866 reviews - Laredo, TX - +1 location
Fresenius Vascular Care (FVC) is looking for a Nurse Manager to operate our Laredo, TX location. The Center Manager will be responsible for all activities,...
26 days ago - save job - email - more...

Manager, Utilization Management

Centene Corporation 153 reviews - Indianapolis, IN - +1 location
Compile and review multiple reports on work function activities for statistical and financial tracking purposes to identify utilization trends and make...
13 days ago - save job - email - more...

FHR5114 Manager, Staffing and Compliance

Frontier Airlines 129 reviews - Denver, CO
The utilization of myriad methodologies to source candidates, travel to various markets for preliminary vetting and narrowing selection for review by Senior...
10 hours ago - save job - email - more...
RN Clinical Care Manager
Buckingham's Choice 3 reviews - Adamstown, MD
The Care Manager will make any recommendations to the clinical team based on the findings of the 45 day review....
Sponsored by EMA Senior Care - 3 days ago
Coord, Patient Access
MD Anderson Cancer Center 156 reviews - Houston, TX
$66,800 a year
Two years’ experience in utilization review with external payors within a hospital or insurance setting. Ideal candidate will have two years experience in...
Sponsored by MD Anderson Cancer Center - 2 days ago
RN Nurse Manager OR - CLINICAL MGR/DIR: OR / SURGICAL SVCS
Parallon Workforce Solutions 43 reviews - Alexandria, LA
RN Nurse Manager OR. Prefer at least one year experience in utilization review, resource management, discharge planning or case management....
Sponsored by Parallon Workforce Solutions - 3 days ago

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