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
Performs clinical review to ensure that services rendered to members meet clinical criteria and are delivered in the appropriate setting. Utilizes clinical skills to to coordinate...
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Presbyterian Healthcare Services-Albuquerque
The role integrates utilization management, care coordination, and transition planning functions. The Case Manager IV has the overall accountability for a designated case load and plans effectively in order to meet patients needs, manage the length of stay...
Albuquerque
Must have a valid driver license, clean driving record, and able to travel locally.
• Experience in utilization management, quality assurance, home care, community health, long term care, medical assistant or occupational health required.
• Proficiency...
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Presbyterian Healthcare Services-Albuquerque
the delivery of effective and efficient patient care. The role integrates utilization management, care coordination, and transition planning functions. The Case Manager IV has the overall accountability for a designated case load and plans effectively in order...
Albuquerque
degree and 8 yrs of exp, Associates degree and 9 years of exp, 12 years of exp may be utilized in lieu of other education and experience reqs.
• Must have a valid driver license, clean driving record and able to travel locally.
• Experience in utilization...
icims.com -
Presbyterian Healthcare Services-Albuquerque
care. The role integrates utilization management, care coordination, and transition planning functions. The Case Manager I has the overall accountability for a designated case load and plans effectively in order to meet patients needs, manage the length...
Albuquerque
Degree & 2 years exp, Associates Degree & 3 years exp, 6 years of exp may be utilized in lieu of other education reqs.
• Must have a valid driver license, clean driving record, and able to travel locally.
• Experience in utilization management...
icims.com -
Magellan Health-Albuquerque
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 management, cost of care, health...
Albuquerque
in utilization management, quality assurance, home care, community health, long term care or occupational health required.
• Proficiency in Microsoft Word, Excel and Outlook required.
• Experience in analyzing trends based on decision support systems.
• Business...
icims.com -
Albuquerque
in utilization management, quality assurance, home care, community health, long term care or occupational health required.
• Proficiency in Microsoft Word, Excel and Outlook required.
• Experience in analyzing trends based on decision support systems.
• Business...
icims.com -
Albuquerque
and external clients
• Serves as the School-Based Health Centers, Centennial Home Visiting program and Community Health Workers staff trainer for our internal teams including Member Services, Care Coordination, Provider Network Development, and Utilization...
icims.com -
Albuquerque
Degree & 2 years exp, Associates Degree & 3 years exp, 6 years of exp may be utilized in lieu of other education reqs.
• Must have a valid driver license, clean driving record, and able to travel locally.
• Experience in utilization management...
icims.com -
Albuquerque
experience. 6 years of additional experience can be substituted in lieu of a Bachelors degree.
• Masters degree and 4 years experience preferredMust have a valid driver license, clean driving record and able to travel locally.
• Experience in utilization...
icims.com -
Albuquerque
best in class engagement and driving optimal performance in quality, financials, risk adjustment, utilization management, financial performance, and membership retention and growth. You lead provider network and provider contracting strategies to ensure...
icims.com -
Albuquerque
patient care. The role integrates utilization management, care coordination, and transition planning functions. The Case Manager IV has the overall accountability for a designated case load and plans effectively in order to meet patients needs, manage...
icims.com -
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