- Kaiser (Arlington, VA)
- …environmental factors, and response to treatment so as to decrease inappropriate utilization of medical services.In close collaboration with the nurse case ... manager and other members of the health care team,...and timely manner.Ensures consistent and reliable documentation of case management activities in compliance with all organization and department… more
- Kaiser (Lanham-Seabrook, MD)
- …environmental factors, and response to treatment so as to decrease inappropriate utilization of medical services.In close collaboration with the nurse case ... manager and other members of the health care team,...and timely manner.Ensures consistent and reliable documentation of case management activities in compliance with all organization and department… more
- Centene Corporation (Phoenix, AZ)
- … issues related to member care, provider interactions, and facilitates operations within utilization management . + Oversees the behavioral health (BH) ... and ensures compliance with applicable guidelines + Reviews and analyzes BH utilization management (UM) activities, over/under utilization , operations,… more
- Actalent (Sunrise, FL)
- …present reports on department activities as assigned. Essential Skills + Experience in utilization management , behavioral health, and mental health. + ... Job Title: Behavioral Health Utilization Review NurseJob Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing requests… 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...program + Employee assistance program that allows for covered behavioral health visits + Qualified employer for the Public… more
- Molina Healthcare (GA)
- …healthcare services professionals in some or all of the following functions: care management , utilization management , behavioral health, care ... or more of the following areas: utilization management , care management , care transitions, behavioral...and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care Management… more
- Helio Health Inc. (Syracuse, NY)
- …to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ourSyracuse ... Educate program staff on current principles and standards of practice surrounding utilization and denials management . + Use effective relationship management… more
- Prime Healthcare (Anaheim, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/218947/case- manager utilization - ... and surgical inpatient care and treatment, emergency services, surgical services, behavioral health, comprehensive heart center, and diagnostic imaging. For more… more
- AmeriHealth Caritas (Philadelphia, PA)
- **Role Overview:** The Medical Director, Utilization Management , provides organizational leadership in the operational areas of appeals, utilization review, ... policy and practice initiatives in collaboration with the Corporate Medical Directors, Utilization Management and the Vice President, Medical Affairs. ; **Work… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …experience within insurance or health care setting in case/disease or utilization management * 3+ years of behavioral health experience * Bachelor's or ... legally protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Manager Clinical Care Management - Behavioral Health Location:… more
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