- Tufts Medicine (Burlington, MA)
- …assisting with the coordination of the Utilization Management Committee. The Utilization Management Operations Manager follows the system's ... and oversight to Utilization Review departments and UM vendor management . The UM Operations Manager is responsible for compliance with CMS Conditions of… more
- Children's Hospital Boston (Boston, MA)
- 80451BRJob Posting Title:Per Diem RN Case Manager , Utilization Management /ReviewDepartment:Patient Services-Patient Care ... + Experience as a Case Manager (Discharge Planning and or Utilization Management ) preferred. Licensure/ Certifications: + Current Massachusetts license as a… more
- Intermountain Health (Murray, UT)
- …to help successfully manage the daily operations of a specific care management or utilization review program. This role is responsible for communicating and ... and self-funded Commercial Employer plans. The Healthy Connections Program Manager reports to a line of business leader or...clinical understanding of all aspects of Care and Disease Management programs or utilization management … more
- Amazon (Seattle, WA)
- …software, hardware, and network engineers, supply chain specialists, security experts, operations managers, and other vital roles. You'll collaborate with people ... more in support of developing and improving DC supply management software and tooling. You will use your strong...tools such as SQL to identify inefficiencies in our operations , software, business processes and determine the right solutions… more
- Ascension Health (Appleton, WI)
- **Details** + **Department:** Utilization Management + **Schedule:** Full Time, Day Shift + **Hospital:** Columbia St Mary's + **Location:** Partially Remote and ... salary range at the time of the offer._ **Responsibilities** Manage effective utilization review processes, including management of patient statusing processes… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for... (UM) RN is responsible for executing the day-to-day operations of the UM department, and monitoring the Care… more
- Ascension Health (Pensacola, FL)
- …salary range at the time of the offer._ **Responsibilities** Manage effective utilization review processes, including management of patient statusing processes ... of utilization criteria, appeal and review process, and case management system documentation. + Conduct hiring, training, directing, development and evaluation… more
- Amazon (Seattle, WA)
- …software, hardware, and network engineers, supply chain specialists, security experts, operations managers, and other vital roles. You'll collaborate with people ... more in support of developing and improving DC supply management software and tooling. The successful candidate will be...Qualifications - 5+ years of technical product or program management experience - 7+ years of working directly with… more
- Cleveland Clinic (Cleveland, OH)
- …with one of the most respected healthcare organizations in the world. As a Utilization Management Specialist, you will perform UM activities, such as admission, ... role is essential in the overall organizational and functional operations , helping advance and enhance the patient experience and...a minimum of 85% on IRR quarterly. + Complete Utilization Management for assigned patients with a… more
- Houston Methodist (The Woodlands, TX)
- …eligibility for state, local, and federal programs + Progressive knowledge of utilization management , case management , performance improvement, and managed ... At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed...determinations (LCDs & NCDs). This position collaborates with case management in the development and implementation of the plan… more
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