. The Nurse Case Manager 1 (RN) is responsible for achieving positive patient outcomes and managing quality of care... as, their home environments. The Nurse Case Manager 1 (RN) role also involves establishing relationships with patients’ families...
quality, cost-effective outcomes. Provides focused support to various areas such as utilization management, emergency...Description Location: UCHealth UCHlth Med Ctr of the Rockies, US:CO:Loveland Department: MCR Care Management Work...
The Utilization Management (UM) team at UVM Health is searching for a UM Manager to join their leadership team.... JOB SUMMARY The Manager of Utilization Management leads teams responsible for oversight of staff and daily operations within the...
The Utilization Management (UM) team at UVM Health is searching for a UM Manager to join their leadership team.... JOB SUMMARY The Manager of Utilization Management leads teams responsible for oversight of staff and daily operations within the...
POSITION SUMMARY: The Nurse Manager for Utilization Review and Clinical Appeal Management is responsible... for overseeing the daily operations of the Utilization Management (UM) and Clinical Appeal teams. This role ensures compliance...
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...
Role Overview As the Manager, Utilization Management you will direct the day to day activities of the Clinical Care.... Ensure effective daily operation of the Utilization Management Department utilizing all applicable statutory provisions...
, experience and growth. The Product Manager - Utilization Management and Prior Authorization will report to the Senior Director... products Requires expertise and thought leadership in Utilization Management and Prior Authorization solutions Experience...
Anticipated End Date: 2026-01-23 Position Title: Behavioral Health Care Manager I, Utilization Management... Job Description: Behavioral Health Care Manager I, Utilization Management Work Hours M-F 8am-5pm PST Work Location: Virtual, California...
and Supports (LTSS) Review Utilization Management program and staff under the supervision of the Director, LTSS Clinical Services... activities of the LTSS Review Utilization Management staff. Oversee staff performance with regard to medical necessity...
Anticipated End Date: 2026-01-23 Position Title: Utilization Management Representative... I Job Description: Utilization Management Representative I Location: Virtual, this role enables associates to work virtually full-time, with the...
Anticipated End Date: 2026-01-24 Position Title: Utilization Management Representative II... Job Description: Utilization Management Representative II A proud member of the Elevance Health family of companies, Carelon Behavioral Health...
Utilization Management Nurse will report to the FEP Utilization and Medical Review Manager. In this role you will be part..., and retrospective utilization reviews and first level determination approvals for members using BSC evidenced based guidelines, policies...
: 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...
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...
Anticipated End Date: 2026-01-23 Position Title: Utilization Management Representative I Job Description: Title...: Utilization Management Representative I Location: Winston Salem, North Carolina or Durham, North Carolina Virtual: This role...
Anticipated End Date: 2026-01-23 Position Title: Utilization Management Representative III Job Description: Title...: Utilization Management Representative III Virtual: This role enables associates to work virtually full-time, with the exception...
The Medical Director, Utilization Management, provides organizational leadership in the operational areas of appeals... Director(s), Utilization Management, and the Vice President, Medical Affairs. The following responsibilities are regarding...
, and alignment of utilization management (UM) practices across all entities. The Manager serves as the primary liaison between the... be based outside of the greater Chicagoland area. The Manager of Utilization Review (UR) provides leadership and oversight...
, and alignment of utilization management (UM) practices across all entities. The Manager serves as the primary liaison between the... be based outside of the greater Chicagoland area. The Manager of Utilization Review (UR) provides leadership and oversight...