Utilization Manager Jobs
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Search Results - Utilization Manager Jobs
HHS-Poland (OH)
integrity, respect, and discretion in all business dealings
• Organization: Attention to detail and ability to effectively manage tasks in a fast-paced environment
Requirements
• 1+ years of operations/management experience, preferably laundry operations...
8 similar jobs: Petersburg, Johnstown, Fowler, Burghill, Hubbard...
Mindlance-Baltimore
Job Description: PURPOSE:
Utilizing key principles of utilization management, the Utilization Review Specialist will perform prospective, concurrent and retrospective reviews for authorization, appropriateness of care determination and benefit...
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Blue Shield of California-Rancho Cordova
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 (BSC) and the Utilization Management (UM) department in realizing...
Christus Health-San Antonio
Description
Summary:
The Utilization Management Nurse II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This Nurse is responsible...
Blue Shield of California-El Dorado Hills
Your Role
The Utilization Management Concurrent Review team ensures accurate and timely authorization of designated healthcare services clinical review determinations for Medicare Line of Business. The Manager, Utilization Management Nurse...
UMMS Providers/Physicians-Easton (MD)
Job Description
The Physician Advisor/Medical Director, Utilization Management works in conjunction with the CMO, Medical Directors, Care Management, Utilization Management, Population Health, Quality, Safety & Risk, and Health Information...
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US Tech Solutions-United States
Title: Clinical Reviewer Utilization Management RNLocation: : RemoteDuration: 03 months contract (with the possibility of extension)
• Employment Type: W-2 Job Description :
**Active, unrestri......
Macpower Digital Assets Edge Private Limited-Los Angeles
Job Summary:
The Utilization Management Policy Initiatives Nurse RN II, under the purview the Utilization Management (UM) Department Leadership Team, is responsible for managing, reviewing, updating and creating Healthcare Services clinical...
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NaphCare, Inc.-Birmingham
NaphCare is hiring a strong PRN Utilization Management Nurse Practitioner (NP) to join our Utilization Management team located at our Corporate Headquarters in Birmingham, AL.
NaphCare is a family owned, medical technology company that has been...
Salt Lake City
Principles and techniques of management and supervision
• Mental health and substance use disorders treatment and prevention, theory, and practice
• Individual, family, and community dynamics regarding mental health and substance use disorders
• Utilization...
icims.com -
MedixTM-Westbury (NY)
Job Title: Utilization Management / Appeals Registered Nurse
Job Details
• Posting Date: 3/19/2025
• Reference ID: 210559
• Locations: New Hyde Park, NY
• Work Location: Onsite
• Discipline: Nursing / Utilization Management
• Job Type: Contract...
Christus Health-Corpus Christi
Description
Summary:
The Utilization Management Nurse I is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This Nurse is responsible...
NaphCare, Inc.-Mobile
NaphCare is hiring a strong PRN Utilization Management Nurse Practitioner (NP) to join our Utilization Management team located at our Corporate Headquarters in Birmingham, AL.
NaphCare is a family owned, medical technology company that has been...
2 similar jobs: Birmingham, Montgomery
Christus Health-Corpus Christi
Description
Summary:
The Utilization Management Nurse I is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This Nurse is responsible...
Kaiser-Hyattsville
Job Description
Job Summary:
The Auditor will be auditing clinical criteria reviews to ensure correct level of care and educating utilization management staff across the Continuum of Care.
Essential Responsibilities:
• Monitors/Audits UM nurses...
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