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Full-Time Utilization Management jobs

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CUSTOMER SUCCESS UTILIZATION MANAGER - MN/WI

Consult with customers to create a customized strategy that ensures customers understand, utilize, and leverage products purchased and bringing to life the VALUE of their installation. Custom design, plan and execute on plans for...

CompanyKarl Storz Endoscopy - America
AddressLos Angeles, CA
CategoryInformation Technology
Salary$67,600 - $107,800 per year
Job typeFull-time, Part-time
Date Posted 2 months ago See detail

Customer Success Utilization Manager - MN/WI

Karl Storz Endoscopy - America

Los Angeles, CA

$67,600 - $107,800 per year

Consult with customers to create a customized strategy that ensures customers understand, utilize, and leverage products purchased and bringing to life the VALUE of their installation. Custom design, plan and execute on plans for...

2 months ago seen See more...

Registered Nurse (RN), Utilization Management - Adolescent Psych - PRN - Now Hiring

Denver Health

Denver, CO

$34.45 - $51.68 per hour

Works closely with other DHHA staff members including providers, nursing, insurance personnel, scheduling staff, staff in other departments.. (20%). Participates in care planning and discharge planning with the staff, providers an...

2 months ago seen See more...

Utilization Management Coordinator

Sanford Health

United States

We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Monday - Friday 8:30 am to 4 pm...

2 months ago seen See more...

Laboratory Utilization Management and Process Improvement Specialist

Labcorp

Portland, OR

$83K - $105K a year

Uses knowledge of Medical Laboratory Science in combination with IT skills to support customers in working through application to produce meaningful reports and data sets. Demonstrates knowledge of laboratory processes from the pr...

2 months ago seen See more...

Director - Utilization Management

San Jose Behavioral Health

San Jose, CA

Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patient's provider benefits for their needs. . Conducts and oversees concurrent and retrospective reviews for all patients....

2 months ago seen See more...

RN or LPN Utilization Management PST - Remote

Unitedhealth Group

Washington, United States

Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service, including quality, care and concern with each and every internal and external customer. Perform all function...

2 months ago seen See more...

Behavioral Health Care Advocate - Utilization Management - Remote in Missouri

Unitedhealth Group

Springfield, MO

Perform Utilization Management, utilization review, or concurrent review of Behavioral Health admissions and continued stay. Determine appropriateness of inpatient and outpatient services following evaluation of designated guideli...

2 months ago seen See more...

Onsite/Remote- Sr Utilization Management Nurse RN Onsite or Remote

Optum

Boston, MA

$90.6K - $115K a year

Audit entire medical record for accuracy of the coding on the MMQ to support payment to the nursing facility. Answer patient questions regarding care (medication, treatment) and benefits. Discuss Patient Care specifics with peers...

2 months ago seen See more...

Utilization Management Nurse Consultant

Cvs Health

Trenton, NJ

Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.. Gathers clinical informat...

2 months ago seen See more...

Utilization Management Clinical Processor

Avesis, Incorporated

Remote

$18.33 - $28.67 an hour

- determining cases of recommended treatment in accordance with Avesis UM procedural guidelines or refers the case to Clinical Director or consultant for professional review of clinical denials. Understands and upholds Avesis pol...

2 months ago seen See more...

Supervisor of Utilization Management- Non Clinical

Villagecare Of New York

Remote

$68,000 - $76,000 a year

Monitors that all authorizations are completed accurately, efficiently, and timely. Provides support to Case Management and Care Coordinator team in tracking, authorizing, and delivering service requests. Oversees the productivity...

2 months ago seen See more...

Vice President of Utilization Management

Consilium Partners360, Llc

Remote

$200,000 - $230,000 a year

8 years of management experience in a health-related field. 10 years of experience in a Utilization Management position. Hospital based clinical experience required. Experience analyzing and using data to drive improvement activit...

2 months ago seen See more...

Utilization Management Administrative Support Coordinator

Humana

Louisiana, United States

$40.9K - $51.7K a year

Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prio...

2 months ago seen See more...

Associate Director, Utilization Management Nursing - VA Medicaid

Humana

Virginia, United States

$102,200 - $128,000 a year

Serves as a liaison between Humana and the Commonwealth regarding prior authorization reviews, prepayment retrospective reviews, and any additional Utilization Management functions. Coordinates with the Clinical Leadership team to...

2 months ago seen See more...

