Utilization Review Manager Jobs in Rio Rancho, NM

Provides case management, discharge, planning and utilization review. Participates in weekly treatment team meetings. Serves as primary therapist for assigned caseload, formulates individualized ...

Essential Job Duties Oversees all aspects of utilization review and quality management activities related to dental care services for members, including appropriateness and medical necessity of ...

Essential Job Duties Oversees all aspects of utilization review and quality management activities related to dental care services for members, including appropriateness and medical necessity of ...

... hospital resources by utilization review activities including, but not limited to, prior ... Performs counseling and case management for each patient assigned, including, assessment, diagnosis ...

Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...

Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...

Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...

... utilization management team and provides timely medical review of service requests that do not initially meet the applicable medical necessity guidelines. This role routinely interacts with ...

... utilization management team, and provides timely medical review of service requests that do not initially meet the applicable medical necessity guidelines. Routinely interacts with physicians ...

Case management and utilization review experience preferred. * Correctional experience preferred. PHYSICAL DEMANDS: * Ability to walk unaided at a normal pace for up to 5 minutes and maintain balance.

Case management and utilization review experience preferred. * Correctional experience preferred. PHYSICAL DEMANDS: * Ability to walk unaided at a normal pace for up to 5 minutes and maintain balance.

Utilization Review experience * Managed care experience * Clinical experience in a psychiatric setting or behavioral health private practice and/or behavioral health care management This is a work ...

Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer ...

Case Management Certification * 3+ years of experience providing case management and/or utilization review functions within health plan or integrated system Knowledge/Skills/Abilities: * Excellent ...

Case Management Certification * 3 years of experience providing case management and/or utilization review functions within health plan or integrated system Knowledge/Skills/Abilities: * Excellent ...

... utilization management team and provides timely medical review of service requests that do not initially meet the applicable medical necessity guidelines. This role routinely interacts with ...

... utilization management team and provides timely medical review of service requests that do not initially meet the applicable medical necessity guidelines. This role routinely interacts with ...

... utilization management team and provides timely medical review of service requests that do not initially meet the applicable medical necessity guidelines. This role routinely interacts with ...

... utilization management team and provides timely medical review of service requests that do not initially meet the applicable medical necessity guidelines. This role routinely interacts with ...

... utilization management team and provides timely medical review of service requests that do not initially meet the applicable medical necessity guidelines. This role routinely interacts with ...