Utilization Manager Jobs in Fairfield
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Search Results - Utilization Manager Jobs in Fairfield
Fairfield
Overview:
The incumbent utilizes clinical judgement in providing utilization management services. The focus is to provide high quality, cost-effective care which will enable patients to achieve maximum medical improvement while receiving care...
icims.com -
Diverse Lynx-San Francisco, 42 mi from Fairfield
Job Description: Responsible for Care Coordination and Care Transitions Planning throughout the acute care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN...
resume-library.com -
Fairfield
Overview:
To provide daily supervision of utilization management staff. Provide departmental leadership, support, resources and direction to staff. Assists in developing and maintaining a cohesive team with a high level of productivity, accuracy...
icims.com -
Blue Shield of California-Rancho Cordova, 44 mi from Fairfield
Your Role
Reporting to the Sr. Director, Utilization Management, the role of the Director, Medicare & Medi-Cal Utilization Management is critical to the success of Blue Shield of California and the Utilization Management department in realizing its...
Fairfield
in design and interpretation of data analyses; provides recommendations for
improvement of data quality and reporting.
• Maintains in-depth knowledge of health plan operations, including claims processing,
utilization management, quality improvement...
icims.com -
Blue Shield of California-Rancho Cordova, 44 mi from Fairfield
Your Role
Reporting to the Sr. Director, Utilization Management, the role of the Director, Commercial Utilization Management is critical to the success of Blue Shield of California and the Utilization Management department in realizing its goals...
Fairfield
Collaborates with the Director of Utilization Management (UM) to ensure appropriate integration of HS procedures.
• Creates an environment encouraging continuous quality improvement in all areas of the department.
• Works with the Health Education Department...
icims.com -
Blue Shield of California-Rancho Cordova, 44 mi from Fairfield
Your Role
The Utilization Management team reviews the inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care. The Utilization Management Nurse will report to the Utilization Management Nurse...
Fairfield
and computer skills required. General knowledge of
utilization management, ICDCM, and CPT coding schemes. Thorough
knowledge of case management programs and application of related
clinical criteria and protocols. Knowledge of and experience with
Federal...
icims.com -
Macpower Digital Assets Edge Private Limited (MDA Edge)-San Ramon, 35 mi from Fairfield
Job Summary: The individual in this position has overall responsibility for hospital utilization management, transition management and operational management of the Case Management Department in order to promote effective utilization of hospital...
resume-library.com -
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