- Intermountain Health (Las Vegas, NV)
- **Job Description:** The Utilization Review Care Management Director is responsible for providing leadership and administrative direction for ... Utilization Management and Review for...Utilization Management and Review for the Enterprise. The...team in delivering and collaborating on all aspects of utilization management and care coordination… more
- Providence (Centralia, WA)
- …+ 3 years Nursing **Preferred Qualifications:** + Bachelor's Degree Nursing Or + 3 years Utilization Review , Care Management , Quality Management , ... **Description** The Utilization Review (UR) Nurse has a...clinical background blended with well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient… more
- Intermountain Health (Murray, UT)
- …continuum of their healthcare journey. + Oversees program components related to care management and utilization review for the specific line of business, ... + Leadership + Communication + Health plan functions + Utilization review + Care management + Performance management + Change management… more
- Guthrie (Binghamton, NY)
- Provides health care services regarding admissions, case management , discharge planning and utilization review . Responsibilites: Reviews admissions and ... planning needs with healthcare team members. May prepare statistical analysis and utilization review reports as necessary. Oversees and coordinates compliance to… more
- Intermountain Health (Murray, UT)
- …+ Occasional travel to provider locations within Select Health region. ** Utilization Review and Care Management :** + ** Review and Analysis:** ... or experience in Autism and working with Autistic Clients. + Utilization Review and Care Management experience highly preferred. + Must have one year of… more
- UCLA Health (Los Angeles, CA)
- …experience in an HMO environment + Thorough knowledge of health care industry, utilization review , utilization management , and concurrent review ... at UCLA Health. As a Manager for Medicare Advantage Utilization Management , you'll provide direct management...following major functions: + Pre-service Authorizations/Denial Letters + Concurrent Review + Continuity of Care + Retro… more
- AmeriHealth Caritas (Newtown Square, PA)
- … Management provides organizational leadership in the operational areas of care management , utilization review , appeals, quality improvement ... policy and practice initiatives in collaboration with the Corporate Medical Director(s), Utilization Management and the Vice President, Medical Affairs. ;The… more
- Intermountain Health (Murray, UT)
- …leader to help successfully manage the daily operations of a specific care management or utilization review program. This role is responsible for ... on investment. **Skills** + Leadership + Communication + Utilization review or care management + Performance management + Workflow optimization… more
- Cleveland Clinic (Garfield Heights, OH)
- …eligibility (CTM, ACM, CCM or AHA) + Two years of recent experience in utilization review , quality or care management + Knowledge of acute care and ... and the Southeast communities of Cuyahoga County, Marymount Hospital is an acute care , faith-based hospital. Here, caregivers are guided by the Christian values of… more
- Cleveland Clinic (Stuart, FL)
- …eligibility (CTM, ACM, CCM or AHA). + 2 years of recent experience in utilization review , quality or care management . + Knowledge of acute care and ... Hospital where research and surgery are advanced, technology is leading-edge, patient care is world-class, and caregivers are family. This downtown Stuart hospital… more