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UTILIZATION MANAGEMENT SPECIALIST II

working collaboratively with the treatment team and health plans to obtain authorization for treatment. Masters Degree in Social Work, Psychology, Counseling, or related Human Services field is required. Licensed Clinical Social...

CompanyPinnacle Treatment Centers
AddressCambridge City, IN
CategoryHuman Resources
Salary$42.7K - $54.1K a year
Job typeFull-time
Date Posted a month ago See detail

Utilization Management Specialist II

Pinnacle Treatment Centers

Cambridge City, IN

$42.7K - $54.1K a year

working collaboratively with the treatment team and health plans to obtain authorization for treatment. Masters Degree in Social Work, Psychology, Counseling, or related Human Services field is required. Licensed Clinical Social...

a month ago seen See more...

I/DD Utilization Management Reviewer QP (Hybrid Option)

Partners Health Management

Hickory, NC

$51.2K - $64.8K a year

Annual incentive bonus plan Medical, dental, and vision insurance with low deductible/low cost health plan Generous vacation and sick time accrual 12 paid holidays State Retirement (pension plan) 401(k) Plan with employer match Co...

a month ago seen See more...

Utilization Management Nurse Specialist, FT Days

Pih Health

Whittier, CA

Current knowledge of Managed Care and Health Plan Division of Financial Responsibilities (DOFR). Ability to apply appropriate UM criteria. Excellent communication skills. Strong organizational capabilities. Attention to detail is...

a month ago seen See more...

Remote Inpatient Utilization Management (UM) Coordinator

Alignment Healthcare

Stanton, CA

Assist team with daily census by entering face sheets for hospitals and skilled nursing facilities (SNF). Obtain medical records from hospitals and SNF's. Attach medical records to authorizations. Enter referral requests / authori...

a month ago seen See more...

Behavioral Health Utilization Management Clinician - Fully remote

Metroplushealth

New York, NY

Performs telephonic review for inpatient and outpatient services using InterQual & LOCADTR. Contributes to UM program goals and objectives in containing health care costs and maintains a high-quality medical delivery system throug...

a month ago seen See more...

Utilization Management Specialist

Ocd Anxiety Centers

South Jordan, UT

A competitive base salary starting at $18.00 per hour, depending on experience. 401k match. Core benefits: medical/dental/vision, with the company contribution to medical benefits for employee. Company-paid employee life insurance...

a month ago seen See more...

Utilization Management Rep I (contract)

Elevance Health

Norfolk, VA

$42.3K - $53.6K a year

Managing incoming calls or incoming post services claims work. Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service request...

a month ago seen See more...

Utilization Management RN

Uchealth

Aurora, CO

$36.47 - $56.52 an hour

Minimum Required Education: Bachelor's degree in Nursing.Required Licensure/Certification: State licensure as a Registered Nurse (RN).Minimum Experience: 3 years of relevant experience. Preferred: 3 years of utilization or case ma...

a month ago seen See more...

Registered Nurse - Utilization Manager

Erp International

Arkansas, United States

$82.5K - $104K a year

Excellent Compensation & Exceptional Comprehensive Benefits!. Paid Vacation, Paid Sick Time, Plus 11 Paid Federal Holidays!. Medical/Dental/Vision, STD/LTD/Life, Health Savings Account available, and more!. Annual CME Stipend and...

a month ago seen See more...

MetroPlusHealth Summer Internship: Utilization Management

Metroplushealth

New York, NY

The intern will help the UM department obtain and organize data and then analyze the data. One main emphasis will be to obtain data on patients with peripheral vascular disease and the use of topical oxygen therapy. Much of the...

a month ago seen See more...

Utilization Management Rep III-5

Elevance Health

Connecticut, United States

$19.04 - $30.06 an hour

Job Family: Customer Care Type: Full time. Date Posted: Mar 22, 2024 Anticipated End Date: Apr 22, 2024 Reference: JR105545. Responsible for providing technical guidance to UM Reps who handle correspondence. Assist callers with is...

2 months ago seen See more...

Utilization Management(UM) Manager

Nychsro / Medreview

Remote

$46,000 - $49,000 a year

two or more years in utilization management. navigating utilization management client/patient tracking software. computer Excel, Word, Outlook, Adobe. communication customer service, written, telephone. call center management...

2 months ago seen See more...

Utilization Management Clinician I - RN or LPN

Chpw

Seattle, WA

Strive to apply an equity lens to all our work. Reduce health disparities. Become an anti-racist organization. Create an equitable work environment. Have a bachelor's degree in a relevant field or an equivalent combination of educ...

2 months ago seen See more...

RN - Weekend Utilization Management (Fri-Sun 7a-7p)

Humana

Mississippi, United States

Licensed Registered Nurse (RN) in the (appropriate state) (compact RN licensure only) with no disciplinary action. Previous experience in Utilization Management Prior clinical experience preferably in an acute care, skilled or reh...

2 months ago seen See more...

Utilization Management RN

Evergreenhealth

Kirkland, WA

$44.31 - $70.90 an hour

One Americas 50 best Hospitals, three years in a row by Healthgrades. EvergreenHealth ranks in the top 1% of nearly 4,500 hospitals nationwide. In 2023 EvergreenHealth was one of two hospitals that received the Patient Safety Exc...

