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 ...
Lead Utilization Management Nurse
Oak Brook, IL · On-site +1
We have an innovative organization looking to add a Lead Utilization Management Nurse to its team ... Eligible for consideration of partial work from home status upon completion of probationary period ...
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Lead Utilization Management Nurse
Oak Brook, IL · On-site +1
We have an innovative organization looking to add a Lead Utilization Management Nurse to its team ... Eligible for consideration of partial work from home status upon completion of probationary period ...
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:
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:
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 ...
Utilization management includes, but is not limited to, analyzing entrance into care environments from multiple perspectives including payors, healthcare system, patient/family, and providers ...
Utilization management includes, but is not limited to, analyzing entrance into care environments from multiple perspectives including payors, healthcare system, patient/family, and providers ...
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:
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 ...
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 ...
Collaborates with healthcare providers to ensure compliance with utilization management guidelines. * Supports optimization of treatment plans to promote effective patient care and appropriate ...
Collaborates with healthcare providers to ensure compliance with utilization management guidelines. * Supports optimization of treatment plans to promote effective patient care and appropriate ...
Member of Region 10 Utilization Management Committee * Assists with implementing regional ... Reviews UMC quarterly reports from CMHs (Behavioral Treatment Plan services, emergency use of ...
Member of Region 10 Utilization Management Committee * Assists with implementing regional ... Reviews UMC quarterly reports from CMHs (Behavioral Treatment Plan services, emergency use of ...
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 ...
Manager Utilization Management
Houston, TX · On-site
$118K - $153K/yr
Minimum Qualifications Degrees: - Graduated from an accredited school of Nursing with a Bachelors ... years of Utilization Management experience. Management Experience: - 2 Years of Experience:
Manager Utilization Management
Houston, TX · On-site
$118K - $153K/yr
Minimum Qualifications Degrees: - Graduated from an accredited school of Nursing with a Bachelors ... years of Utilization Management experience. Management Experience: - 2 Years of Experience:
Utilization Management Representative (UMR) Work Location: 11511 Shadow Creek Parkway Schedule ... Answer inbound calls from providers, members, and healthcare facilities regarding authorization ...
Utilization Management Representative (UMR) Work Location: 11511 Shadow Creek Parkway Schedule ... Answer inbound calls from providers, members, and healthcare facilities regarding authorization ...
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 ...
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 ...
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 ...
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 ...
The Utilization Management Specialist plays a key role in optimizing healthcare resource utilization and ensuring adherence to quality and compliance standards. This specialist-level position ...
The Utilization Management Specialist plays a key role in optimizing healthcare resource utilization and ensuring adherence to quality and compliance standards. This specialist-level position ...
... from care management programs and facilitates referral(*) Identifies opportunities to promote ... home health or ambulatory care required. Managed care/utilization review experience preferred ...
... from care management programs and facilitates referral(*) Identifies opportunities to promote ... home health or ambulatory care required. Managed care/utilization review experience preferred ...
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 Reports To: Manager of Utilization Management Employment Type: Full-Time, Exempt Brief Description of Duties: This position is reserved for a licensed Registered Nurse ...
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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