Utilization Manager Jobs in Albuquerque
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Search Results - Utilization Manager Jobs in Albuquerque
Albuquerque
Overview:
Now hiring a Utilization Management Nurse Specialist
Albuquerque Metro Residents Only.
The UM Nurse Specialist conducts clinical reviews to ensure that services provided to members meet clinical criteria and are delivered in appropriate...
icims.com -
Magellan Health-Albuquerque
and Commercial) and implements and manages programs to support this vision. The Senior Medical Director ensures the delivery of appropriate health care by overseeing the service coordination, utilization management, care/case management, population health/disease...
Presbyterian Healthcare Services-Albuquerque
Overview:
Presbyterian is seeking an RN Case Manager that will provide clinically-based case management to support the delivery of effective and efficient patient care. The role integrates utilization management, care coordination, and transition...
Albuquerque
programs, utilization management, care coordination, reimbursement methodologies, provider contracting including incentive strategies and value based reimbursement, claims payment, system configuration, sales/employer group reporting, premium development...
icims.com -
Albuquerque
Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified...
enlyte.com -
Cibola General Hospital-Albuquerque
to community or social service programs. Plan discharge from care facility to home or other care facility. Share responsibilities of Utilization Review/Utilization management tasks
Requirements: Masters degrees in Social Work, Psychology, Mental Health...
tiptopjob.com -
Albuquerque
Overview:
Now hiring a Manager-Utilization Management Contract Quality and Oversight
The Manager, UM Contractor Quality and Oversight is responsible for coordinating internal and external utilization management audits and for performing direct...
icims.com -
Albuquerque
and Utilization Management to ensure regulatory requirements are met; preparing all internal and external audits for all lines of business; completing all audit projects requiring the computation, analysis, and formatting of reports and providing individual...
icims.com -
Albuquerque
license
• Must have a valid driver license
• Experience in utilization management, home care, community health, long term care or occupational health
Qualifications:
• Masters degree & 4 years of exp, Bachelors degree and 8 yrs of exp, Associates...
icims.com -
Albuquerque
record and able to travel locally.
• Experience in utilization management, home care, community health, long term care or occupational health required.
Qualifications:
• Masters degree & 4 years of exp, Bachelors degree and 8 yrs of exp, Associates...
icims.com -
Albuquerque
retirement and more for FT employees.
Ideal Candidate:
• Experience in utilization management, quality assurance, home care, community health, long term care or occupational health required. CCM certification preferred or must obtain within 3 years of hire...
icims.com -
Albuquerque
Overview:
Presbyterian is seeking a RN Case Manager that will provide clinically-based case management to support the delivery of effective and efficient patient care. The role integrates utilization management, care coordination, and transition...
icims.com -
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