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Keywords: Manager, Utilization Management, Location: USA

Page: 2

Manager of Inpatient Utilization Management (Quality Resource Management) (Full-time- Atlanta)

across our organization. Manager of Inpatient Utilization Management (Quality Resource Management) (Full-time- Atlanta) Primary Location... Management team to manage the timely repatriation of members in non-core facilities. Works with QRM Compliance Manager...

Location: Atlanta, GA
Posted Date: 16 Apr 2025
Salary: $97900 - 126610 per year

Utilization Management/ Admissions Manager

Description : Manager Utilization Management and Admissions Dept GENERAL DESCRIPTION: Direct and manage the day... experience with the population of the facility, previous experience in utilization management preferred. LICENSES/DESIGNATIONS...

Company: NHC Care
Location: Knoxville, TN
Posted Date: 12 Apr 2025

Manager of Utilization Management | Full Time

Job Description: Overview The Manager of Utilization Management oversees the day to day operations of the... Utilization management department and the Utilization management staff. Oversees utilization review for UF Health St. Johns...

Posted Date: 30 Mar 2025

Manager, Utilization Management Nurse Management (MediCare Concurrent Review)

Job Description: Your Role The Utilization Management Concurrent Review team ensures accurate and timely..., Utilization Management Nurse Management will report to the Director, Utilization Management Nurse Management. In this role...

Posted Date: 30 Mar 2025

Per Diem RN Case Manager, Utilization Management/Review

of employment. Experience as a Case Manager (Discharge Planning and or Utilization Management) preferred....The Per Diem RN Case Manager (inpatient and/or ambulatory) will be responsible for: Assessing, planning, organizing...

Posted Date: 28 Mar 2025

Per Diem RN Case Manager, Utilization Management/Review

and or Utilization Management) preferred. Regular, Temporary, Per Diem Per Diem Remote Eligibility Onsite Only... per Week 1 Job Posting Category Nursing Job Posting Description The Per Diem RN Case Manager (inpatient...

Posted Date: 28 Mar 2025

Utilization Management Case Manager PD

Job Description: Santa Barbara Cottage Hospital seeks a Utilization Management Case Manager for their Care Management... department responsible for the utilization management, quality assurance, and discharge planning activities for assigned services...

Company: Cottage Health
Location: Santa Barbara, CA
Posted Date: 14 Mar 2025

Utilization Management Manager, Medicare Advantage - RN

for Medicare Advantage Utilization Management, you'll provide direct management to a team of UM coordinators and nurses. You'll... in CA required Bachelors of Science, Nursing (BSN) degree required Five or more years of utilization management required Four or more years...

Company: UCLA Health
Location: Los Angeles, CA
Posted Date: 25 Feb 2025

Utilization Management Manager, Medicare Advantage - RN

for Medicare Advantage Utilization Management, you'll provide direct management to a team of UM coordinators and nurses. You'll... in CA required Bachelors of Science, Nursing (BSN) degree required Five or more years of utilization management required Four or more years...

Company: UCLA Health
Location: Los Angeles, CA
Posted Date: 23 Feb 2025

Manager - Utilization Review & Denials Management

of progressive experience in utilization management and appeal/denial management. Holds a strong working knowledge of InterQual... you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. MANAGER...

Posted Date: 29 Jan 2025

Manager, Utilization Management

to members. Manages utilization management issues related to member care, provider interactions, and facilitates operations... within utilization management. Manages prior authorization, concurrent review, and retrospective clinical review team and ensures...

Company: Centene
Location: USA
Posted Date: 24 Apr 2025
Salary: $85300 - 158100 per year

Manager Utilization Management

Are you a strategic and compassionate leader with a deep understanding of Utilization Management (UM)? Blue Cross... of Idaho is looking for an experienced professional to lead our Utilization Management team and ensure the delivery of high...

Location: USA
Posted Date: 18 Apr 2025
Salary: $115898 - 173846 per year

REGISTERED NURSE CARE MANAGER UTILIZATION MANAGEMENT

Summary Completes all aspects of Utilization Management for assigned patient population by evaluating appropriate... of experience in Utilization Review. Highly effective communication skills. Ability to identify appropriate status and physician...

Company: St. Clair Health
Location: Pittsburgh, PA
Posted Date: 16 Apr 2025

Manager Utilization Management

Job Summary: Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical... Center related to Utilization Management. Collaborates with the multi-disciplinary teams to plan and coordinate care...

Location: Downey, CA
Posted Date: 06 Apr 2025

Utilization Documentation Manager, Case Management

of acute care experience Knowledge of Case Management as demonstrated by 1-3 years Case Management, Utilization Management... or Quality Management practice National certification Knowledge of licensing, accrediting, and third-party payer requirements...

Posted Date: 03 Apr 2025

Manager Utilization Management RN, Acute Care (Downey)

Job Summary: Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical... Center related to Utilization Management. Collaborates with the multi-disciplinary teams to plan and coordinate care...

Location: Downey, CA
Posted Date: 22 Mar 2025

Manager Utilization Management

Job Summary: Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical... Center related to Utilization Management. Collaborates with the multi-disciplinary teams to plan and coordinate care...

Location: Fontana, CA
Posted Date: 20 Mar 2025

Manager Utilization Management

Job Summary: Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical... Center related to Utilization Management. Collaborates with the multi-disciplinary teams to plan and coordinate care...

Location: Baldwin Park, CA
Posted Date: 16 Mar 2025

Manager Utilization Management

Job Summary: Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical... Center related to Utilization Management. Collaborates with the multi-disciplinary teams to plan and coordinate care...

Location: Los Angeles, CA
Posted Date: 07 Mar 2025

Case Manager - PVH Utilization Management

: Privacy Notice for California Applicants: Responsibilities: Responsible for the quality and resource management... management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care...

Posted Date: 27 Apr 2025