• Utilization Review Manager

    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 ... ) required or completed within three years of hire **Title:** * Utilization Review Manager * **Location:** *MN-Minneapolis-Downtown Campus* **Requisition… more
    Minnesota Visiting Nurse Agency (09/30/25)
    - Related Jobs

  • Manager - Utilization Review…

    Beth Israel Lahey Health (Plymouth, MA)
    …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who ... Our Team of Experts and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you will:** + Directs staff performance… more
    Beth Israel Lahey Health (07/29/25)
    - Related Jobs

  • Utilization Review Coordinator

    Behavioral Center of Michigan (Warren, MI)
    …skills to help educate the staff and physicians regarding charting. REPORTS TO: Utilization Review Lead/ Manager QUALIFICATIONS: + High School Diploma or ... Under general supervision, the Utilization Review Coordinator provides professional assessment,...those duties include all tasks requested by the UR Manager , CEO or Medical Director to meet the needs… more
    Behavioral Center of Michigan (09/11/25)
    - Related Jobs

  • Manager , Utilization Review

    Children's Mercy Kansas City (Kansas City, MO)
    …of, and training oversight of programs and services. Responsible for effective utilization review and proper resource management of patients, including patient ... reporting, quality, and Lean process improvements, and facilitating the quarterly Utilization Review Committee meetings. Provides evidence based and outcome… more
    Children's Mercy Kansas City (09/16/25)
    - Related Jobs

  • Outcomes Manager , Utilization…

    Virtua Health (Pennsauken, NJ)
    …UR Tech and AA to support UR and revenue cycle process.Position Responsibilities: Utilization Management* Utilizes Payer specific screening tools as a resource to ... resource group and payers.Documentation* Appropriate and complete documentation of clinical review and denial management in the case management documentation system… more
    Virtua Health (08/26/25)
    - Related Jobs

  • Admissions Manager - Children's Inpatient…

    Devereux Advanced Behavioral Health (Malvern, PA)
    …could be longer based on the presenting symptoms. Every day as an Admissions & Utilization Review Manager you will + Supervise overall operations of DCBHC ... can take your career to the next level. **Being an Admissions & Utilization Review (UR) Manager Devereux Children's Behavior Health Center has its… more
    Devereux Advanced Behavioral Health (09/24/25)
    - Related Jobs

  • Oncology Prior Authorization Case Manager…

    University of Miami (Miami, FL)
    …Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent ... retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for… more
    University of Miami (09/25/25)
    - Related Jobs

  • CHS Utilization and Appeals Coordinator

    Catholic Health Services (Melville, NY)
    …services and coordinates utilization /appeals management review . + Assist Utilization and Appeals Manager in setting up communications with payors and/ ... as well as all financial metrics associated with front-end review process. + Collects data, prepares analysis, and oversees...and facility departments. + Develops/validates daily work lists for Utilization and Appeals Manager . + Assist with… more
    Catholic Health Services (09/09/25)
    - Related Jobs

  • Oncology Prior Authorization Case Manager…

    University of Miami (Miami, FL)
    …please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Utilization Review Case Manager RN - ... Miami is currently seeking a Prior Authorization Nurse Case Manager . The incumbent purose is to conduct initial chart...forth by the payer or clinical guidelines + Accurate review of coverage benefits and payer policy limitations to… more
    University of Miami (08/23/25)
    - Related Jobs

  • Care Transitions Jobs

    Beth Israel Lahey Health (Plymouth, MA)
    …Hospital-Plymouth** is expanding its **Care Transitions Department** and seeking an experienced ** Manager of Utilization Review & Denials Management** and ... + CCM, ACM, or other case management certification preferred or in progress ** Manager - Utilization Review & Denials Management** This role is ideal for a… more
    Beth Israel Lahey Health (10/02/25)
    - Related Jobs