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Utilization Manager Jobs in Dallas

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Search Results - Utilization Manager Jobs in Dallas
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...
jobg8.com -
Parkland Health & Hospital-Dallas
MINIMUM SPECIFICATIONS Education: Must be a graduate of an accredited school of Nursing. Experience: Must have two (2+) years of hospital or community based patient care nursing, preferably in assigned clinical area. Prefer case management, utilization...
jobrapido.com -
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 -
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 -
Dallas
and unrestricted licensure as a RN in the State of Texas required. Skills or Special Abilities  •  Knowledge of utilization management and case management principles.  •  Excellent verbal and written communication skills including the ability to communicate...
tiptopjob.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 -
Dallas
of an accredited school of Nursing. Experience: Must have two (2+) years of hospital or community based patient care nursing, preferably in assigned clinical area. Prefer case management, utilization review, and/or discharge planning experience. Certification...
tiptopjob.com -

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