Utilization Manager Jobs in Villa Rica, GA (NOW HIRING)

Active RN license (State License required) BLS Certification Recent Acute Care Case Management ... utilization review and discharge planning preferred Shift: Days | 8:30 AM - 5:00 PM | 40 hours/week ...

The UR RN Preceptor must be an expert in the utilization review functions and able to cover any role at any given time as well as manage an active UR assignment/caseload. The UR RN Preceptor will be ...

Wellstar Utilization Management Nurse How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor ...

Utilization Review Shift: 09:30 AM to 08:00 PM 13 weeks contract Description: * Utilization Review RN - Target Review * Health Plan Insurance (no acute care) * BLS (AHA) * RN state license Company ...

The UR RN Preceptor must be an expert in the utilization review functions and able to cover any role at any given time as well as manage an active UR assignment/caseload. The UR RN Preceptor will be ...

Hospital Utilization Management (UM) Nurse How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and ...

UR RN Will complete Utilization review and case management and discharge planning will Need experience in MCG EPIC Experience Medlivo Job ID #KAISJP00253804. Pay package is based on 8 hour shifts and ...

The Utilization Management (UM) Nurse is responsible for conducting medical necessity reviews up to 12 hours per day, on any of the 7 days per week, utilizing Indicia for Case Management, and ...

Description The Registry Utilization Review Nurse (PRN) is responsible for conducting medical ... The UR RN (PRN) will ensure proper use of Case Management Systems and workflows. MINIMUM ...

As an on-site Hospital Utilization Management (UM) Nurse, you are the primary link between the clinical floor and administrative compliance. Unlike remote roles, this position relies heavily on real ...

Summary: The primary responsibility of this role consists of reviewing member transportation requests that are over the contractual mileage guidelines. ESSENTIAL FUNCTIONS * Reviewing and making ...

Atlanta, GA - Medical Director (Behavioral Health) - Health Plan Position Purpose: Assist the VP of Clinical Programs to direct and coordinate the physician component of the utilization management ...

One (1) year of care / case / utilization management experience (provider and/or managed care organization) * Knowledge of the principles and practices of population health, care management, case ...

Provision of comprehensive Utilization Management, incorporating the strategies of cost containment, appropriate utilization of services, and Case Management in a cooperative effort with other ...

Provision of comprehensive Utilization Management, incorporating the strategies of cost containment, appropriate utilization of services, and Case Management in a cooperative effort with other ...

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

Provision of comprehensive Utilization Management, incorporating the strategies of cost containment, appropriate utilization of services, and Case Management in a cooperative effort with other ...

Serve as the local access and reimbursement expert for the assigned geography, monitoring payer policy, formulary coverage, utilization management requirements, pharmacy access pathways, prior ...

Remains knowledgeable of contract benefits and current, relevant state and Federal regulations, criteria, documentation requirements and laws that affect managed care and case/utilization management.

Remains knowledgeable of contract benefits and current, relevant state and Federal regulations, criteria, documentation requirements and laws that affect managed care and case/utilization management.