Utilization Manager Jobs in Birmingham
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Birmingham
Overview:
NaphCare is hiring experienced PRN Utilization Management Registered Nurse just like you at the Corporate Headquarters located in Birmingham AL.
*This is a Remote position*
NaphCare is a family owned, healthcare technology company...
icims.com -
EVERSANA-Birmingham
of market access initiatives.
Obtain and maintain knowledge and understanding of payer landscape, including Specialty Pharmacy and utilization management criteria, on a national, regional and local level so that you can act as a process and payer expert...
resume-library.com -
Birmingham
Overview:
NaphCare is hiring experienced Utilization Management Registered Nurse just like you at the Corporate Headquarters located in Birmingham AL
*This is not a remote position*
NaphCare is a family owned, healthcare technology company...
icims.com -
Birmingham
current BLS/ healthcare provider certification.
Experience
Three (3) years of experience in chronic disease management, case management, utilization management, or acute clinical care.
Responsibilities:
Initially and concurrently assesses all patients...
orlandohealth.com -
Birmingham
Utilization Management program.
A licensed practical nurse with the ability to perform clinical UM nursing activities.
**This is not a Remote a position**
NaphCare collaborates with correctional facilities to provide proactive, patient-focused healthcare...
icims.com -
Birmingham
adheres to Utilization Management Plan.
Communicates in an appropriate and timely manner with interdisciplinary team to coordinate/evaluate plan of care.
Communicates with third party payers and external care team as appropriate/necessary.
Monitors...
orlandohealth.com -
Hoover (AL), 6 mi from Birmingham
clinical field (i.e. social services), must hold a current license in respective field.
2. Knowledge of healthcare reimbursement, utilization management, and discharge planning.
3. Experience providing strategic leadership, managing teams and leading...
icims.com -
Birmingham
requirements for Managed Care contracts, governmental payors (i.e. Medicare, Medicaid, and Champus) and departmental review policies; adheres to Utilization Management Plan.
Communicates in an appropriate and timely manner with interdisciplinary team...
orlandohealth.com -
Birmingham
Overview:
NaphCare is hiring a strong Utilization Management (UM) Liaison to join our Utilization Management team located at our Corporate Headquaters in Birmingham, Al.
NaphCare is a family owned, healthcare technology company that has been...
icims.com -
Birmingham
utilization and quality regulations.
• Acts as second-level reviewer through the review of medical records of patients identified by care managers or as requested by the healthcare or administration teams.
• Assist with the patient status determination (level...
orlandohealth.com -
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