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Utilization Review Lead Nurse (RN)
Execu | Search - 65 reviews - New York, NY
$100,000 - $150,000 a year
The Utilization Review Lead Nurse (RN) will:. Review the quality and volume of nurse reviews and provider interactions....
Senior Nurse Director of Case Management
Clinical Management Consultants - Northampton, MA
$114,659 - $159,320 a year
This is a very large role over case management, utilization review, social workers, and centralized appeals and denials....
Vice President of Quality and Safety Management
CPHQ (Certified Professional in Healthcare Quality) OR CHCQM (Diplomate in American Board of Quality Assurance and Utilization Review Physicians)....

Utilization Management Director

HireFlux - Carlisle, PA
The Director of Utilization Review assesses, plans, implements and evaluates the needs of patients for discharge planning and utilization review....
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MEDICAL PROGRAM ADMINISTRATOR

Fulton County, GA - 6 reviews - Atlanta, GA
$131,350 - $170,755 a year
Equipment, Machinery, Tools, and Materials Utilization :. Develops and reviews protocols and plans for the delivery of clinical programs;...

Sr Director, Hospital & Continuing Care (RN)

Blair Search - Atlanta, GA
$117,900 - $165,100 a year
Clinical Professional Nurse or Nurse Practitioner background preferred. Develops systems to ensure effective coordination and integration between Utilization...

Vice President of Utilization Management and Review

Alta Hospital System, LLC - Los Angeles, CA
Vice President of Utilization Management and Review*. Registered Nurse (R.N.). Under the supervision of the VP of Performance Improvement, the Vice President of...
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Manager Utilization Management

Kaiser Permanente - 4,917 reviews - San Jose, CA
Manages projects related to chart reviews. Kaiser Permanente conducts compensation reviews of positions on a routine basis....

Registered Nurse, Senior Case Management Leader

Revenue Cycle Operations - New Orleans, LA
Registered Nurse (RN). Our definition of the clinical revenue cycle encompasses all of the typical aspects of the clinical revenue cycle including virtual,...
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Director Utilization Management Review

AmeriHealth Caritas - 228 reviews - Doral, FL
Reporting to the Regional UM Director, this position is responsible for leading, directing and overseeing the clinical review coordination components of the...

Director of Urgent Care Services

Thomas Jefferson University and Hospitals - 356 reviews - Philadelphia, PA
Registered Nurse or Licensed Allied Health Professional preferred. Strong quantitative skills and the ability to understand and communicate complex financial...

Director of Nursing Home Health ($130k)

ApexCare Home Health - Los Angeles, CA
$130,000 a year
Develops processes for optimal utilization of services. Conducts staff meetings to review performance, specific cases, and case conferences....
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Quality Manager - Behavioral Health and ...

County of San Mateo - 13 reviews - San Mateo County, CA  +1 location
$53.33 - $66.67 an hour
Conduct service utilization review and performance monitoring across all service networks. Conduct regular and ongoing service utilization review and...
Director of Utilization Management (RN)
Execu | Search - 65 reviews - Brooklyn, NY
$90,000 - $150,000 a year
Manage pre-authorization, concurrent review, and retrospective review processes for all inpatient, outpatient and LTSS services....
Case Management and Utilization Review Nurse Manager
Clinical Management Consultants - Scotts Valley, CA
$97,389 - $149,762 a year
Case Management and Utilization Review Nurse Manager Job in Scotts Valley CA. An award winning health plan in Central California is looking for a Case...

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