- Huron Consulting Group (Chicago, IL)
- …Management is responsible for planning, organizing, developing, and directing implementation of the Utilization Review Plan and the overall operation of the ... + Staff Acquisition and Support: Leads and manages the utilization review staff and function for the...and may be implemented in the future._ **Position Level** Manager **Country** United States of America At Huron, we're… more
- Cedars-Sinai (Los Angeles, CA)
- …accepted criteria required **Req ID** : 14141 **Working Title** : Registered Nurse - Utilization Review Case Manager - PER DIEM - 8 Hour Days ... about you and your skills! **What will you be doing in this role?** The Utilization Review Case Manager validates the patient's placement to be at the most… more
- Cedars-Sinai (Los Angeles, CA)
- …Eye/Hand/Foot Coordination **Req ID** : 14355 **Working Title** : Registered Nurse - Utilization Review Case Manager - 8 Hour Days **Department** : ... America's Best Hospitals. Summary of Essential Duties: + The Utilization Management (UM) Registered Nurse - Medicare...Duties: + The Utilization Management (UM) Registered Nurse - Medicare Short Stay & Concurrent Denials supports… more
- University of Utah Health (Salt Lake City, UT)
- …of practice and according to state law. **Required** + One year ** Utilization Review or Case Management** experience. **Corporate Overview:** The University ... and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** +… more
- Sanford Health (Rapid City, SD)
- …Schedule:** Full time **Weekly Hours:** 40.00 **Department Details** Join our team as a Utilization Review and Case Management Manager and lead a ... One year of leadership/management experience preferred. Experience in medical necessity review preferred. Currently holds an unencumbered registered nurse (RN)… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Manager of Utilization Review ...+ 3-5 years work experience in healthcare as a nurse required + 1-3 years work experience in Care ... Relations Manager to facilitate coordination of services related to utilization review . Collaborates with the multidisciplinary team, lending professional… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a* Utilization Review Manager * to join ourTransitional Care Team.This is a full-time role and will be required to work ... to 5) years of professional leadership experience (ie, charge nurse , team leader, preceptor, committee chair, etc.) * Five...required or completed within three years of hire **Title:** * Manager - Utilization Review * **Location:**… more
- Houston Methodist (Katy, TX)
- At Houston Methodist, the Manager Centralized Utilization Review (UR) position is responsible for leading the daily operations of the Utilization ... and payer requirements. Reporting to the Director of Centralized Utilization Review , the Centralized Manager ,...abilities **LICENSES AND CERTIFICATIONS** **Required** + RN - Registered Nurse - Texas State Licensure - Texas Board of… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves… more
- CVS Health (OH)
- …office locations in New Albany OH, Chandler AZ or High Point NC.** Precertification Nurse Case Manager is responsible for reviewing medical records to determine ... requirements and claims history to address potential impact on current case review and eligibility. + Drives effective utilization management practices by… more