Full-Time Utilization Management jobs in Vermont

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UTILIZATION MANAGEMENT NURSE 2 -POST ACUTE PRE AUTH WEEKENDS

Licensed Registered Nurse (RN) in the state of Florida, or compact license, with no disciplinary action. Prior clinical experience preferably in an acute care, skilled or rehabilitation clinical setting Comprehensive knowledge of...

CompanyHumana
AddressLouisiana, United States
CategoryInformation Technology
Salary$69.9K - $88.5K a year
Job typeFull-time
Date Posted 2 days ago See detail

Utilization Management Nurse 2 -Post Acute Pre Auth WEEKENDS

Humana

Louisiana, United States

$69.9K - $88.5K a year

Licensed Registered Nurse (RN) in the state of Florida, or compact license, with no disciplinary action. Prior clinical experience preferably in an acute care, skilled or rehabilitation clinical setting Comprehensive knowledge of...

utilization & case management educator (rn) - Baltimore, United States - LifeBridge Health

Lifebridge Health

United States

Description UTILIZATION & CASE MANAGEMENT EDUCATOR (RN)Baltimore, MDSINAI HOSPITALCARE MANAGEMENTFull-time - Day shift - 8:00am-4:30pmRN Other82791Posted:April 29, 2024Apply Now// Setting the Saved Jobs linkfunction setsavedjobs(e...

Behavioral Health Utilization Management, Remote - Kansas License

Unitedhealth Group

Overland Park, KS

Manage facility-based admissions for mental health and substance abuse through the continuum of care. Effectively collaborate with treating providers and facilities to ensure consumers are receiving treatment in line with best pra...

Utilization Management Clinical Consultant

Cvs Health

Louisiana, United States

Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program.. Applies critical thinking and is knowledgeable in clinically appropriate treatment, evidence based care a...

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...

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...

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...

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...

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...

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...

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...

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...

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...