Work From Home Work From Home Work From Home, Indiana 46544 The Supervisor Utilization Management is responsible for the direct supervision of the daily operations of the Centralized Utilization ...
Work From Home Work From Home Work From Home, Indiana 46544 The Supervisor Utilization Management is responsible for the direct supervision of the daily operations of the Centralized Utilization ...
Overview Make an impact by supporting the right care at the right time through utilization management excellence. Work Style: Onsite Location: St. Agustine, FL FTE: Full-Time (1.0 FTE) ⏰ Schedule:
Overview Make an impact by supporting the right care at the right time through utilization management excellence. Work Style: Onsite Location: St. Agustine, FL FTE: Full-Time (1.0 FTE) ⏰ Schedule:
Overview RN, Utilization Management | Utilization Management Ensure the right care at the right time--driving quality outcomes through effective utilization and care coordination. ???? Work Style:
Overview RN, Utilization Management | Utilization Management Ensure the right care at the right time--driving quality outcomes through effective utilization and care coordination. ???? Work Style:
Utilization Management Director
Orange, CA · On-site
$200K - $235K/yr
The ideal candidate is a licensed clinical professional with strong utilization management experience, payer or managed care knowledge, and the ability to build a department from the ground up. Key ...
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Utilization Management Director
Orange, CA · On-site
$200K - $235K/yr
The ideal candidate is a licensed clinical professional with strong utilization management experience, payer or managed care knowledge, and the ability to build a department from the ground up. Key ...
Utilization Management Nurse
$74.16 - $107.75/hr
Description The Utilization Management (UM) Nurse supports appropriate levelofcare determination ... BLS from the ARC or AHA, required. * Prior case management experience, highly desired * Proficient ...
Utilization Management Nurse
$74.16 - $107.75/hr
Description The Utilization Management (UM) Nurse supports appropriate levelofcare determination ... BLS from the ARC or AHA, required. * Prior case management experience, highly desired * Proficient ...
Overview RN, Utilization Management | Utilization Management Ensure the right care at the right time--driving quality outcomes through effective utilization and care coordination. ???? Work Style:
Overview RN, Utilization Management | Utilization Management Ensure the right care at the right time--driving quality outcomes through effective utilization and care coordination. ???? Work Style:
As a Utilization Management Nurse on the team, you will be responsible for reviewing patient files and treatment methods with an eye for efficiency and effectiveness. Your role will be to ensure we ...
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As a Utilization Management Nurse on the team, you will be responsible for reviewing patient files and treatment methods with an eye for efficiency and effectiveness. Your role will be to ensure we ...
Utilization Management Nurse
Los Angeles, CA · On-site
$74.16 - $107.75/hr
The UM Nurse functions in two utilization management roles for coverage purposes utilization review ... BLS from the ARC or AHA, required. * Prior case management experience, highly desired * Proficient ...
Utilization Management Nurse
Los Angeles, CA · On-site
$74.16 - $107.75/hr
The UM Nurse functions in two utilization management roles for coverage purposes utilization review ... BLS from the ARC or AHA, required. * Prior case management experience, highly desired * Proficient ...
Their responsibilities span from managing admissions to ensuring clean claims, identifying trends, and optimizing resource utilization. This role supports patient care coordination, fosters physician ...
Their responsibilities span from managing admissions to ensuring clean claims, identifying trends, and optimizing resource utilization. This role supports patient care coordination, fosters physician ...
Utilization Management Nurse
$80K - $95K/yr
Role Overview The Utilization Management Nurse plays a critical role in ensuring high-quality, cost-effective, and compliant care for PACE participants supported by IntusCare. This individual ...
Utilization Management Nurse
$80K - $95K/yr
Role Overview The Utilization Management Nurse plays a critical role in ensuring high-quality, cost-effective, and compliant care for PACE participants supported by IntusCare. This individual ...
Oversee the management of patient care utilization, ensuring appropriate healthcare services are provided while optimizing resource use. This individual will be responsible for leading a team of ...
Oversee the management of patient care utilization, ensuring appropriate healthcare services are provided while optimizing resource use. This individual will be responsible for leading a team of ...
Utilization Management Nurse
Columbus, IN · On-site
Utilization Management Nurse Reports To: Manager of Utilization Management Employment Type: Full-Time, Exempt Brief Description of Duties: This position is reserved for a licensed Registered Nurse ...
Utilization Management Nurse
Columbus, IN · On-site
Utilization Management Nurse Reports To: Manager of Utilization Management Employment Type: Full-Time, Exempt Brief Description of Duties: This position is reserved for a licensed Registered Nurse ...
Utilization Management RN Hourly (PRN) - Care Continuity - UH Truman Medical Centers (varied days...
Utilization Management RN Hourly (PRN) - Care Continuity - UH Truman Medical Centers (varied days per week; 7:00a-3:30p) 101 Truman Medical Center Job Location Work From Home-City Tax Req Kansas City ...
Utilization Management RN Hourly (PRN) - Care Continuity - UH Truman Medical Centers (varied days...
Utilization Management RN Hourly (PRN) - Care Continuity - UH Truman Medical Centers (varied days per week; 7:00a-3:30p) 101 Truman Medical Center Job Location Work From Home-City Tax Req Kansas City ...
Supervisor Utilization Management Hybridrole(3days/weekin office)atourBurlington, Renton, Spokane ... We are happy to offer work from home options for most of our roles. To take advantage of this ...
New
Supervisor Utilization Management Hybridrole(3days/weekin office)atourBurlington, Renton, Spokane ... We are happy to offer work from home options for most of our roles. To take advantage of this ...
