Utilization Manager Jobs in Dallas
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Search Results - Utilization Manager Jobs in Dallas
Youth Advocate Programs, Inc.-Dallas
authority.
All services are delivered in compliance with the Texas Medicaid Provider Procedures Manual, the Texas Resilience and Recovery Utilization Management Guidelines, YAP standards, and all state and federal regulations governing the delivery...
OptumCare-Dallas
provides support to the UM department in administrative functions for UM organization determinations and appeal coordination. This position utilizes knowledge of Medicare and state HMO guidelines in order to facilitate and comply with the Utilization...
Dallas
and industry, plans, case management, utilization management, vendors, special interest groups, professional organizations
• Knowledge and application of clinical, non-clinical and business measurement
• Proven track record of successfully developing...
icims.com -
Dallas
for effective utilization and quality management of the health plan network. Supports the clinical activities of PCHP Utilization Management, Quality Management, Clinical Policy, Technology Assessment, Credentialing, Population Health and Fraud, Waste and Abuse...
tiptopjob.com -
Impresiv Health-Irving, 15 mi from Dallas
and judgment in order to perform comprehensive assessments of clinical information and treatment plans and apply medical necessity criteria in order to determine appropriate level of care
Resource/Utilization Management appropriateness: Assess assigned patient...
resume-library.com -
Dallas
a Medicaid State Agency, a health plan or Managed Care Organization is preferred.
• Knowledge of prior authorization/utilization management processes and the ability to interpret Texas Medicaid guidelines preferred.
Certification/Licensure:
Fellowship Only...
tiptopjob.com -
UnitedHealth Group Inc-Irving, 15 mi from Dallas
and/or telephonically to identify member needs at time of transition to a lower level of care
• Manages assigned case load in an efficient and effective manner utilizing time management skills
• Demonstrates exemplary knowledge of utilization management and care...
Dallas
Knowledge of utilization management and case management principles is preferred.
• Knowledge of Texas Medicaid requirements is preferred.
Equivalent Education and/or Experience
• May have an equivalent combination of education and experience to substitute...
tiptopjob.com -
UnitedHealth Group Inc-Irving, 15 mi from Dallas
management, creative problem solving, and critical thinking.
• Knowledge of healthcare reimbursement, Utilization Management, discharge planning, Disease Management
• Intermediate knowledge of Commercial Plans, applicable state Department of Insurance...
Dallas
and organizations
• Experience interacting with clients in the healthcare industry
• Experience in utilization management and prior authorization
• Track record of leadership of teams and projects spanning people, process, and technology
• Experience managing...
tiptopjob.com -
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