Manager Utilization Management Jobs in Minnesota

Knowledge of utilization management procedures, mental health and substance abuse community resources and providers. Knowledge and experience in inpatient setting. Knowledge of DSM V or most current ...

Utilization Management & Clinical Policy Development * Oversee custom policy writing for pharmacy and medical benefit drugs * Lead development and maintenance of UM clinical criteria, including prior ...

Utilization Management & Clinical Policy Development * Oversee custom policy writing for pharmacy and medical benefit drugs * Lead development and maintenance of UM clinical criteria, including prior ...

Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Strong desktop skills including Word, Excel, PowerPoint * Work Experience/Direct Knowledge of ...

Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Ability to work independently and collaborate as part of a team * Effective written and verbal ...

Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Analytical/ Decision Making Responsibilities * Analytical ability to manage multiple projects and ...

... coordination and utilization management efforts within an acute care hospital setting. In this role, you will work collaboratively with physicians, nursing staff, social workers, and ...

Performs resource management, including denial management, utilization management, access to the appropriate level of care, discharge planning, care facilitation, and referral to other levels of care.

POSITION SUMMARY The Clinical Program Advisor will be responsible for review, consultation, and clinical evaluation of utilization management criteria to align with pharmaceutical rebate contract ...

Deep understanding of case management, utilization management, and/or BH regulatory requirements * Solid analytical skills with the ability to define metrics and drive measurable improvement * Proven ...

Deep understanding of case management, utilization management, and/or BH regulatory requirements * Solid analytical skills with the ability to define metrics and drive measurable improvement * Proven ...

Manage utilization review activities, including medical necessity reviews, payer communication, length-of-stay monitoring, and resource utilization. * Serve as a clinical resource and advocate for ...

Manage utilization review activities, including medical necessity reviews, payer communication, length-of-stay monitoring, and resource utilization. * Serve as a clinical resource and advocate for ...

As a FMD, Interventional Pain Management, you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical ...

This role plays a key part in supporting care management, utilization management, clinical quality, and population health initiatives. You'll help unify and elevate nursing teams to deliver ...

This role plays a key part in supporting care management, utilization management, clinical quality, and population health initiatives. You'll help unify and elevate nursing teams to deliver ...

Experience: Prior managed care or utilization management experience preferred - retail and hospital pharmacists with strong clinical and documentation skills are encouraged to apply. * Skills:

Implementation and Project Management * Develop effective plans for large scale customer deployments and utilization with identified milestones and goals * Understand and uncover customer needs ...

Implementation and Project Management * Develop effective plans for large scale customer deployments and utilization with identified milestones and goals * Understand and uncover customer needs ...

Implementation and Project Management * Develop effective plans for large scale customer deployments and utilization with identified milestones and goals * Understand and uncover customer needs ...