Utilization Management Reviewer I

Crawford & Company

United States

$75.3K - $95.3K a year

Uses clinical RN or RPT training and knowledge to render authorization decisions of medical necessity of requested medical treatment. Analyzes medical information and applies clinical knowledge and established criterion to facilit...

2 months ago seen See more...

Utilization Management Nurse

One Senior Care

Erie, PA

9 Paid Holidays. 3 Weeks and 1 Day of Paid Time Off Accrued from the Date of Hire for Full-Time Employees. Annual Pay increases for Performance. Medical, Dental, & Vision. Free Life and AD&D Insurance Plan. Health Savings and Flex...

2 months ago seen See more...

Registered Nurse (RN) - Utilization Management (Remote)

Uva Health

Charlottesville, VA

$71,988.80 - $115,190.40 a year

They collaborate with physicians and other members of the healthcare team to promote and adhere to regulatory compliance. All Utilization Management activities are performed in accordance with the mission vision and values of UVA...

2 months ago seen See more...

Utilization Management LVN Nurse - Remote

Conifer Value

Frisco, TX

$27.30 - $40.95 an hour

Responsible for providing timely referral determination by accurate:Usage of the Milliman Care Guidelines.Identification of referrals to the medical director for review.Appropriate letter language (i.e. denials).Appropriate sele...

2 months ago seen See more...

Utilization Management Registered Nurse

Wexford Health

Sylvania, PA

Work with patients and providers for the patients best interests by helping to ensure appropriate care and maximizing clients medical benefits; Review clinical information provided by the Hospital Utilization Management Departm...

2 months ago seen See more...

RN Case Manager I Utilization Review PRN Days

Birmingham Market Office

Dolomite, AL

This position integrates national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention Transition Management promoting appropriate length of stay,...

4 weeks ago seen See more...

Manager Utilization Management Ambulatory Services - Behavioral Health

Hartford Healthcare

Middletown, CT

Manages the selection, hiring, training and performance review of all staff members under supervision. Identifies needs and provides opportunities for ongoing staff development. Orients all new staff. Audits accuracy of authoriza...

a month ago seen See more...

Sr. Manager of Utilization Management/Case Management

Verda Healthcare

Houston, TX

You'll be responsible for managing a team who is providing clinical review of cases using standard criteria to determine the medical appropriateness of inpatient and outpatient services while supporting our members through assessm...

a month ago seen See more...

Nurse Case Manager/Utilization Review Nurse I

State Of Vermont

Burlington, VT

80% State paid medical premium and a dental plan at no cost for employees and their families. Work/Life balance: 11 paid holidays each year and a generous leave plan. State Paid Family and Medical Leave Insurance (FMLI). Two ways...

2 months ago seen See more...

Manager of Utilization Management (Remote U.S.)

Acentra Health

Remote

$73.7K - $93.3K a year

Oversee, coordinate, and monitor all Clinical team activities related to programs assigned. Ensure adequate staffing, contractual service levels, URAC requirements, and regulatory requirements are adhered to by implementing and mo...

2 months ago seen See more...

Utilization Review-Case Management (Full-Time)

Aurora San Diego

San Diego, CA

$66,560 - $124,800 a year

Pay Range: $32/hr. to $60/hr. Admissions: Conduct admission reviews. Concurrent/Stay Reviews: Conduct concurrent and extended stay reviews. Payment Appeals: Prepare and submit appeals to third party payers. Recordkeeping: Maintain...

2 months ago seen See more...

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What are the top cities open Full-Time Utilization Management jobs?

There are open Full-Time Utilization Management jobs in several cities including Long Beach, Los Angeles, Spokane, Torrance, Mission Hills, Chicago, Kirkland, Burlington, Denver, Lexington, Griffin, Uniondale, Plymouth Meeting, Birmingham, Knoxville,

What companies are hiring for Full-Time Utilization Management jobs?

The top companies hiring now for Full-Time Utilization Management jobs are AdventHealth Corporate Services, Alliance Health, AmeriHealth Caritas Health Plan, Brighton Health Plan Solutions, LLC, Brighton Health Plan Solutions, LLC, CareFirst BlueCross BlueShield - 3.8, Carewise Health, Inc, CNSI, crescentiasolutions, CVS Health, Impresiv Health, Jefferson - Montgomery County, PA, Jefferson - Montgomery County, PA, LIFE-NWPA, MU Health Care,

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