- Health eCareers (Tempe, AZ)
- Job Title: Utilization Review Clinician / Clinical ... Review Nurse to support the Behavioral Health Utilization Management (BH UM) team for AZCH ... with CMS final rule requirements effective January 2026. Responsibilities * Perform utilization review of behavioral health services (prior authorization and… more
- Legend Biotech USA, Inc. (Raritan, NJ)
- …including but not limited to Operations, MSAT, Facilities, C&Q, Project Management , and Quality.Work closely with Sr. Manager, Strategic Initiatives to support ... of site operational models to better understand and assess resource utilization , equipment utilization , change impact, etc.Support assessment of facility… more
- Geisinger (Wilkes-Barre, PA)
- …and Nursing SupportSchedule: Rotation Work Type: Full timeDepartment: Talent Management Nursing & Nursing Support TeamDate Posted: 04/29/2025Job ID: R-77853Job ... new skills focused on the specialized practice settingFree Princeton NCLEX Review Questions (on-line, self paced)!Temporary Practice Permit (TPP) reimbursement +… more
- JobElephant (Bowling Green, OH)
- …and leading the operational and logistical functions for BGSU Firelands Events Management activities. This position acts as project manager for external clients to ... Space; Set-up; Dates/Times). All records must be entered into the event management system for all event information and contracts, R25 for space reservations,… more
- Health eCareers (Memphis, TN)
- …physicians, other patient caregivers and Facility HIMS coding staff and Revenue Utilization Review Team to ensure clinical documentation and services rendered ... as a minimum. Certifications obtained from American Health Information Management Association (AHIMA) and/or American Academy of Professional Coders (AAPC)… more
- Centene Corporation (Sacramento, CA)
- … team to ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks UM resources to ensure ... adherence to performance, compliance, quality, and efficiency standards + Collaborates with utilization management team to resolve complex care member issues +… more
- CommonSpirit Health (Phoenix, AZ)
- **Job Summary and Responsibilities** The System Vice President of Utilization Management is a key member of the healthcare organization's leadership team and is ... and accountability for creating, implementing, and leading an integrated system-wide utilization management program which includes comprehensive denials … more
- Ventura County (Ventura, CA)
- Per Diem Registered Nurse II/III - Utilization Management VCMC Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5009956) Apply Per Diem ... Registered Nurse II/III - Utilization Management VCMC Salary $109,727.64 - $184,627.89...as needed to assist with patient care coordination and utilization review . The incumbent will be responsible… more
- Centene Corporation (Phoenix, AZ)
- … utilization management . + Oversees the behavioral health (BH) utilization review clinicians and ensures compliance with applicable guidelines + Reviews ... Tempe and/or Tucson offices.** **Position Purpose:** Manages the behavioral health (BH) utilization review clinicians to ensure appropriate care to members.… more
- Centene Corporation (Sacramento, CA)
- …in PST- experience in CCR is highly preferred** **Position Purpose:** Directs the utilization management team to ensure the appropriate application of policy ... manages Utilization Operations specific to the daily operations of Utilization Management including timeliness, quality and performance outcomes, provider… more
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