Strive towards mastery of role by prioritizing and completing all PMO Training needed to develop technical, commitment and leadership skills * Develop and pursue annual top 10 business goals and 16 ...
Strive towards mastery of role by prioritizing and completing all PMO Training needed to develop technical, commitment and leadership skills * Develop and pursue annual top 10 business goals and 16 ...
Travel RN Utilization Management / Assistant Director of Nursing - $2,464 per week
Albuquerque, NM · On-site
$2.4K/wk
Solomon Page is seeking a travel nurse RN Long Term Care (LTC) Case Manager, Utilization Review for ... Ability to stand for long periods of time If you meet the required qualifications and are ...
New
Travel RN Utilization Management / Assistant Director of Nursing - $2,464 per week
Albuquerque, NM · On-site
$2.4K/wk
Solomon Page is seeking a travel nurse RN Long Term Care (LTC) Case Manager, Utilization Review for ... Ability to stand for long periods of time If you meet the required qualifications and are ...
New
RN CASE MANAGER
$35.56 - $50.48/hr
Utilization Management: Supports the medical necessity appropriateness for all patients receiving treatment/services. This is supported by a chart review for the level of care and correcting billing ...
RN CASE MANAGER
$35.56 - $50.48/hr
Utilization Management: Supports the medical necessity appropriateness for all patients receiving treatment/services. This is supported by a chart review for the level of care and correcting billing ...
RN CASE MANAGER
$35.56 - $50.48/hr
Utilization Management: Supports the medical necessity appropriateness for all patients receiving treatment/services. This is supported by a chart review for the level of care and correcting billing ...
RN CASE MANAGER
$35.56 - $50.48/hr
Utilization Management: Supports the medical necessity appropriateness for all patients receiving treatment/services. This is supported by a chart review for the level of care and correcting billing ...
RN CASE MANAGER
$35.56 - $50.48/hr
Utilization Management: Supports the medical necessity appropriateness for all patients receiving treatment/services. This is supported by a chart review for the level of care and correcting billing ...
RN CASE MANAGER
$35.56 - $50.48/hr
Utilization Management: Supports the medical necessity appropriateness for all patients receiving treatment/services. This is supported by a chart review for the level of care and correcting billing ...
RN CASE MANAGER
Kirtland Air Force Base, NM · On-site
$35.56 - $50.48/hr
Utilization Management: Supports the medical necessity appropriateness for all patients receiving treatment/services. This is supported by a chart review for the level of care and correcting billing ...
RN CASE MANAGER
Kirtland Air Force Base, NM · On-site
$35.56 - $50.48/hr
Utilization Management: Supports the medical necessity appropriateness for all patients receiving treatment/services. This is supported by a chart review for the level of care and correcting billing ...
Virtual Reimbursement Manager
Albuquerque, NM · On-site
$140K - $150K/yr
Demonstrated understanding of access, coverage and reimbursement issues in the retail channel, including commercial and federal health care program utilization management tools such as prior ...
Virtual Reimbursement Manager
Albuquerque, NM · On-site
$140K - $150K/yr
Demonstrated understanding of access, coverage and reimbursement issues in the retail channel, including commercial and federal health care program utilization management tools such as prior ...
Manager, Change and Resource Management / Organizational Change Management (OCM) Specialist (Grid Mo
Albuquerque, NM · On-site
$148K - $187K/yr
... utilization and greater proficiency of the changes that impact employees in the organization to increase benefit realization, value creation, ROI and the achievement of results and outcomes Supports ...
Manager, Change and Resource Management / Organizational Change Management (OCM) Specialist (Grid Mo
Albuquerque, NM · On-site
$148K - $187K/yr
... utilization and greater proficiency of the changes that impact employees in the organization to increase benefit realization, value creation, ROI and the achievement of results and outcomes Supports ...
Appeals Pharmacist (Remote)
Albuquerque, NM · On-site +1
$55.50 - $67.50/hr
Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree. * Licensure: Active and unrestricted pharmacist license in the U.S. * Experience: Prior managed care or utilization management experience ...
