- Sutter Health (Sacramento, CA)
- … care delays/issues as necessary; in collaboration with the Facility Acute Care Manager (CM). This position provides third-party payers clinical information ... SHSO-Sutter Health System Office-Valley **Position Overview:** This position facilitates utilization management (UM) processes to support that the right … more
- Elevance Health (Waukesha, WI)
- **Title:** Manager II Utilization Management...or LCSW license preferred. + 3 years of health care UM experience is highly preferred. + Prior experience ... employment, unless an accommodation is granted as required by law. The ** Manager II Utilization Management** is responsible for overseeing workflow and… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...net required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN II … more
- Elevance Health (Tampa, FL)
- …field preferred. + 3 years management experience with direct reports. + Managed Care Utilization Management experience, preferably in the District. + Working ... employment, unless an accommodation is granted as required by law. The ** Manager of Utilization Management ll** is responsible for managing a team of physical… more
- Elevance Health (Washington, DC)
- …field preferred. + 3 years management experience with direct reports. + Managed Care Utilization Management experience, preferably in the District. + Working ... each week. The office is located at 609 H. Street NE.** The ** Manager of Utilization Management** **ll** is responsible for managing a team of physical health… more
- Veterans Affairs, Veterans Health Administration (Smyrna, TN)
- …of functions, and the integration of VHA and industry best standards. The Revenue Utilization Review (RUR) Assistant Nurse Manager is accountable to the CPAC ... states and the Commonwealth of the United States. Responsibilities As the Revenue Utilization Review (RUR) Assistant Nurse Manager is accountable to the… more
- Veterans Affairs, Veterans Health Administration (Middleton, WI)
- Summary The Revenue Utilization Review (RUR) Assistant Nurse Manager (ANM) is a Registered Nurse (RN) who assists to control costs for VISN 10 and/or VISN 12 ... of appropriate evidence-based practices for positive outcomes. Responsibilities The Revenue Utilization Review (RUR) Assistant Nurse Manager (ANM) is directly… more
- HCR Home Care (Canton, NY)
- … needs in the Health Home Program. This position is designated as a higher-skilled Care Manager , capable of exceeding the basic tenants of care management. ... utilization . + Communicate directly with members of the care team to provide up - to - date...and prioritize multiple assignments. Work Environment The Health Home Care Manager 2 is primarily in an… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Registered Nurse Case Manager IIDepartment: Home Care Location: West Monroe Hours Per Week: 40Schedule: Days SUMMARY:The RN Case Manager is ... responsible for the delivery of comprehensive nursing care to a set of assigned patients at a...in response to changing patient needs. The RN Case Manager identifies appropriate interdisciplinary services needed, coordinates those services… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The **Member Relationship-Program Manager II -** is a highly visible member of the CAPC team who is responsible for designing and implementing ... to brand loyalty, membership retention and renewal revenue. The Senior Member Relations Manager must identify and address the needs of CAPC members to create… more
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