Manager Utilization Management Jobs (NOW HIRING)

Utilization Management/Utilization Review Tasks An employee in this class, under general direction, performs Utilization Management/Utilization Review tasks to ensure delivery of medically necessary ...

Coordinates with healthcare providers to ensure compliance with utilization management guidelines. * Supports the optimization of treatment plans to promote effective patient care and appropriate ...

The Manager, Utilization Management is responsible for the oversight of all utilization management activities ensuring consistency of services and achievement of utilization targets. Essential ...

Coordinates with healthcare providers to ensure compliance with utilization management guidelines. * Supports the optimization of treatment plans to promote effective patient care and appropriate ...

Summary Completes all aspects of Utilization Management for assigned patient population by evaluating appropriate status and physician orders for admission, observation, or outpatient at all points ...

Summary Completes all aspects of Utilization Management for assigned patient population by evaluating appropriate status and physician orders for admission, observation, or outpatient at all points ...

Coordinates with healthcare providers to ensure compliance with utilization management guidelines. * Supports the optimization of treatment plans to promote effective patient care and appropriate ...

Coordinates with healthcare providers to ensure compliance with utilization management guidelines. * Supports the optimization of treatment plans to promote effective patient care and appropriate ...

Gross Pay (weekly): $2480.0 Taxable Pay (weekly): 2480.0 Non-taxable Pay (weekly): 0.0 RN - CARE MANAGER Location: Bronx, NY Scheduled Hours : 40

Summary Completes all aspects of Utilization Management for assigned patient population by evaluating appropriate status and physician orders for admission, observation, or outpatient at all points ...

Summary Completes all aspects of Utilization Management for assigned patient population by evaluating appropriate status and physician orders for admission, observation, or outpatient at all points ...

N/AThe RN Case Manager Utilization Management is responsible for supporting the physician and interdisciplinary team in facilitating patient care, at the appropriate level of care, with the ...

Summary Completes all aspects of Utilization Management for assigned patient population by evaluating appropriate status and physician orders for admission, observation, or outpatient at all points ...

... Utilization Management Maintain and submit reports and logs on reviewed activities as outlined by the UM program operational procedures, Identify and participate in quality improvement activities as ...

Meet timelines and quality standards related to Utilization Management. Maintain and submit reports and logs on reviewed activities as outlined by the UM program operational procedures. Identify and ...

Registered Nurse Utilization Management (UMRN) Spectrum Healthcare Resources has an opportunity for a Registered Nurse Utilization Management (UMRN) working at Joint Base Andrews in Washington, D.C.

Co-lead the product strategy and roadmap for Utilization Management products and capabilities, aligning priorities to business objectives, operational performance, and customer needs. * Provide ...

... Utilization Management Maintain and submit reports and logs on reviewed activities as outlined by the UM program operational procedures, Identify and participate in quality improvement activities as ...

... Utilization Management • Maintain and submit reports and logs on reviewed activities as outlined by the UM program operational procedures, • Identify and participate in quality improvement ...

Reporting to the Manager, Utilization Management Nursing, the Part C Grievance & Appeals (G&A) Nurse will assist in preparation of cases prior to review by the Humana G&A Medicare Medical Directors.