Appeals Pharmacist (Remote)
Albuquerque, NM · On-site +1
$55.50 - $67.50/hr
Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree. * Licensure: Active and unrestricted pharmacist license in the U.S. * Experience: Prior managed care or utilization management experience ...
Travel Nurse RN - Manager
Albuquerque, NM · On-site
Travel Description In this role as a Registered Nurse specializing in Utilization Management, you ... of opportunities at top-tier hospitals and facilities across the country. We're committed to ...
New
Travel Nurse RN - Manager
Albuquerque, NM · On-site
Travel Description In this role as a Registered Nurse specializing in Utilization Management, you ... of opportunities at top-tier hospitals and facilities across the country. We're committed to ...
New
Appeals Pharmacist (Remote)
Albuquerque, NM · On-site +1
$55.50 - $67.50/hr
Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree. * Licensure: Active and unrestricted pharmacist license in the U.S. * Experience: Prior managed care or utilization management experience ...
Appeals Pharmacist (Remote)
Albuquerque, NM · On-site +1
$55.50 - $67.50/hr
Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree. * Licensure: Active and unrestricted pharmacist license in the U.S. * Experience: Prior managed care or utilization management experience ...
Remote Prior Authorization Pharmacist
Albuquerque, NM · Remote
$56.50 - $67.75/hr
Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree. * Licensure: Active and unrestricted pharmacist license in the U.S. * Experience: Prior authorization, utilization management, or managed ...
Remote Prior Authorization Pharmacist
Albuquerque, NM · Remote
$56.50 - $67.75/hr
Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree. * Licensure: Active and unrestricted pharmacist license in the U.S. * Experience: Prior authorization, utilization management, or managed ...
Remote Prior Authorization Pharmacist
Albuquerque, NM · Remote
$56.50 - $67.75/hr
Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree. * Licensure: Active and unrestricted pharmacist license in the U.S. * Experience: Prior authorization, utilization management, or managed ...
Remote Prior Authorization Pharmacist
Albuquerque, NM · Remote
$56.50 - $67.75/hr
Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree. * Licensure: Active and unrestricted pharmacist license in the U.S. * Experience: Prior authorization, utilization management, or managed ...
... manage length of stay. * Coordinates with onsite partner providers (LTACH, Inpt Rehab) to review ... Educates hospital and ED providers on levels of care, resource utilization, payor practices, and ...
... manage length of stay. * Coordinates with onsite partner providers (LTACH, Inpt Rehab) to review ... Educates hospital and ED providers on levels of care, resource utilization, payor practices, and ...
Senior Vice President, Value-Based Care - Population Health, Risk & Quality
Albuquerque, NM · On-site
Emergency and avoidable utilization * Post-acute, specialty and site-of-care optimization * Reduce cost leakage through improved referral management, network alignment and utilization controls
Senior Vice President, Value-Based Care - Population Health, Risk & Quality
Albuquerque, NM · On-site
Emergency and avoidable utilization * Post-acute, specialty and site-of-care optimization * Reduce cost leakage through improved referral management, network alignment and utilization controls
Senior Vice President, Value-Based Care - Population Health, Risk & Quality
Albuquerque, NM · On-site
Emergency and avoidable utilization * Post-acute, specialty and site-of-care optimization * Reduce cost leakage through improved referral management, network alignment and utilization controls
Senior Vice President, Value-Based Care - Population Health, Risk & Quality
Albuquerque, NM · On-site
Emergency and avoidable utilization * Post-acute, specialty and site-of-care optimization * Reduce cost leakage through improved referral management, network alignment and utilization controls
The Senior Manager of Marketing & Communications serves as a strategic advisor to the Director of Development and the Executive Team and is responsible for managing and implementing integrated ...
Quick apply
The Senior Manager of Marketing & Communications serves as a strategic advisor to the Director of Development and the Executive Team and is responsible for managing and implementing integrated ...
