Santa Barbara Cottage Hospital seeks a Utilization Management Case Manager for their SBCH Care Management department... responsible for the utilization management, quality assurance, and discharge planning activities for assigned services/areas...
. And we do it all with heart, each and every day. Position Summary Utilization Management is a 24/7 operation and work schedule... and able to work Sunday through Thursday, 9:30am to 6:00pm CST/EST with holiday rotation; Utilization Management is a 24/7...
in behavioral health and/or substance use disorder. Managed care and utilization management experience required. Licensure: RN...Role Overview: The After Hours Behavioral Health (BH) Utilization Management (UM) Reviewer is scheduled to work non...
Job Category: Utilization Management Job Description: HealthPartners is hiring a Utilization Management Prior... to Utilization Review Maintains a working knowledge of Medical Policy, Behavioral Health (Health Plan) and Case Management...
Job Category: Utilization Management Job Description: HealthPartners is hiring a Utilization Management Prior... to Utilization Review Maintains a working knowledge of Medical Policy, Behavioral Health (Health Plan) and Case Management...
Job Category: Utilization Management Job Description: HealthPartners is hiring a Utilization Management Prior... to Utilization Review Maintains a working knowledge of Medical Policy, Behavioral Health (Health Plan) and Case Management...
The Utilization Management Lead RN has the responsibility of providing direct oversight and support to the Emergency... Prospective Reviewer Case Managers, Utilization Management Case Managers, and Appeal/Denial Case Managers. Among the...
Weekly Hours: 40 Department: Utilization Management Overview of Position: Acts as part of a multidisciplinary team..., and assesses quality, identifying and reporting potential risk management issues. Utilization Management analyzes and trends...
, requires 6 weekends a year. Utilization Management Registered Nurse (RN) Position Responsibilities: Works collaboratively... of various commercial and government payers. Utilization Management Registered Nurse (RN) Position Requirements...
leadership, and personalized support so you can achieve your greatest potential. Director - Utilization Management... utilization review and specific managed care issues. Provide staff management to including hiring, development, training...
) Work Experience 3+ years of clinical experience (acute care) (Required) 1+ years of experience in utilization management.../case management in an acute care setting (Required) or Experience as an ED nurse (Preferred) Experience in ED utilization...
Description : What to expect The Utilization Management & Appeals Clinical Supervisor will provide clinical... expertise in the areas of utilization management, clinical appeals, and behavioral health. The role of the clinical supervisor...
Utilization Management required 3 years previous leadership experience required Licenses and Certifications RN - Registered...Director Utilization Management-Clinical Review Are you looking for a rewarding career with family-friendly hours...
resource utilization under the UCLA Medical Group Utilization Management guidelines. In this role, you will work... in utilization management, Inpatient CM or clinical Experience. Strong knowledge of CMS guidelines, home health coverage criteria...
Role Overview: Under the direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity... based on clinical criteria. Using professional judgment, the Utilization Management Reviewer assesses the appropriateness...
. And we do it all with heart, each and every day. Position Summary Utilization Management is a 24/7 operation and work schedules... of residence - Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours...
Qualifications: RN or master's level clinician preferred. 3-5 years of experience in utilization management operations, including...Job Description: Responsibilities Utilization Management - APPEALS SPECIALIST - Atlanta Market Remote Position...
Qualifications: RN or master's level clinician preferred. 3-5 years of experience in utilization management operations, including...Job Description: Responsibilities Utilization Management - APPEALS SPECIALIST - Atlanta Market Remote Position...
. Knowledge of utilization management principles preferred. Must have a CA RN License License/Certification: RN - Registered... Review Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management...
**MUST LIVE IN NJ/NY/CT** VillageCare is looking for a motivated RN for our Supervisor of Utilization Management - Concurrent...Supervisor of Utilization Management - Concurrent Review VillageCareMAX 112 Charles Street, New York, NY 10014...