UTILIZATION MANAGEMENT SUPERVISOR jobs in UNITED STATES, United Kingdom #2

seeks a Utilization Management (UM) Nurse Clinical Reviewer - LPN/RN (Remote U.S.) to join our growing team. Job Summary..., or Bachelor’s Degree Nursing Program. 2+ years of Utilization Management (UM) experience from the State, Hospital, or Health Plan...

Acentra Health

for supervisor positions to ensure qualified staff performs management of processes. Promotes appropriateness in the utilization...: Reducing inappropriate facility utilization Effective use of wraparound services (e.g. disease management programs) Optimal...

UnitedHealth Group

of Utilization Management Nurses and the UM Team Supervisor. KEY RESPONSOBILITIES: Mail, Fax, and Call Management: Receive, screen.... JOB SUMMARY Our Ethos Risk team is seeking a full-time Utilization Management (UM) Intake Specialist (REMOTE) to play a crucial...

Ethos Risk Services

We are recruiting for a Utilization Management Coordinator (UMC) for an established healthcare organization in... Supervisor, Manager and/or Director of Medical Management. Answer telephone; screen and direct calls to appropriate staff...

Pacific Staffing

of the Health Service Supervisor, the Utilization Management Representative is primarily responsible for collection of non...Responsibilities The Utilization Management Representative (UMR) provides office support for all units within the...

Kelsey-Seybold Clinic

Summary: Utilization Management Reviewer (UR) is the critical evaluation of health care services provided to members... of controlling costs and monitoring quality of care. The Utilization Management Reviewer will play a key role in conducting these...

CDS Life Transitions

. Following training, position is remote with occasional in office requirement. Utilization Review - Precertification Nurse... is responsible for telephonically assessing, planning, implementing and coordinating all case management activities with members...

CVS Health

sector. Acentra is looking for a Utilization Management - Mental Health Clinical Reviewer to join our growing team... workload demands of the department. In collaboration with Supervisor, responsible for the quality monitoring activities...

Acentra Health

PURPOSE OF POSITION: The primary purpose of the Utilization Management LPN in the Care Coordination process... and directed to assure that treatment requests of the Utilization Management Department/Case Management Department are handled...

Aultman Health Foundation

inpatient admissions requests in the utilization management program. Adheres to policies and procedures in order to meet... Processes Utilization Management Department reports as assigned Handles and follows up on claims related questions...

WellSense Health Plan

(s): Utilization Management Reports to: Supervisor, Utilization Management FLSA status: Non-Exempt Salary Grade...Medical Case Manager (LVN) (Utilization Management) (Full Telework/Weekend Work) Job Description Department...

CalOptima

Department: Jackson Memorial Hospital - Utilization Review Case Management (two openings) Address: 1611 NW 12 Ave... expertise, the nursing process, current concepts/principles of case management/utilization management/disease management...

Jackson Health System

€™ minimum of management experience either as a Supervisor within CDI or Utilization Review. Skills Represents the department... for CoxHealth Pharmacies and 1906 Employee Store Job Summary The Clinical Documentation Improvement (CDI)/Utilization Review...

CoxHealth

with recovering men and women. If you are passionate about working in the field of recovery, we'd love to meet you! The Utilization... Review Coordinator is an analytical, detail-oriented and organized professional responsible for all Utilization Review...

PINNACLE PEAK RECOVERY

Management | Subject Matter Expert Acts as advisor to drive adoption and utilization of electromechanical products in deal sizes...I. Job Purpose and Core Tasks The Customer Success Utilization Manager plays a critical role in managing overall...

Karl Storz

of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups... our next Virtual Utilization Review Specialist Champion. Essential job function include: Resource Utilization Utilizes proactive...

Ensemble Health Partners

direction of department leadership, the Utilization Review/ Management RN. This position is to conduct initial, concurrent... leadership and Physician Advisor, per department process or procedure Insurance and Utilization Management Maintains working...

Billings Clinic