Description The Senior Manager of Marketing & Communications serves as a strategic advisor to the Director of Development and the Executive Team and is responsible for managing and implementing ...
Description The Senior Manager of Marketing & Communications serves as a strategic advisor to the Director of Development and the Executive Team and is responsible for managing and implementing ...
Senior Manager of Marketing and Communications
Santa Fe, NM · On-site
$70K/yr
Job Type Full-time Description The Senior Manager of Marketing & Communications serves as a strategic advisor to the Director of Development and the Executive Team and is responsible for managing and ...
Senior Manager of Marketing and Communications
Santa Fe, NM · On-site
$70K/yr
Job Type Full-time Description The Senior Manager of Marketing & Communications serves as a strategic advisor to the Director of Development and the Executive Team and is responsible for managing and ...
(RN)Auditor, Healthcare Services - NCQA
$29.05 - $56.64/hr
Required Qualifications • At least 2 years health care experience, with at least 1 year experience in utilization management, care management, and/or managed care, or equivalent combination of ...
(RN)Auditor, Healthcare Services - NCQA
$29.05 - $56.64/hr
Required Qualifications • At least 2 years health care experience, with at least 1 year experience in utilization management, care management, and/or managed care, or equivalent combination of ...
Manager Of Utilization Management information
See Rio Rancho, NM salary details
$36.7K - $47.7K
9% of jobs
$55.8K is the 25th percentile. Wages below this are outliers.
$47.7K - $58.7K
22% of jobs
$58.7K - $69.6K
11% of jobs
The median wage is $76.4K / yr.
$69.6K - $80.6K
14% of jobs
$80.6K - $91.6K
12% of jobs
$98.5K is the 75th percentile. Wages above this are outliers.
$91.6K - $102.6K
13% of jobs
$102.6K - $113.6K
13% of jobs
$113.6K - $124.6K
5% of jobs
$124.6K - $135.6K
2% of jobs
$135.6K - $146.6K
0% of jobs
$146.6K - $157.6K
0% of jobs
$36.7K
$85.6K
$157.6K
How much do manager of utilization management jobs pay per year?
What is the difference between Manager Of Utilization Management vs Utilization Review Nurse?
| Aspect | Manager Of Utilization Management | Utilization Review Nurse |
|---|---|---|
| Credentials | RN, sometimes with management certifications | RN, with clinical experience |
| Work Environment | Administrative, overseeing teams and policies | Clinical, performing reviews and assessments |
| Employer & Industry | Hospitals, insurance companies, healthcare organizations | Hospitals, insurance companies, healthcare providers |
| Primary Focus | Managing utilization review processes and team supervision | Conducting individual patient reviews and assessments |
The main difference is that the Manager Of Utilization Management oversees the entire utilization review process and team management, while the Utilization Review Nurse focuses on performing clinical reviews of patient cases. Both roles require RN credentials and work within healthcare or insurance settings, but their responsibilities and focus areas differ significantly.
What does a utilization manager do?
What degree do you need for utilization management?
What is the highest paying manager position?
What is the highest paying job in healthcare management?
Full-time
Medical, Retirement, PTO
Posted 29 days ago
Job description
Practice Manager of Operations
Bear Canyon Family Dentistry in Albuquerque is looking for a Practice Manager of Operations to join our team.
Why Heartland Dental?
Heartland Dental believes that to provide exceptional lifetime care for our patients, we must hire and grow leaders who will support the business needs of each supported dental office and foster a strong team building culture. As a Practice Manager of Operations, you’ll work in an environment that encourages learning, team cohesion, and puts patients first.
As a Practice Manager of Operations, you’ll be a valued business partner to the Doctor. This hard-working and motivated leader will help guide and support our team as they provide the best patient care to the community. At Heartland Dental, our goal is to hire and grow leaders who will support the business needs of each supported dental office and foster a strong culture of camaraderie and support. This is where patients come first, and continuous learning is encouraged!
