- UPMC (Hanover, PA)
- **UPMC is hiring a part time Professional Care Manager for our Utilization Review department in Hanover! This is a part time, day shift position with a ... rotating weekend and holiday schedule.** **Purpose:** The Care Manager (CM) coordinates the clinical and financial plan for patients. Performs overall … more
- UPMC (Harrisburg, PA)
- Copy from Internal DescriptionCopy from Internal Qualifications
- Stanford Health Care (Palo Alto, CA)
- …work-life balance while honoring its commitment to delivering evidence-based and patient-centered care . We are seeking a results-driven manager to further ... our robust, Utilization Management team. Are you driven by health care innovation, partnerships, and measurable results to improve the continuity of care… more
- Sutter Health (Sacramento, CA)
- … care delays/issues as necessary; in collaboration with the Facility Acute Care Manager (CM). This position provides third-party payers clinical information ... SHSO-Sutter Health System Office-Valley **Position Overview:** This position facilitates utilization management (UM) processes to support that the right … more
- Mount Sinai Health System (New York, NY)
- …in Nursing or health-related field preferred. + 5 years minimum of progressive acute care leadership and acute care utilization review experience. + ... **Job Description** The Utilization Review Manager for the Selikoff...area of nursing practice assigned; in this case, acute care utilization review. + Previous experience making… more
- University of Virginia (Charlottesville, VA)
- The Utilization Management Manager is primarily responsible for the day-to-day operations related to utilization management (UM) team, providing guidance and ... alignment with payor and CMS regulations to improve outcomes, optimize resource utilization , enhance efficiencies, and ensure compliance. The Manager supports… more
- Beth Israel Lahey Health (Plymouth, MA)
- …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who We ... and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you...care determination and the appeal/denial process. + Oversees utilization review workflow processes to ensure timely response to… more
- Catholic Health Services (Melville, NY)
- …Health was named Long Island's Top Workplace! Job Details Position Summary: The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews and ... to remain current with industry standards and business objectives related to Utilization and Care Management as appropriate. Sound knowledge and skill… more
- UCLA Health (Los Angeles, CA)
- …next level. You can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll provide direct management to a team ... care + experience in an HMO environment + Thorough knowledge of health care industry, utilization review, utilization management, and concurrent review… more
- Hackensack Meridian Health (Hackensack, NJ)
- Care Coordinator, Utilization ManagementHACKENSACK UNIVERSITY MED CNTRHackensack, New Jersey Apply ... mission to transform healthcare and serve as a leader of positive change. The ** Care Coordinator, Utilization Management** is a member of the healthcare team and… more