... Utilization Manager The Yoeme Managed Care Utilization Manager (YMCU) works with the Executive Director of Health to plan, organize, direct, coordinate, and lead personnel and work process of a multi ...
... Utilization Manager The Yoeme Managed Care Utilization Manager (YMCU) works with the Executive Director of Health to plan, organize, direct, coordinate, and lead personnel and work process of a multi ...
... Utilization Manager (YMCU) works with the Executive Director of Health to plan, organize, direct, coordinate, and lead personnel and work process of a multi-million program that serves the Tribal ...
... Utilization Manager (YMCU) works with the Executive Director of Health to plan, organize, direct, coordinate, and lead personnel and work process of a multi-million program that serves the Tribal ...
... Utilization Manager (YMCU) works with the Executive Director of Health to plan, organize, direct, coordinate, and lead personnel and work process of a multi-million program that serves the Tribal ...
... Utilization Manager (YMCU) works with the Executive Director of Health to plan, organize, direct, coordinate, and lead personnel and work process of a multi-million program that serves the Tribal ...
... Utilization Manager (YMCU) works with the Executive Director of Health to plan, organize, direct, coordinate, and lead personnel and work process of a multi-million program that serves the Tribal ...
... Utilization Manager (YMCU) works with the Executive Director of Health to plan, organize, direct, coordinate, and lead personnel and work process of a multi-million program that serves the Tribal ...
... Utilization Manager (YMCU) works with the Executive Director of Health to plan, organize, direct, coordinate, and lead personnel and work process of a multi-million program that serves the Tribal ...
... Utilization Manager (YMCU) works with the Executive Director of Health to plan, organize, direct, coordinate, and lead personnel and work process of a multi-million program that serves the Tribal ...
As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise clients on network strategy, provider capacity,utilizationtrends, access challenges, and market ...
As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise clients on network strategy, provider capacity,utilizationtrends, access challenges, and market ...
This position reports to a Manager of Utilization Management in either Prospective, Retrospective, or Appeals and Reconsideration for the TRICARE contract. The supervisor coordinates across teams to ...
This position reports to a Manager of Utilization Management in either Prospective, Retrospective, or Appeals and Reconsideration for the TRICARE contract. The supervisor coordinates across teams to ...
This position reports to a Manager of Utilization Management in either Prospective, Retrospective, or Appeals and Reconsideration for the TRICARE contract. The supervisor coordinates across teams to ...
This position reports to a Manager of Utilization Management in either Prospective, Retrospective, or Appeals and Reconsideration for the TRICARE contract. The supervisor coordinates across teams to ...
This position reports to a Manager of Utilization Management in either Prospective, Retrospective, or Appeals and Reconsideration for the TRICARE contract. The supervisor coordinates across teams to ...
This position reports to a Manager of Utilization Management in either Prospective, Retrospective, or Appeals and Reconsideration for the TRICARE contract. The supervisor coordinates across teams to ...
Responsibilities Utilization Review Manager (URM) Position: Full-Time Shift: Daytime This position includes a $1,500 sign on bonus! For over 60 years, Calvary Healing Center has provided a full ...
Responsibilities Utilization Review Manager (URM) Position: Full-Time Shift: Daytime This position includes a $1,500 sign on bonus! For over 60 years, Calvary Healing Center has provided a full ...
Responsibilities Utilization Review Manager (URM) Position: Full-Time Shift: Daytime This position includes a $1,500 sign on bonus! For over 60 years, Calvary Healing Center has provided a full ...
Responsibilities Utilization Review Manager (URM) Position: Full-Time Shift: Daytime This position includes a $1,500 sign on bonus! For over 60 years, Calvary Healing Center has provided a full ...
Responsibilities Utilization Review Manager (URM) Position: Full-Time Shift: Daytime This position includes a $1,500 sign on bonus! For over 60 years, Calvary Healing Center has provided a full ...
Responsibilities Utilization Review Manager (URM) Position: Full-Time Shift: Daytime This position includes a $1,500 sign on bonus! For over 60 years, Calvary Healing Center has provided a full ...
Utilization Review Manager
Phoenix, AZ · On-site
Responsibilities Utilization Review Manager (URM) Position: Full-Time Shift: Daytime This position includes a $1,500 sign on bonus! For over 60 years, Calvary Healing Center has provided a full ...
Utilization Review Manager
Phoenix, AZ · On-site
Responsibilities Utilization Review Manager (URM) Position: Full-Time Shift: Daytime This position includes a $1,500 sign on bonus! For over 60 years, Calvary Healing Center has provided a full ...
Job Summary Manages prospective and concurrent Utilization Management (UM) programs including prior authorization, concurrent inpatient and continued stay reviews including authorization and ...
Job Summary Manages prospective and concurrent Utilization Management (UM) programs including prior authorization, concurrent inpatient and continued stay reviews including authorization and ...
RN - Utilization Review
Tuba City, AZ · On-site
$2.5K/wk
Utilization Review and Clinical Evaluation : * Review patient medical records, treatment plans, and ... Collaborate with physicians, case managers, and other healthcare professionals to ensure that ...
