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...
in either Completion of an accredited Certified Professional Utilization Review (CPUR) program Certified Case Manager (CCM) issued by the... in a utilization management review or a case management setting within the preceding five (5) years. Notwithstanding the aforementioned...
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...
most appropriate level of care. The CalPERS Nurse Senior will report to the CalPERS Sr. Manager. In this role you will be part.... Responsibilities: Your Work In this role, you will: Perform prospective, concurrent and retrospective utilization reviews...
Imagine360 is seeking a Utilization Management, RN to join the team! The RN Utilization Management Nurse is responsible...+ year in Utilization Management and/or Case Management experience Experience in utilization review services preferred...
direction of the Manager, Care Management and Medical Director. Interacts in a professional manner with providers, patients... in compliance with HIPPA Ability to identify and report problems that need to be escalated to the Utilization Management Supervisor...
Job Title: Travel RN Case Management Utilization Review Location: Carmichael, CA Salary Range...) Job Description Elitecare Medical Staffing is seeking an experienced Travel RN Case Manager for Utilization Review in Carmichael, CA. This role...
Grove) for monthly meetings and training. The Utilization Management Nurse is responsible for following inpatient, skilled... all Internal Quality Assurance initiatives developed for the Utilization Management Department. Report problems and negative...
PACE Clinic Manager, is responsible for performing clinical utilization management activities, ensuring appropriate... policy. X Accept Cookies Utilization Management Nurse Job Details Job Location CB PACE - Virginia - Alexandria...
Role Overview Under the supervision of the Manager for Utilization Management, this position is responsible... for providing daily oversight of Utilization Management Reviewers, Utilization Management Review Technicians and staff members...
) admission in the acute setting. Works with UM leadership, including the Utilization Management Medical Director, on requests... to have a strong understanding of Utilization Management/Case Management practices including, but not limited to, placement (with level of care...
Concurrent Review Utilization Management Nurse will report to the FEP Utilization Management Manager. In this role... California RN License Requires at least 5 years of prior relevant experience * Previous experience in utilization management...
Utilization Management Nurses and associated programs and processes, as directed by the Senior Manager, Patient Review and Intake..., Patient Review & Intake Services or Manager, Utilization Management to: Manage team responsible for completing utilization...
in the communication of clinical information provided by the Utilization Management/Denials Management Case Manager... to Utilization Management/Denials Management Case Manager as needed. Documents and communicates denial information to the...
by monitoring over- and underutilization · Work with Interdisciplinary Team to develop AHC Utilization Management protocols... or skilled nursing facility position involving clinical care, quality management, utilization and case management, or medical...
is to support the Utilization Management (UM) manager in the areas of payor authorizations, appeals for denials, team management...Description : What to expect The Utilization Management & Appeals Clinical Supervisor will provide clinical...
Director Utilization Management-Clinical Review Are you looking for a rewarding career with family-friendly hours... Utilization Management required 3 years previous leadership experience required Licenses and Certifications RN - Registered...
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...
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: 2025-09-26 Position Title: Utilization Management Representative II... Job Description: Utilization Management Representative II Location: Virtual: This role enables associates to work virtually full-time...