Materials Management * Schedule : Mon-Fri 8am-5pm (flexible) * Work Location : UAB St. Vincent ... Trains, educates, and mentors Resourc Utilization Managers, when applicable * Serves as a clinical ...
Materials Management * Schedule : Mon-Fri 8am-5pm (flexible) * Work Location : UAB St. Vincent ... Trains, educates, and mentors Resourc Utilization Managers, when applicable * Serves as a clinical ...
Materials Management * Schedule : Mon-Fri 8am-5pm (flexible) * Work Location : UAB St. Vincent ... Trains, educates, and mentors Resourc Utilization Managers, when applicable * Serves as a clinical ...
Materials Management * Schedule : Mon-Fri 8am-5pm (flexible) * Work Location : UAB St. Vincent ... Trains, educates, and mentors Resourc Utilization Managers, when applicable * Serves as a clinical ...
Overview The Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of Utilization Review and Discharge Planning. Including but not ...
Overview The Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of Utilization Review and Discharge Planning. Including but not ...
Overview The Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of Utilization Review and Discharge Planning. Including but not ...
Overview The Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of Utilization Review and Discharge Planning. Including but not ...
The Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of Utilization Review and Discharge Planning. Including but not limited to ...
The Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of Utilization Review and Discharge Planning. Including but not limited to ...
Materials Management * Schedule : Mon-Fri 8am-5pm (flexible) * Work Location : UAB St. Vincent ... Trains, educates, and mentors Resourc Utilization Managers, when applicable * Serves as a clinical ...
Materials Management * Schedule : Mon-Fri 8am-5pm (flexible) * Work Location : UAB St. Vincent ... Trains, educates, and mentors Resourc Utilization Managers, when applicable * Serves as a clinical ...
Formulary Management Pharmacist
Center Point, AL · On-site
$53.75 - $64.50/hr
Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines. What You'll Bring * Education: PharmD or Bachelor of Pharmacy. * Licensure: Active U.S ...
Formulary Management Pharmacist
Center Point, AL · On-site
$53.75 - $64.50/hr
Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines. What You'll Bring * Education: PharmD or Bachelor of Pharmacy. * Licensure: Active U.S ...
Collaborate with internal stakeholders to include Care Management, Utilization Management, Product Teams, Program Integrity, Regulatory and Claims to ensure providers are educated on billing ...
Collaborate with internal stakeholders to include Care Management, Utilization Management, Product Teams, Program Integrity, Regulatory and Claims to ensure providers are educated on billing ...
$21.50 - $28.25/hr
Five years experience in inpatient case management, social work or utilization management or in the managed care/payer environment, of which one year must have been in a people management role in ...
New
$21.50 - $28.25/hr
Five years experience in inpatient case management, social work or utilization management or in the managed care/payer environment, of which one year must have been in a people management role in ...
New
Become a part of our caring community The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent ...
Become a part of our caring community The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent ...
Case Manager- Social Worker
Montgomery, AL · On-site
$18 - $23.50/hr
... utilization management, case coordination and the development and implementation of a discharge plan for an assigned group of patients. The Case Manager serves as a resource for other members of the ...
Case Manager- Social Worker
Montgomery, AL · On-site
$18 - $23.50/hr
... utilization management, case coordination and the development and implementation of a discharge plan for an assigned group of patients. The Case Manager serves as a resource for other members of the ...
Case Manager- Social Worker
Montgomery, AL · On-site
$18 - $23.50/hr
... utilization management, case coordination and the development and implementation of a discharge plan for an assigned group of patients.The Case Manager serves as a resource for other members of the ...
Case Manager- Social Worker
Montgomery, AL · On-site
$18 - $23.50/hr
... utilization management, case coordination and the development and implementation of a discharge plan for an assigned group of patients.The Case Manager serves as a resource for other members of the ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans ...
Manager Utilization Management information
What are the key skills and qualifications needed to thrive as a manager utilization management?
To thrive as a Manager Utilization Management, you need a thorough understanding of healthcare regulations, utilization review processes, and case management, often supported by a clinical degree (such as RN) and relevant experience. Familiarity with utilization management software, claims processing systems, and potentially certifications like CCM (Certified Case Manager) or ACM (Accredited Case Manager) is important. Strong leadership, analytical thinking, and effective communication help you guide teams and collaborate with providers and payers. These skills ensure efficient resource use, compliance, and quality patient care within managed care organizations.
