- Helio Health Inc. (Syracuse, NY)
- …degree preferred. + Licensed/credentialed applicants preferred. + Two years of experience in utilization review in a hospital, health care, or managed ... of federal and state regulations applicable to treatment and reimbursement. + Utilization review procedures and techniques. Our Comprehensive Employee Benefits… more
- LifeCenter Northwest (Bellevue, WA)
- …Salary Position Type Full Time Description and Qualifications The Director, Organ Utilization (Director), is responsible for overseeing the processes and teams that ... and executes strategies to improve organ allocation strategy and organ utilization , collaborates closely with transplant programs and the surgical recovery team… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and ... problems to help patients access the full range of their benefits through the utilization review process. + Conducts admission reviews. + Conducts concurrent and… more
- Prime Healthcare (Lynwood, CA)
- …treatment services in specialties including Cardiovascular, Surgical, Orthopedics, Obstetrics, Pediatrics, Behavioral Health , and Emergency and Trauma Care. In ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/236088/rn-case-manager utilization - review /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySt.… more
- LifeCenter Northwest (Bellevue, WA)
- …Position Type Full Time Description and Qualifications The Manager, Organ Utilization (OUM) provides strategic leadership and operational oversight for the Organ ... Utilization Coordinator Team (OUCT), directing key aspects of abdominal...maintain compliant, high-quality processes. + Monitor donor case workflows, review allocation strategies, and ensure documentation aligns with regulatory… more
- State of Indiana (Indianapolis, IN)
- …The role of Utilization Management Manager oversees the integration of utilization review , clinically appropriate care and risk management for the purpose ... high quality care and services. You serve as the utilization management subject-matter expert in health care...program + Employee assistance program that allows for covered behavioral health visits + Qualified employer for… more
- Elevance Health (Indianapolis, IN)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... ** Utilization Management Medical Director - Indiana Medicaid** **Location:**...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- Elevance Health (Tampa, FL)
- …is responsible for managing a team of physical and/or behavioral health practitioners responsible for coordinating member service, utilization , access, care ... management and/or concurrent review to ensure cost effective utilization of health , mental health , and substance abuse services for one or more member… more
- WellSpan Health (Chambersburg, PA)
- …**Qualifications** **Minimum Education:** + Bachelors Degree In Social Work and Inpatient Behavioral Health may have Bachelor's degree in Psychology and ... services. Required + Masters Degree In social work (or Psychology for inpatient behavioral health ) Preferred **Work Experience:** + 2 years Relevant experience.… more
- CVS Health (Frankfort, KY)
- …+ Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate ... care issues through established channels. + Ability to speak to medical and behavioral health professionals to influence appropriate member care. + Utilizes… more