2 months ago seen See more...

Behavioral Health Care Advocate (Utilization Management) Intensive Outpatient - Remote

Optum

Eden Prairie, MN

$58,300 - $114,300 a year

Focusing on initial and concurrent reviews for psychiatric and chemical dependency patients for Intensive Outpatient (IOP) level of care. Identifying ways to add value to treatment plans and recommending modifications to ensure be...

2 months ago seen See more...

Facility-Based Behavioral Health Care Advocate - Utilization Management - Remote

Optum

Eden Prairie, MN

$58,300 - $114,300 a year

Manage all 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...

2 months ago seen See more...

Registered Nurse - Utilization Management - 8 Hour Days

Cedars-Sinai

Los Angeles, CA

$52.47 - $83.95 an hour

The UR Case Manager uses medical necessity screening tools, such as InterQual or MCG criteria, to complete initial and continued stay reviews in determining appropriate level of patient care, appropriateness of tests/procedures an...

2 months ago seen See more...

Primary Nurse Case Administrator - Utilization Management - Texas

Hcsc

Richardson, TX

$76.6K - $96.9K a year

Registered Nurse (RN) with current, valid, unrestricted license in state of operations 2 years clinical practice experience of direct clinical care to the customer 1 year experience in Condition Management or Case Management in a...

2 months ago seen See more...

ED Utilization Management RN Nights Remote

Adventhealth Corporate

Altamonte Springs, FL

$34.78 - $52.17 an hour

Benefits from Day One. Career Development. Whole Person Wellbeing Resources. Mental Health Resources and Support. Reviewing available patient records pre-admission, providing timely status recommendations to optimize correct patie...

2 months ago seen See more...

Utilization Management Assistant

Mercyone

Des Moines, IA

$49.4K - $62.6K a year

Performs clerical duties for the nursing unit by maintaining charts; answering multi-line phones; greeting and assisting customers in a friendly and timely manner; and sorting and distributing mail. Utilizes computer applications...

2 months ago seen See more...

Utilization Management Coordinator (Remote)

Trinity Health Michigan

Pontiac, MI

$86.7K - $110K a year

2 Refers all cases lacking IS/SI criteria for acute care hospitalization to the Physician Advisor or designee according to the established department guidelines. 4 Provides consultation and information to physicians, case manageme...

2 months ago seen See more...

Nurse Clinician - Utilization Management - 60%

The University Of Iowa

Iowa City, IA

$53.4K - $67.6K a year

Analyze initial and ongoing assessment data to determine diagnoses and determine appropriate level of care. Collaborates in the implementation of patient care plans and follow-up care coordination for patients within the primary c...

2 months ago seen See more...

RN - Utilization Management

Spectrum Healthcare Resources

Los Angeles, CA

Degree/Education: Bachelor of Science in Nursing. Graduate from a college or university accredited by National League for Nursing Accrediting Commission (NLNAC), or The Commission on Collegiate Nursing Education (CCNE). Experience...

2 months ago seen See more...

RN Case & Utilization Management Manager

Baptist Health

Montgomery, AL

Degree in Nursing, Master's degree preferred. Two to three years experience in case management required, two to three years hospital-based experience as a Case Manager preferred. Knowledge of community health care and socioeconomi...

2 months ago seen See more...

Telephonic Utilization Management Nurse - Acute Care (Gulf South Region)

Humana

Alabama, United States

Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Understands department, segment, and organizational strategy and operating objectives, including their linkages to re...

2 months ago seen See more...

Utilization Management Coordinator

Life-Nwpa

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...

Utilization Management Department Trainer (LVN)

Ks Plan Administrators, Llc

Pearland, TX

$64,369 - $79,496 a year

Medical, Vision, and Dental. Tuition Reimbursement. Company Matching 401K. Employee Reward and Recognition Program. Paid time off for vacation, sick, and holidays. Employee Assistance Program. Continuing Medical Education allowanc...

2 months ago seen See more...

Utilization Management Supervisor

Ucla Health

Los Angeles, CA

$61,400 - $121,400 a year

DescriptionQualificationsWere seeking a self-motivated, team-focused, deadline-driven, detail-oriented leader with: * High school diploma, GED or equivalent required * Two or more years of experience managing staff in a healthcar...

2 months ago seen See more...

RN Utilization Management - FT Days

Trinity Health

Moses Lake, WA

Be responsible for the Utilization Management, both concurrent and retroactive for inpatient and outpatient services in accordance with the utilization program which meets the requirements of JCAHO and third party payor contracts....

2 months ago seen See more...

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What are the top cities open Utilization Manager jobs?

There are open Utilization Manager jobs in several cities including Los Angeles, Yakima, Honolulu, Jackson, Waterloo, Saint Clairsville, Chicago, Somerset, Latrobe, Kapolei, Albuquerque, Washington,

What companies are hiring for Utilization Manager jobs?

The top companies hiring now for Utilization Manager jobs are Acacia, Acacia Network, Clinica Romero, Emory Healthcare, PROMESA R.H.C.F., Southeast Healthcare, Spectrum Healthcare Resources, Spectrum Healthcare Resources - 3.3,

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