- Centene Corporation (Oklahoma City, OK)
- …perspective on workplace flexibility. **Position Overview** + **Oklahoma residency required** + Manager -level role overseeing two Utilization Management (UM) ... management issues related to member care, provider interactions, and facilitates operations within utilization management . + Manages prior authorization,… more
- State of Indiana (Indianapolis, IN)
- Utilization Management Manager Date Posted: Sep 26, 2025 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 (Phoenix, AZ)
- … management issues related to member care, provider interactions, and facilitates operations within utilization management . + Oversees the behavioral ... guidelines + Reviews and analyzes BH utilization management (UM) activities, over/under utilization , operations , costs, and forecasted data to identify… more
- Humana (Lansing, MI)
- **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management ... communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works...and oversight of the physical health utilization management (UM) staff in daily operations . +… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- Summary The Utilization Management /Inpatient Care Coordination Nurse Manager demonstrates leadership expertise in regards inpatient care coordination and ... first-line supervisory authority, responsibility, and accountability for the 24/7 operations of the department. Serves as a role model...or Nurse Manager Minimum of two years Utilization Management experience Minimum five years varied… 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
- Elevance Health (Washington, DC)
- …office 4 days each week. The office is located at 609 H. Street NE.** The ** Utilization Management ** ** Manager ll** is responsible for managing a team of ... and acuity. + Provides direct oversight and is responsible for Utilization Management execution/decision making for managed member populations. Primary… more
- New York State Civil Service (New York, NY)
- NY HELP No Agency Empire State Development, NYS Title Project Manager , Utilization - MWBE Occupational Category Other Professional Careers Salary Grade NS ... the direct supervision of the Director of Contract Participation, the Project Manager , Utilization , will lead the planning, execution, and monitoring of… more
- Sharp HealthCare (San Diego, CA)
- …will track and maintain this certification.For Sr Spec ICM assigned to Utilization Management , Train-the-Trainer certification may substitute for ACM or CCM. ... will track and maintain this certification.For Sr Spec ICM assigned to Utilization Management , Train-the-Trainer certification may substitute for ACM or CCM.… more
- Molina Healthcare (Los Angeles, CA)
- …services professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term ... * Assists in implementing health management , care management , utilization management , behavioral health...unrestricted in the state of California. * Certified Case Manager (CCM), Certified Professional in Health Care Management… more
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