Utilization Management Jobs in Kentucky (NOW HIRING)

Lead utilization management and discharge planning programs. Ensure high-quality patient care coordination. Supervise hiring, onboarding, coaching, performance evaluations, and staff development.

Lead utilization management and discharge planning programs. Ensure high-quality patient care coordination. Supervise hiring, onboarding, coaching, performance evaluations, and staff development.

Position Overview Lead utilization management efforts by conducting critical second-level medical necessity reviews. Ensure optimal resource allocation and compliance with CMS/payer guidelines while ...

Perform utilization review determinations for oncology populations, and support case and disease management teams to achieve optimal clinical outcomes * Serve as a subject matter expert in evidence ...

Perform utilization review determinations for oncology populations, and support case and disease management teams to achieve optimal clinical outcomes * Serve as a subject matter expert in evidence ...

Perform utilization review determinations for oncology populations, and support case and disease management teams to achieve optimal clinical outcomes * Serve as a subject matter expert in evidence ...

This on-site leadership role is responsible for supporting effective care coordination, utilization management, and discharge planning while partnering with clinical teams to improve patient outcomes ...

The role. The Director of Case Management is responsible for overseeing and directing the hospital's case management department, ensuring effective coordination of patient care, utilization ...

Job Title Serves as a resource to Utilization Management by initiating the patient intake, insurance verification and authorization processes to ensure that care is provided in the correct setting ...

Serves as a resource to Utilization Management by initiating the patient intake, insurance verification and authorization processes to ensure that care is provided in the correct setting with proper ...

This position supports the physician, patient/family, and interdisciplinary care team by coordinating discharge planning, utilization management, resource coordination, and patient advocacy ...

This position supports the physician, patient/family, and interdisciplinary care team by coordinating discharge planning, utilization management, resource coordination, and patient advocacy ...

Lead Case Management, Social Work, Utilization Review, and * Discharge Planning teams. * Drive patient throughput, LOS, utilization management, readmission, and denial prevention strategies.

This position supports the physician, patient/family, and interdisciplinary care team by coordinating discharge planning, utilization management, resource coordination, and patient advocacy ...

Strong understanding of care coordination, utilization management, discharge planning, and transitions of care. * Excellent communication, critical thinking, organizational, and problem-solving ...

Oversee utilization management, including prior authorization criteria, medical necessity determinations, concurrent review, and appeals, ensuring evidence based and compliant decision making. * Lead ...

Oversee utilization management, including prior authorization criteria, medical necessity determinations, concurrent review, and appeals, ensuring evidence based and compliant decision making. * Lead ...

Oversee utilization management, including prior authorization criteria, medical necessity determinations, concurrent review, and appeals, ensuring evidence based and compliant decision making. * Lead ...

Oversee utilization management, including prior authorization criteria, medical necessity determinations, concurrent review, and appeals, ensuring evidence based and compliant decision making. * Lead ...

Oversee utilization management, including prior authorization criteria, medical necessity determinations, concurrent review, and appeals, ensuring evidence based and compliant decision making. * Lead ...