What is the difference between Manager Utilization Management vs Utilization Review Nurse?
| Aspect | Manager Utilization Management | Utilization Review Nurse |
|---|---|---|
| Credentials | RN, often with management or utilization review certifications | RN, with certifications in utilization review or case management |
| Work Environment | Supervises teams, manages policies, oversees utilization review processes | Performs patient chart reviews, assesses medical necessity, collaborates with providers |
| Employer & Industry | Hospitals, insurance companies, healthcare organizations | Hospitals, insurance companies, healthcare organizations |
| Search & Comparison Intent | Yes | Yes |
While both roles focus on utilization review, the Manager Utilization Management oversees teams and policies, ensuring efficient resource use, whereas the Utilization Review Nurse conducts patient-specific reviews to determine medical necessity. The manager role involves leadership and strategic planning, while the nurse role is more clinical and review-focused.
What are some common challenges faced by a manager utilization management, and how can they effectively address them?
Managers in Utilization Management often encounter challenges such as balancing quality patient care with cost containment, navigating evolving healthcare regulations, and managing diverse teams. To effectively address these issues, successful managers develop strong communication skills, stay updated on industry standards, and foster collaboration between clinical and administrative staff. Implementing robust training programs and utilizing data-driven decision-making can also help ensure compliance and improve overall team performance.
What does a manager utilization management do?
A Manager of Utilization Management oversees the process of evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. They lead a team that reviews medical claims and care plans to ensure compliance with clinical guidelines and regulatory requirements. Their role often involves collaborating with physicians, nurses, insurance companies, and other stakeholders to optimize patient outcomes while managing healthcare costs. Additionally, they are responsible for implementing policies, training staff, and ensuring that utilization management activities align with organizational goals.
What are the most commonly searched types of Utilization Management jobs in Alabama?
The most popular types of Utilization Management jobs in Alabama are:
What are popular job titles related to Manager Utilization Management jobs in Alabama?
For Manager Utilization Management jobs in Alabama, the most frequently searched job titles are:
What job categories do people searching Manager Utilization Management jobs in Alabama look for?
The top searched job categories for Manager Utilization Management jobs in Alabama are:
What cities in Alabama are hiring for Manager Utilization Management jobs?
Cities in Alabama with the most Manager Utilization Management job openings:
Full-time
PTO
Re-posted 10 days ago
Job description
Position OverviewDevelops relationships with clinical staff and leadership to aid in implementation of new contracted products and services Leads all product conversions to new contracted items, this includes but is not limited to clinical engagement, communication, education, and serving as the subject matter experts for new products Proactively identifies and implements supply chain savings opportunities Escalates contracted product and service issues as needed Leads Decision Teams to facilitate new technologyreview and approval Coordinates product needs with local Operations counterparts across facilities Aids in the support of product backorder and recall management, savings opportunities, and reprocessing management Works with stakeholders, both internaland external to Supply Chain, to conduct new product trials, training, and introduction of new critical supplies and services with staff and physicians Develops strategies on how to meet with clinical leadership, key physicians, and ambulatory leaders to review performance and value metrics, identify opportunities, and develop solutions Trains, educates, and mentors Resourc Utilization Managers, when applicable Serves as a clinical resource for Supply Chain peers Conducts basic analytics to calculate value and identify opportunities Maintains clinical cross references and inputs in the respective tool to track Decision Team (Value Analysis) and savings initiatives activities to derive actual savings for leadership reporting Key duties and responsibilities may span multiple facilities within the Health System What You Will Need
- Department: Materials Management
- Schedule: Mon-Fri 8am-5pm (flexible)
- Work Location: UAB St. Vincent's Birmingham
- Benefits for eligible positions only include: Generous paid time off, paid parental leave, Associate Assistance Program, Tuition Reimbursement Program, and moreÂ
Manages the process related to procuring critical products and high volume clinical items.
Minimum Requirements
- Bachelor's degree in Business, Hospital Administration Supply Distribution or related field. Master's degree preferred.
- Two (2) years of related experience required, clinical experience preferred
- Proficient in Microsoft Office Suite
UAB St. Vincent's, a proud part of UAB Medicine, is a trusted provider of health care, serving Alabama for more than 125 years. With five hospitals and numerous clinics, we're a health care community deeply rooted in compassion, service, and respect for all, guided by the rich legacy of the St. Vincent's name. We're committed to extending kindness and personalized care to patients, their families, and each other. We address the physical, psychological, social, and spiritual needs of our patients. We believe in the power of teamwork and unity, and foster a collaborative spirit among our more than 4,800 employees. As one of Alabama's best hospitals as recognized by U.S. News & World Report, improving the health and lives of those we serve is at the heart of our mission. Join us in continuing our legacy of service and healing in central Alabama, where we can make a lasting impact together.
Employment Type: OTHER