- WelbeHealth (Los Angeles, CA)
- ** Utilization Management LVN** At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option to the most vulnerable ... team plays a critical role in our participants' journeys, and our Utilization Management team ensures that we provide timely, quality, compliant, and cost-effective… more
- Centene Corporation (Phoenix, AZ)
- …and criteria + Analyzes BH member data to improve quality and appropriate utilization of services + Interacts with BH healthcare providers as appropriate to discuss ... + Provides education to members and their families regrading ABA and BH utilization process + Provides feedback to leadership on opportunities to improve care… more
- Iowa State University (Ames, IA)
- Position Title:Technical Project Specialist I - Center for Crops Utilization Research Job Group:Professional & Scientific Required Minimum Qualifications:Bachelor's ... working with industry or university partners. Job Description: The Center for Crops Utilization Research (CCUR) in the College of Agriculture and Life Sciences is… more
- Elevance Health (Tampa, FL)
- …by law. *Must reside in the state of Florida* The **Manager of Utilization Management** 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… more
- Centene Corporation (Tallahassee, FL)
- …and criteria + Analyzes BH member data to improve quality and appropriate utilization of services + Interacts with BH healthcare providers as appropriate to discuss ... + Provides education to members and their families regrading ABA and BH utilization process + Provides feedback to leadership on opportunities to improve care… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …and co-occurring psychiatric and substance abuse conditions. POSITION TITLE: Utilization Review Clinician PAY RANGE: LVN/LPT $35.00-44.19 Per Hour RN/LCSW/LMFT/LPCC ... $54.00-68.18 Per Hour REPORTS TO: Director of Utilization Review DESCRIPTION OF POSITION: Work as member of multi-disciplinary treatment team reviewing patient care… more
- BJC HealthCare (St. Louis, MO)
- …of RN experience performing care for hospitalized patients + 2 years of Utilization Review (UR) experience reviewing hospital admissions for medical necessity + Must ... quality of medical services provided by the medical team. Ensure appropriate utilization , which includes the evaluation of potential under and over- utilization … more
- CVS Health (Hartford, CT)
- …of clinical experience in acute or post-acute setting, and 1+ years of Utilization Management / Care Management Experience + Must have active current and ... additional Nursing Licenses as business needs require. **Preferred Qualifications** Utilization Management experience preferred **Education** Education: Diploma RN acceptable;… more
- CVS Health (Austin, TX)
- …external constituents in the coordination and administration of the utilization /benefit management function.* Meet set productivity and quality expectations ... of clinical experience in acute or post-acute setting,and 1+ years of Utilization Management / CareManagementExperience + Must have active current and unrestricted… more
- Trinity Health (Livonia, MI)
- …in behaviors, practices, and decisions. Coordinates enterprise medication utilization initiatives, facilitates enterprise meetings, organizes minutes required in ... Health Ministry (RHM) leaders, and key stakeholders. Compiles annual medication utilization cost savings information to support initiatives that align with the… more