RN - Utilization Review
Tuba City, AZ · On-site
$2.5K/wk
Utilization Review and Clinical Evaluation : * Review patient medical records, treatment plans, and ... Collaborate with physicians, case managers, and other healthcare professionals to ensure that ...
Job Summary The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiary care being provided in an effort to provide cost effective ...
Job Summary The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiary care being provided in an effort to provide cost effective ...
As a Utilization Management Clinical Dental Processor, you will leverage your dental clinical ... Work hours will be determined by your manager and may vary based on location, department needs, and ...
As a Utilization Management Clinical Dental Processor, you will leverage your dental clinical ... Work hours will be determined by your manager and may vary based on location, department needs, and ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Act as liaison between managed care organizations and the facility professional clinical staff.
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Act as liaison between managed care organizations and the facility professional clinical staff.
Responsibilities Utilization Management Coordinator PRN- As Needed Monday - Friday (Not Remote) Quail Run Behavioral Health Hospital in Phoenix is seeking a dynamic and talented UM Coordinator to ...
Responsibilities Utilization Management Coordinator PRN- As Needed Monday - Friday (Not Remote) Quail Run Behavioral Health Hospital in Phoenix is seeking a dynamic and talented UM Coordinator to ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.
Utilization Manager information
See Arizona salary details
$36.3K - $47.2K
9% of jobs
$55.3K is the 25th percentile. Wages below this are outliers.
$47.2K - $58.1K
22% of jobs
$58.1K - $69K
11% of jobs
The median wage is $75.7K / yr.
$69K - $79.9K
14% of jobs
$79.9K - $90.8K
12% of jobs
$97.6K is the 75th percentile. Wages above this are outliers.
$90.8K - $101.7K
13% of jobs
$101.7K - $112.5K
13% of jobs
$112.5K - $123.4K
5% of jobs
$123.4K - $134.3K
2% of jobs
$134.3K - $145.2K
0% of jobs
$145.2K - $156.1K
0% of jobs
$36.3K
$84.8K
$156.1K
How much do utilization manager jobs pay per year?
What are the key skills and qualifications needed to thrive as a utilization manager?
What are some common challenges faced by utilization managers, and how can they be addressed?
What is a utilization manager?
A utilization manager works in the insurance industry to analyze health care needs in medical cases and determine further patient care. In this career, your job duties include conducting interviews to determine what services you register for and cutting down on unnecessary costs. You may review medical records and compile documentation to improve care and report your findings. Skills in management, customer service, and health care services are vital in this career. Job experience in nursing is a benefit when applying for utilization manager positions. Additional qualifications include a bachelor’s degree and medical case management certificate.
What is the difference between Utilization Manager vs Utilization Coordinator?
| Aspect | Utilization Manager | Utilization Coordinator |
|---|---|---|
| Certifications | Often requires healthcare or case management certifications | May have similar certifications but less emphasis on management |
| Work Environment | Typically in healthcare organizations, overseeing utilization review processes | Supports daily operations, assisting with case documentation and scheduling |
| Employer & Industry Usage | Common in healthcare, insurance, and managed care companies | Found in similar settings, often working under Utilization Managers |
In summary, a Utilization Manager generally has broader responsibilities, overseeing utilization review and resource allocation, while a Utilization Coordinator focuses on supporting daily tasks and documentation. Both roles are integral in healthcare settings but differ in scope and level of responsibility.
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Other
Medical, Retirement, PTO
Re-posted 14 days ago
Job description
The Yoeme Managed Care Utilization Manager (YMCU) works with the Executive Director of Health to plan, organize, direct, coordinate, and lead personnel and work process of a multi-million program that serves the Tribal membership residing in Pima and Maricopa counties. Scope of responsibility includes assisting in managing the Commercial Health Self-Insurance Plan -Yoeme Woi Health Plan. The YMCU Manager will have knowledge and familiarity with the key elements of commercial insurance regulations, commercial eligibility, and producing Family Status Reports for Woi members. The incumbent evaluates the programmatic procedures and implements resource programs to assist with the overall program goals of providing a coordinated, comprehensive coordination of benefits. In addition, the incumbent performs the following duties serves as the Tribal Administrator of the Health-e-Arizona (HEA) site, administers hospital accessibility, ensures compliance with program policies and procedures, determines the use of external providers, conducting performance evaluations.
The Pascua Yaqui Tribe provides 22 days of Paid Time Off which increases with years of service and 15 paid Holidays per year. We offer a comprehensive healthcare benefit package that surpasses or rivals the biggest organizations in Tucson. We encourage you to stay healthy by providing an onsite Wellness Center. Additionally, the Tribe offers a 401(k) Plan with a generous match in which you're immediately vested along with a profit sharing plan after one year of employment. Sworn police and and fire employees are eligible to make Pre-Tax and After-Tax contributions to the Arizona Public Safety Personnel Retirement Systems ("PSPRS").
About GovernmentJobs.com
Sourced by ZipRecruiter
Industry
Recruiting and staffing services
Company size
11 - 50 Employees
Headquarters location
El Segundo, CA, US
Year founded
1998