- Covenant Health Inc. (Knoxville, TN)
- …coordinators, physician advisors and facility departments as related to utilization management. Communicates with hospital and payor medical directors in order ... Overview Registered Nurse Utilization Management Full Time, 80 Hours Per Pay Period, Day Shifts Covenant Health Overview: Covenant Health is the region's… more
- Huron Consulting Group (Chicago, IL)
- …clinical outcomes, create a more consumer-centric healthcare experience, and drive physician , patient and employee engagement across the enterprise. Join our team ... expert you are now and create your future. The Manager of Utilization Management is responsible for planning, organizing, developing, and directing implementation of… more
- UNC Health Care (Morrisville, NC)
- …Guide physician engagement initiatives by developing training programs for physician advisors and advocating for evidence-based resource utilization 3. ... unique communities we serve. **Summary** : The **Executive System Director of Utilization Management (UM)** is a strategic and operational leader responsible for… more
- McLaren Health Care (Port Huron, MI)
- **Department:** Utilization Review **Daily Work Times:** 8:00am-4:30pm **Hours Per Pay Period:** 40 **Position Summary:** Responsible for determining the appropriate ... of various commercial and government payers in collaboration with the admitting/attending physician . Partners with the health care team to ensure hospital admissions… more
- UNC Health Care (Raleigh, NC)
- …episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... are met and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and discharge reviews in accordance with… more
- Guthrie (Cortland, NY)
- Summary The LPN Utilization Management (UM) Reviewer, in collaboration with Care Coordination, Guthrie Clinic offices, other physician offices, and the Robert ... Hospital Business Office, is responsible for the coordination of Utilization Management (UM) processes and requirements of prior authorization/certification for… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …This position is responsible for coordinating, integrating, and monitoring the utilization of physical health (PH) medical and healthcare services for members, ... on customer and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of clinical… more
- Fallon Health (Worcester, MA)
- …strategic leadership and oversight responsibility for the clinical and operational utilization management activities for all inpatient and outpatient care, and staff ... across all product lines. **Responsibilities** ** Utilization Management:** + Oversees all administrative, operational and clinical functions related to outpatient… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a* Utilization Review Manager* to join ourTransitional Care Team.This is a full-time role and will be required to work onsite. ... position: *Manages the design, development, implementation, and monitoring of utilization review functions. Oversees daily operations, which include supervising… more
- Alameda Health System (Oakland, CA)
- … utilization . This role supports patient care coordination, fosters physician collaboration, and aligns with organizational objectives while adapting to ad ... Director, Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req #:40826-30155 + FTE:1 +… more