More about the role
- Strive towards mastery of role by prioritizing and completing all PMO Training needed to develop technical, commitment and leadership skills
- Develop and pursue annual top 10 business goals and 16 personal development goals (5 technical, 5 commitment, 6 personality)
- Ensure goals and priorities of Doctors and teams are achieved through servant leadership
- Bell Leadership Training every 18-24 months
- Support the Doctor Led, Hygiene Driven, Operations focus philosophy through synergy meetings monthly, team meetings weekly, and strong morning huddles
- Focus and prioritize efforts of team to support Doctor achieving their Top 10 Professional goals
- Create alignment with doctor through daily one on ones, morning huddles and weekly touch points discussing communication, connection and support needed
- Commit to serving as a business partner for the Doctor collaborating and developing quarterly and annual financial goals
- Help Doctor prioritize, plan and block schedule for CE through Doctor Education and Leadership programs
- Understand the benefits and metrics of DMP and help Doctor to monitor progress
- Identify and support future team growth by selecting candidates (BA, DA, Hygienists) that are an 80% match for both the position and the practice
- Partner with Doctors to identify skills needed for open positions and proper selection team within the practice
- Successfully onboard new team members through partnerships with recruiting and support office
- Support team members to prioritize and plan their training through Core Essentials and beyond for growth in their roles
What You’ll Gain
- Competitive benefits including health insurance and retirement savings plans, six paid holidays, and PTO (paid time off)
- Continuing education to provide you the opportunity to develop your full potential and be a true business partner to our supported Doctors
- Access to an expansive network of mentors and networking opportunities
- Top quality technology to assist in your daily responsibilities to allow for more efficiencies to deliver exceptional patient care
About Bear Canyon Family Dentistry
Bear Canyon Family Dentistry, like each Heartland Dental supported office, is unique to the community and the patients they serve.
- Join a 10 person team that thrives on collaboration, communication and community
Minimum Qualifications
- Associate’s or Bachelor's degree or 3 - 5 years’ leadership experience (in a professional office, hospitality, retail, banking, medical, etc.)
- Experience working in a fast-paced and customer-centric environment
- Ability to analyze processes and information, identify problems and trends, and develop effective solutions and strategies
- Excellent communication, leadership, coaching, and conflict resolution skills
- Trustworthy; maintain patient confidentially and team ethics
Preferred Experience
- 1+ years of experience in a dental or medical setting
- 1+ years of experience with insurance billing and accounts receivable
- Dentrix or other dental software experience
Physical Requirements:
- Ability to perform essential duties satisfactorily with or without reasonable accommodation. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties of the position
- Prolonged periods sitting at a desk and working on a computer
- Must be able to lift up to 15 pounds at times
- Availability to attend virtual training sessions (or in-person once conditions allow) periodically throughout the year (some travel will eventually be involved)
- As part of our commitment to maintaining a safe and healthy environment for both team members and patients, a tuberculosis (TB) test is required for all new hires in dental office positions. This is a standard requirement for dental office roles and must be completed prior to starting employment. The test will be arranged during the pre-employment process, and any necessary guidance or paperwork will be provided. Not applicable in the state of FL & TN.
Who is Heartland Dental?
As the largest and one of the fastest growing Dental Support Organizations, Heartland Dental provides exceptional service to its more than 3,000 supported doctors in 39 states and over 1,900 supported offices. Each Heartland Dental supported office is unique to the community and the patients they serve. Supported Doctors are the leaders of their practice and set forth their own clinical care philosophies. With the largest network of doctors, we are founded by a doctor for doctors with a mission to support dentists and their teams as they deliver the highest quality dental care and experiences to the communities they serve while providing exceptional careers and creating value for our stakeholders.
At Heartland Dental, we’re committed to living our core values which promote diversity and inclusion. We provide all employees and applicants for employment the protections of federal, state, and local laws affording equal opportunity in employment.