Your Role The Utilization Management Prior Authorization team accurate and timely prior authorization of designated... healthcare services, continuity or care, and access to care clinical review determinations. The Utilization Management Nurse...
Description Summary: The Utilization Management Nurse II is responsible for determining the clinical... approved certification for services. The Utilization Management Nurse collaborates as necessary with other members of the...
Description Summary: The Utilization Management Nurse II is responsible for determining the clinical... approved certification for services. The Utilization Management Nurse collaborates as necessary with other members of the...
Description Summary: The Utilization Management Nurse II is responsible for determining the clinical... approved certification for services. The Utilization Management Nurse collaborates as necessary with other members of the...
Your Role The Utilization Management Prior Authorization team ensures accurate and timely prior authorization... of designated healthcare services, continuity or care, and access to care clinical review determinations. The Manager, Utilization...
-clinical tasks related to processing Utilization Management prior authorization sand appeals. JOB RESPONSIBILITIES Monitor...The UM Coordinator assists and supports the clinical team (UM Nurses/Medical Director) with administrative and non...
Job Description: Your Role The Utilization Management Prior Authorization team accurate and timely prior... Utilization Management Nurse, Senior will report to the Manager, Utilization and Medical Review. In this role...
Job Description: Your Role The Utilization Management Prior Authorization team ensures accurate and timely prior..., Utilization and Medical Review will report to the Sr. Manager, Utilization and Medical Review. In this role you will be managing...
Medical Management - Utilization Management RN 145-2006 Tulsa, OK, USA Req #706 Friday, December 13, 2024... with at risk or high utilization needs. Functions as an active team member of the Utilization Management Team. KEY...
Medical Management - Utilization Management RN 145-2031 Tulsa, OK, USA Req #709 Friday, December 13, 2024... with at risk or high utilization needs. Functions as an active team member of the Utilization Management Team. KEY...
and efficient utilization management process, as well as manage medical expenses based on trends. They will maintain UM review... to medical management and utilization management by monitoring what services require medical necessity review, and making changes...
Medical Management - Utilization Management RN 145-2018 Tulsa, OK, USA Req #707 Friday, December 13, 2024... with at risk or high utilization needs. Functions as an active team member of the Utilization Management Team. KEY...
About The Role BHPS provides Utilization Management services to its clients. The Utilization Management Nurse - Prior... with or without notice. Primary Responsibilities Perform prospective utilization reviews and first level determinations for members using...
Collaborates with Director and participates in staff evaluation and performance activities Represents Utilization Management...RN Manager of Utilization Management Los Angeles, California The RN Manager of Utilization Management...
and the additional medical, community, or financial resources available. Provide utilization management (UM) services... to Large Case Reinsurance RN and Care Management team as appropriate. Assist Medical Director in developing guidelines...
and the additional medical, community, or financial resources available. Provide utilization management (UM) services... to Large Case Reinsurance RN and Care Management team as appropriate. Assist Medical Director in developing guidelines...
and the additional medical, community, or financial resources available. Provide utilization management (UM) services... to Large Case Reinsurance RN and Care Management team as appropriate. Assist Medical Director in developing guidelines...
and the additional medical, community, or financial resources available. Provide utilization management (UM) services... to Large Case Reinsurance RN and Care Management team as appropriate. Assist Medical Director in developing guidelines...
is an occasional opportunity for remote work based on business needs. The Manager Utilization Management provides the oversight... be unified in their decisions. This role shares management jointly with the Associate Director (AD) and another team manager...
, adoption assistance, annual bonus eligibility, and more! Responsibilities Job Summary / Purpose The Utilization Management... appeals and reconsiderations. Act as a working manager within Utilization Management, performing essential duties...