Utilization Manager Jobs in Brandon, FL (NOW HIRING)

Utilization management to ensure efficient healthcare delivery * HEDIS scoring

... utilization management and the transition to the next appropriate level of care. Responsibilities Essential Functions • Initially and concurrently assesses all patients within assigned population ...

In a complex practice, oversees the utilization management and daily business operations of the physician practice at the facility. * Possesses a clear understanding of the financial, operational ...

In a complex practice, oversees the utilization management and daily business operations of the physician practice at the facility. * Possesses a clear understanding of the financial, operational ...

The URS is responsible for creating and managing the flow of revenue for each client at Clean Recovery centers through liaison with insurance companies. The URS establishes a file on all incoming ...

In a minimally complex practice, oversees the utilization management and daily business operations of the physician practice at the facility. * Possesses a clear understanding of the financial ...

The Manager will lead workforce planning, talent development, recruiting, utilization, and operational excellence while promoting firmwide resource optimization through cross-office and cross ...

In a complex practice, oversees the utilization management and daily business operations of the physician practice at the facility. * Possesses a clear understanding of the financial, operational ...

AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Largo, Florida. & Requirements * Specialty: Utilization Review * Discipline: RN ...

The Manager will lead workforce planning, talent development, recruiting, utilization, and operational excellence while promoting firmwide resource optimization through cross-office and cross ...

Collaborate with providers, utilization management, and behavioral health staff on shared cases * Document case management activity accurately within the electronic medical record Minimum ...

Manage resource allocation/utilization * Manage project delivery * Prepare contract proposals/project budgets * Direct/coordinate land development and environmental resource permitting * Manage ...

Disease Management Experience / Asthma exp preferred 1-2 years of telephonic case management 1-2 years of managed care and or Utilization Management exp Knowledge of coding, medical terminology and ...

Collaborate with providers, utilization management, and behavioral health staff on shared cases * Document case management activity accurately within the electronic medical record Minimum ...

Utilization Management supporting medical necessity and denial prevention * Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction * Care ...

Utilization Management supporting medical necessity and denial prevention * Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction * Care ...

Standardizes behavioral health-related utilization management, quality, and financial goals across all lines of businesses. Responds to behavioral health-related requests for proposal (RFP) sections ...

Standardizes behavioral health-related utilization management, quality, and financial goals across all lines of businesses. Responds to behavioral health-related requests for proposal (RFP) sections ...

The Utilization Review LPN is responsible for the pre-certification of determined procedures ... The position helps manage healthcare costs by influencing patient care decision making through case ...

Essential Job Duties Performs audits in utilization management, care management, member assessment, behavioral health, and/or other clinical teams, and monitors clinical staff for compliance with ...