but saving them. Together. The Manager, Utilization Management (UM) Coordination, oversees non-clinical inpatient and pre...-service operations under the direction of the Director of Utilization Management. This role provides leadership...
setting Minimum 3 years utilization management review in a managed care organization Experience managing a remote team...Role Overview Under the supervision of the Director of Utilization Management Administrative Operations and Audit...
required with preferred experience in critical care areas: Required Two years' utilization review experience using the Optum/Inter... with timeliness and accuracy. Follows all departmental workflows in communication variances to the on-site care management teams when...
corrective action plan for areas of improvement identified through utilization review, clinical records audit, claim denials... utilization of systems for granting or terminating clinical privileges, professional staff or medical staff or clinical staff...
. 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...
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...
: 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 cost containment...
Manager, is responsible for the hospital-wide Utilization Management Programs in a general acute care hospital which serves...Job Category: Revenue_Cycle Job Description: Under broad direction from the Centralized Utilization Management...
needs as they related to drug utilization management review. 9. Work with the Manager of Clinical Pharmacy to resolve... information about this position. Reporting to the Manager of Clinical Pharmacy, the Clinical Utilization Management Pharmacist...
of Science degree in Nursing. Experience/Skills: Required: 1. Two year’s experience in utilization review, case management... Center: 99940 - 5421 Utilization Management This position may have a signing bonus available a member of the Recruitment...
. What You’ll Be Doing Utilization Management & Medical Necessity Review Performing physician-level utilization management... to behavioral health utilization management Assisting with the development, review, or refinement of utilization management...
: Utilization Management Physical Strength: Light (L) Reports To: Utilization Management Manager Work Location Type: Hybrid... The Clinical Support Specialist - Utilization Management (CSS-UM) will work in-person and remotely to perform all aspects...
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...
with the Utilization Management Nurse Manager to identify patient utilization trends to assist the Bassett Healthcare Network... determines are necessary or desirable to meet its business needs Assist and support the Director and Utilization Management...
with the Utilization Management Nurse Manager to identify patient utilization trends to assist the Bassett Healthcare Network... determines are necessary or desirable to meet its business needs Assist and support the Director and Utilization Management...
Manager, is responsible for the hospital-wide Utilization Management Programs in a general acute care hospital which serves...Job Category: Revenue_Cycle Job Description: Under broad direction from the Centralized Utilization Management...
About this Job: General Summary of Position Supervises the daily activities of the Utilization Review Team. Manages... as a resource and mentor to the Utilization Review staff. Primary Duties and Responsibilities Supervises daily activities...
Anticipated End Date: 2026-02-06 Position Title: Utilization Management Medical Director – Indiana Medicaid... Job Description: Utilization Management Medical Director – Indiana Medicaid Location: This role enables associates to work virtually full-time...
utilization review/utilization management experience preferred. Familiarity with manager health care process, medical terminology..., experience in case management, discharge planning, and/or utilization review preferred. EEO Statement All UHS subsidiaries...