Utilization Management staff. Oversee staff performance with regard to medical necessity determinations, concurrent review... of LTSS Review Utilization Management audits, such as readiness review and site visits, pertaining to the LTSS Review...
care to members. Oversees and works with senior leadership on utilization management issues related to member care..., provider interactions, and facilitates operations within utilization management. Oversees the behavioral health (BH...
and previous experience in utilization management required. * Teamwork and excellent customer service CPI and CPR...: Utilization Management Licences & certifications Reg Nurse Reg Addiction Cnslr...
, locally preferred, and community focused. 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...
Responsibilities Responsible for the quality and resource management of all patients that are admitted to the... facility from the point of their admission and across the continuum of the health care management. Works on behalf of the...
Manager preferred. Five years acute care nursing experience preferred. At least one year experience in case management...: Responsible for the quality and resource management of all patients that are admitted to the facility from the point...
Responsibilities Responsible for the quality and resource management of all patients that are admitted to the... facility from the point of their admission and across the continuum of the health care management. Works on behalf of the...
preferred. 2. Certified Case Manager (CCM) certification preferred. 3. At least one-year experience in case management...: Responsible for the quality and resource management of all patients that are admitted to the facility from the point...
. Responsibilities: Responsible for the quality and resource management of all patients that are admitted to the facility from the... point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting...
Responsibilities Responsible for the quality and resource management of all patients that are admitted to the... facility from the point of their admission and across the continuum of the health care management. Works on behalf of the...
to work in an effort that is seriously shaping the way health care services are delivered. As a Utilization Management Nurse... 8a - 5:30p CST Preferred Qualifications: Certified Case Manager (CCM) Pre-authorization experience Utilization...
Anticipated End Date: 2025-10-17 Position Title: Utilization Management Representative... I Job Description: Utilization Management Representative I Location: This role enables associates to work virtually full-time, with the exception...
Anticipated End Date: 2025-10-20 Position Title: Utilization Management Representative I (Kentucky...) Job Description: Utilization Management Representative I Virtual: This role enables associates to work virtually full-time, with the exception...
Anticipated End Date: 2025-10-17 Position Title: Utilization Management Representative... I Job Description: Utilization Management Representative I Virtual: This role enables associates to work virtually full-time, with the exception...
Job Category: Healthcare Services and Operations Job Description: Your Role The Utilization Management team... for our Shared Services departments including concurrent review, transplant, and NICU/HROB. The Utilization Management Nurse, Senior...
as a leader of positive change. The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team... for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of stay...
Anticipated End Date: 2025-10-17 Position Title: Utilization Management Rep I (US) Job Description: Utilization... for employment, unless an accommodation is granted as required by law. The Utilization Management Representative...
Anticipated End Date: 2025-10-17 Position Title: Utilization Management Representative... I Job Description: Utilization Management Representative I Virtual: This role enables associates to work virtually full-time, with the exception...
Anticipated End Date: 2025-10-17 Position Title: Utilization Management Representative... I Job Description: Utilization Management Representative I Location: This role enables associates to work virtually full-time, with the exception...
to work in an effort that is seriously shaping the way health care services are delivered. As a Utilization Management Nurse... 8a - 5:30p CST Preferred Qualifications: Certified Case Manager (CCM) Pre-authorization experience Utilization...