, 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...
Required: At least 5 years of varied clinical experience in an acute hospital setting. At least 2 years of Utilization Management/Case...) requirements for Utilization Management or Care Management (CM). Knowledge of Department of Health Care Services (DHCS...
to department policies, procedures, quality standards, and safety standards. Direct management of the Utilization Management Team... to assure and maintain high quality and productivity standards; ensure results-oriented utilization management, timely customer...
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...
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...
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...
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...
Overview: Now hiring a Utilization Management Nurse Specialist Performs clinical review to ensure that services... to to coordinate, document and communicate all aspects of the utilization/benefit management program. Performs care review...
Overview Now hiring a Utilization Management Nurse Specialist Performs clinical review to ensure that services... to to coordinate, document and communicate all aspects of the utilization/benefit management program. Performs care review...
Overview: The Utilization Management Physician will be responsible for providing thorough and accurate reviews... of utilization management cases to ensure the appropriate use of medical resources while continuing to hold high standards of patient...
Physician Advisor (PA-Utilization Management) serves as the physician leader in matters relating to patient care. The PA..., Administration and Revenue Cycle) to improve utilization management, sustain quality goals, and act as a consultant to physicians...
years experience as a Utilization management medical director. Deep knowledge of health plan utilization management... President / Chief Clinical Officer of Utilization Management (UM) is responsible for the overall clinical performance of the...
or three (3) years utilization/case management or 3rd party payer work experience. Ability to adjust priorities quickly... skills. Scheduled work hours and days may vary depending upon departmental needs determined by department director/manager...