- Evolent (Annapolis, MD)
- … Management reports directly to the Manager , Utilization Management . In support of our daily operations this individual also works with our ... Stay for the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as a point of contact for processing… more
- State of Indiana (Indianapolis, IN)
- Utilization Management Manager Date Posted: Jan 6, 2026 Requisition ID: 462259 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling ... care and their communities. Role Overview: The role of Utilization Management Manager oversees the...strategies, KPIs, and actions to achieve them. + Analyze operations to evaluate performance of the specific program or… more
- Centene Corporation (New York, NY)
- … management issues related to member care, provider interactions, and facilitates operations within utilization management . + Manages prior authorization, ... compliance with applicable guidelines, policies, and procedures + Reviews and analyzes utilization management activities, operations , costs, and forecasted… more
- Intermountain Health (Las Vegas, NV)
- … Manager of Care Management I leads and collaborates with care management operations across utilization review, acute and emergency department care, ... work and complex care planning, transitions of care, and utilization management . The position ensures compliance with...with compliance and legal to support care delivery. The Manager Care Management I reports to the… more
- CVS Health (Baton Rouge, LA)
- …And we do it all with heart, each and every day. **Position Summary** The Utilization Management Manager of Prior Authorization oversees a team of clinical ... clinical leadership, operations , IT, and regulatory bodies-to align utilization management with enterprise strategies. + Manage escalations, complex… more
- Elevance Health (Washington, DC)
- …4 days each week. The office is located at 609 H. Street NE.** The **RN** ** Manager - Utilization Management ** is responsible for managing a team of physical ... and acuity. + Provides direct oversight and is responsible for Utilization Management execution/decision making for managed member populations. Primary… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …functions. Oversees daily operations , which include supervising staff performing utilization management activities. The goal is to achieve clinical, ... *_SUMMARY:_* We are currently seeking a* Utilization Review Manager * to join ourTransitional...financial, and utilization goals through effective management , communication, and… more
- Huron Consulting Group (Chicago, IL)
- …Join our team as the expert you are now and create your future. The Manager of Utilization Management is responsible for planning, organizing, developing, ... of the Utilization Review Plan and the overall operation of the Utilization Management Department in accordance with federal, state and local guidelines,… more
- LifeCenter Northwest (Bellevue, WA)
- …- $159,600.00 Salary Position Type Full Time Description and Qualifications The Manager , Organ Utilization (OUM) provides strategic leadership and operational ... Responsibilities + Lead and engage daily with the Organ Utilization Coordinator (OUC) team in donor case operations...identify areas for improvement. + Partner with the Organ Utilization Program Manager (OUPM) on OUCT staffing,… more
- Logan Health (Kalispell, MT)
- …Excellence. Logan Health is looking for an RN to lead the way as our Manager of Clinical Documentation Integrity (CDI) & Utilization Review! This role is ideal ... workflows with clarity. What You'll Be Doing: As the Manager of CDI & Utilization Review, you...manner + Partnering with the Chief Medical Officer on utilization review initiatives, length of stay management ,… more