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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
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 -
Health Care Service Corporation-Richardson, 4 mi from Dallas
driven company that will invest in your professional development. This position is responsible for performing all functions of Utilization Management (UM), Case Management (CM) and Disease Management (DM) and is a single source of contact for members...
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
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 -

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