New
Utilization Management Nurse
$60 - $75/hr
As a Utilization Management Nurse on the team, you will be responsible for reviewing patient files ... The incumbent protects the data from unauthorized release or from loss, alteration, or unauthorized ...
Quick apply
Utilization Management Nurse
$60 - $75/hr
As a Utilization Management Nurse on the team, you will be responsible for reviewing patient files ... The incumbent protects the data from unauthorized release or from loss, alteration, or unauthorized ...
Director Utilization Management Location: Larkin Bldg @ Exchange Street Location of Job : US:NY:Buffalo Work Type : Full-Time Shift 1 Work flows across all sites. This includes consistent practice ...
Director Utilization Management Location: Larkin Bldg @ Exchange Street Location of Job : US:NY:Buffalo Work Type : Full-Time Shift 1 Work flows across all sites. This includes consistent practice ...
As a Utilization Management Nurse on the team, you will be responsible for reviewing patient files ... The incumbent protects the data from unauthorized release or from loss, alteration, or unauthorized ...
As a Utilization Management Nurse on the team, you will be responsible for reviewing patient files ... The incumbent protects the data from unauthorized release or from loss, alteration, or unauthorized ...
Utilization Management Specialist
Sequim, WA · On-site
$31.74 - $41.26/hr
Jamestown Salish Seasons is seeking a Utilization Management Specialist (UMS) to support insurance coordination, utilization management, authorization processes, provider credentialing, and revenue ...
Utilization Management Specialist
Sequim, WA · On-site
$31.74 - $41.26/hr
Jamestown Salish Seasons is seeking a Utilization Management Specialist (UMS) to support insurance coordination, utilization management, authorization processes, provider credentialing, and revenue ...
Utilization Management Registered Nurse The Utilization Management Registered Nurse is responsible ... but ensures that an authorization is obtained from the payer, if required, and that the ...
Utilization Management Registered Nurse The Utilization Management Registered Nurse is responsible ... but ensures that an authorization is obtained from the payer, if required, and that the ...
RN Utilization Management Reviewer
$35 - $40/hr
The Nurse Utilization Management Reviewer has a key role in ensuring the client meets CMS ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...
RN Utilization Management Reviewer
$35 - $40/hr
The Nurse Utilization Management Reviewer has a key role in ensuring the client meets CMS ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...
From Home Utilization Management information
See salary details
$39K - $50.3K
15% of jobs
$50.3K - $61.5K
8% of jobs
$63.2K is the 25th percentile. Wages below this are outliers.
$61.5K - $72.8K
15% of jobs
The median wage is $79.9K / yr.
$72.8K - $84.1K
20% of jobs
$84.1K - $95.4K
11% of jobs
$101K is the 75th percentile. Wages above this are outliers.
$95.4K - $106.6K
13% of jobs
$106.6K - $117.9K
5% of jobs
$117.9K - $129.2K
3% of jobs
$129.2K - $140.5K
4% of jobs
$140.5K - $151.7K
3% of jobs
$151.7K - $163K
3% of jobs
$39K
$89.5K
$163K
How much do from home utilization management jobs pay per year?
What is the difference between From Home Utilization Management vs From Home Case Management?
| Aspect | From Home Utilization Management | From Home Case Management |
|---|---|---|
| Certifications | CPUR, CCM, or similar | CPUR, CCM, or similar |
| Work Environment | Remote, healthcare insurance companies | Remote, healthcare insurance companies |
| Primary Focus | Reviewing medical necessity and resource utilization | Coordinating patient care and services |
| Employer Usage | Health insurers, managed care organizations | Health insurers, managed care organizations |
From Home Utilization Management primarily focuses on evaluating medical necessity and resource utilization, ensuring appropriate healthcare services. In contrast, From Home Case Management emphasizes coordinating patient care and services to support health outcomes. Both roles are remote, require similar certifications, and are used within healthcare insurance companies, but their core responsibilities differ.
Franciscan Health rating
6.9
Based on 257 frontline employees who took The Breakroom Quiz
452nd of 869 rated healthcare providers
Job description
Work From Home Work From Home, Indiana 46544
The Supervisor Utilization Management is responsible for the direct supervision of the daily operations of the Centralized Utilization Management department in order to assure that utilization management needs are addressed. This position ensures appropriate staffing levels, ongoing educational opportunities, and employee satisfaction to maintain operational commitment. The Supervisor maintains and enhances relationships with internal and external customers and peers across the continuum in order to facilitate excellent outcomes for patients and Franciscan.
WHO WE ARE
With 11 ministries and access points across Indiana, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
WHAT YOU CAN EXPECT
- Maintain inter- and intra-departmental communications, special projects, programs, policies, and procedures as well as care management services.
- Participate and educate team in performance improvement initiatives. Implement processes to satisfaction with those we are privileged to serve.
- Coordinate and maintain compliance with HFAP, state and federal agencies pertaining to Utilization/Denial management activities.
- Supervise direct reports and manage the performance of individuals through ongoing coaching, feedback, and development to motivate, engage and drive a high performing team.
- Make decisions for direct reports in assigned function and performs people management activities, such as, performance evaluations, disciplinary actions, staff planning, and interviews.
- Supervise and maintain Utilization Management operations in collaboration with the Manager and Director, including ensuring appropriate utilization and denial management.
QUALIFICATIONS
- Bachelor's Degree in Nursing required
- Active Indiana Registered Nurse (RN) license required
- 5 years of Nursing/Patient Care required
- 2 years of Utilization or Case Management experience preferred
TRAVEL IS REQUIRED:
Up to 20%
JOB RANGE:
Supervisor Utilization Management: $67,683.20 - $105,768.00
INCENTIVE:
Not Applicable
EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
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