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Utilization Management Supervisor jobs

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TEXAS INSTITUTE UTILIZATION MANAGEMENT NURSE -DALLAS

Five years inpatient clinical nursing experience in an acute care hospital setting required. Minimum of two years Utilization Management acute care setting experience required. Minimum of one year drafting an...

CompanyAdecco
AddressDallas, TX
CategoryHuman Resources
Salary$ 80000 - $ 90000 / Year
Job typeContract/Temporary
Date Posted 2 months ago See detail

Texas Institute Utilization Management Nurse -Dallas

Adecco

Dallas, TX

$ 80000 - $ 90000 / Year

Five years inpatient clinical nursing experience in an acute care hospital setting required. Minimum of two years Utilization Management acute care setting experience required. Minimum of one year drafting an...

2 months ago seen See more...

Utilization Management Clinical Nurse Consultant

Cvs Health

Phoenix, AZ

3+ years clinical practice experience required.. Must have a active and unrestricted RN Licensure in the state of Arizona or Compact RN licensure. Utilization management experience preferred.. Acute care setting experience preferr...

2 months ago seen See more...

Utilization Management Nurse Consultant

Cvs Health

Phoenix, AZ

1+ year varied Utilization Management experience within an inpatient/Outpatient setting, concurrent review or prior authorization. 5+ years of variety clinical experience required including acute care, home health, or long term ca...

2 months ago seen See more...

Utilization Management Coordinator

Yoh, A Day & Zimmermann Company

Alameda, CA

One (1) year of Managed Care experience (HMO or IPA) strongly preferred. Ability to work from home M-F, 8am-5pm PT. Support clinical staff through completion of the administrative and nonclinical coordinator functional components...

2 months ago seen See more...

System Solutions Analyst I (Utilization Management)

Hawaii Medical Service Association

Honolulu, HI

Bachelor's degree and one year of related work experience; or equivalent combination of education and related work experience. Good verbal communication skills to present information before groups, departments, and management. Goo...

2 months ago seen See more...

Director Utilization Management

Commonspirit Health

Rancho Cordova, CA

Current California RN license. Bachelor's degree in Nursing, Health Care Administration or advanced clinical degree. Minimum of three (3) years clinical case management (Utilization Management, denial management, care coordination...

2 months ago seen See more...

Medical Director, Utilization Management

P3 Health Partners

Henderson, NV

This role will provide medical leadership in clinical initiatives aimed at improving patient services, quality and safety outcomes, physician alignment and satisfaction, and implementing evidence-based programs, practices, and act...

2 months ago seen See more...

MC SENIOR UTILIZATION MANAGEMENT SPECIALIST I

University Of Maryland Medical System

Baltimore, MD

Under general supervision, provides utilization review and denials management for an assigned patient case load. This role utilizes nationally recognized care guidelines/criteria to assess the patients need for outpatient or inpa...

2 months ago seen See more...

Utilization Management RN - Remote

Mitchell Martin

New York, NY

Our client located in New York, NY is looking for an Utilization Management RNType: ContractSchedule: M-F 8a-5p Location: RemoteThe Registered Nurse will perform clinical and operational processes related to transition / coordinat...

2 months ago seen See more...

Utilization Manager Needed in Dallas, TX

Adecco

Dallas, TX

$ 80000 - $ 90000 / Year

Mandatory five years of inpatient clinical nursing experience within an acute care hospital setting. Minimum of two years' experience in Utilization Management within an acute care setting. Proficiency with drafting and submitting...

2 months ago seen See more...

Clinical Utilization Manager

Embrace Families

Orlando, FL

Monitor and supervise Behavior Health Coordinators specific to the oversight of licensed out of home care and ensuring appropriate levels of care for children. Oversee higher levels of care and ensure suitability procedure is foll...

2 months ago seen See more...

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...

2 months ago seen See more...

Case Manager Utilization RN, 40/hr Day

Kaiser Permanente

San Marcos, CA

Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of app...

a month ago seen See more...

Case Manager Utilization RN, 40/hr Day

Kaiser Permanente

Ontario, CA

Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of app...

a month ago seen See more...

Case Management Utilization RN, Per Diem Day

Kaiser Permanente

Fontana, CA

Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of app...

a month 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,...

2 months ago seen See more...

Case Manager Utilization RN, 40/hr Day

Kaiser Permanente

Los Angeles, CA

Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of app...

2 months ago seen See more...

Case Manager Utilization RN, 32/hr Day

Kaiser Permanente

Riverside, CA

Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of app...

2 months ago seen See more...

Case Manager Utilization RN-Per Diem Night

Kaiser Permanente

Riverside, CA

Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of app...

2 months ago seen See more...

Case Manager Utilization RN, 40/hr Night

Kaiser Permanente

San Diego, CA

Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of app...

2 months ago seen See more...

Manager, Utilization Management Department

Elevance Health

Washington, United States

Engages in the development and implementation of integrated medical management programs across the different member population types covered by the health plan. Ensures continued compliance with specific medical management standa...

2 months 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...

2 months 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...

2 months ago seen See more...

Case Manager Utilization RN, 32/hr Day

Kaiser Permanente

Los Angeles, CA

Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of app...

2 months ago seen See more...

Case Management Utilization RN, 20/hr Day

Kaiser Permanente

San Diego, CA

Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of app...

2 months ago seen See more...

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