LoginRegister

Utilization Manager jobs in Georgia

Now available 26 results are consistent

Sort by:relevance - date

BEHAVIORAL HEALTH UTILIZATION MANAGEMENT, REMOTE - KANSAS LICENSE

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...

CompanyUnitedhealth Group
AddressOverland Park, KS
CategoryHuman Resources
Job typeFull-Time
Date Posted 22 hours ago See detail

Behavioral Health Utilization Management, Remote - Kansas License New

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...

22 hours 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...

yesterday 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...

a week 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 weeks 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 weeks 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...

3 weeks 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...

3 weeks 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...

3 weeks 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...

3 weeks 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...

3 weeks 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...

3 weeks ago seen See more...

Behavioral Health Utilization Management Nurse

United Claim Solutions Llc

Remote

$60.5K - $76.6K a year

Conduct timely reviews of UM activities, including prospective, concurrent, and retrospective reviews and apply to summary plan documents or other resources related to the request. Collaborate with appropriate parties to apply the...

4 weeks ago seen See more...

ISNP Utilization Management Nurse

Longevity Health Plan

United States

$79,000 - $96,000 a year

Receives requests for authorization of services, including inpatient hospital admissions, outpatient and/or inpatient elective surgery, and referrals for specialty physician consultation with non participating physician offices....

a month ago seen See more...

Utilization Management LPN

Allegiance Benefit Plan Mgmt.

Remote

$24.75 an hour

Able to initiate phone calls requesting information for admissions and continued stay reviews. Evaluates and authorizes the medical necessity of Services requested. utilizing, but not limited to the below criteria:. American Socie...

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...

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...

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...

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...

Registered Nurse - Utilization Management **REMOTE**

Amerit Consulting Inc.

California, United States

$50 an hour

Review post service inpatient medical claims using the ClaimLogiQ (CLQ) system. Will need to work between multiple systems. Focus on Facility Medical Reviews (FMR) for length of stay and level of care reviews per MCG guidelines. R...

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...

3 weeks ago seen See more...

Nurse Manager Utilization Management - Newark, United States - Kaiser

Kaiser

United States

Manages the operations of 24-hour departments that may be at multiple locations. Ensures Assistants and staff provide the highest quality of care and are in compliance with the Nursing Practice Act, The Joint Commission, federal,...

4 weeks ago seen See more...

Case Management Nurse Utilization Review Inpatient: Remote

Florida Health Care Plans, Inc.

Florida, United States

$68.8K - $87.2K a year

Current licensure in Florida as a Registered Nurse. Minimum of 3 years clinical experience; acceptable areas include Ambulatory Care, Medical/Surgical, or ICU required. Previous experience with referrals, Case Management, pre-cert...

2 months ago seen See more...

Manager of Utilization Review

Charlie Health

Remote

$79.9K - $101K a year

Interviewing, hiring, training and onboarding new teammates. Acting as a liaison between UR and other CH Departments (RCM, Clinical, Operations, Outreach/Admissions). Supporting the development, implementation, and evaluation of d...

2 months ago seen See more...

Case Management Assistant Utilization Review

Inova Health System

United States

Conducts timely arrangements of services to meet customer requirements. Addresses and solves provider and payor issues quickly with support from Case Management staff and performs other duties as assigned. Communicates financial a...

2 months ago seen See more...

Registered Nurse Case Manager (RN) - Utilization Review - PRN

Inova Health System

United States

Collects delay and other data for specific performance and/or outcome indicators. Assists in the collection and reporting of resource and financial indicators including acute and post-acute case mix, LOS, cost per case, excess day...

2 months ago seen See more...

What should I search to find Utilization Manager jobs in Georgia?

People who searched for Utilization Manager jobs in Georgia also searched for Account Manager, Account Manager, Operations Manager, Office Manager, Assistant Human Resources Manager, Project Management, Account Manager, ASSISTANT STORE MANAGER, Branch Manager, Project Manager, Marketing Manager, Project Manager Glass, Assistant Store Manager, Project Manager Glass, Payment Operations Manager, . If you're getting few results, try a more general search term. If you're getting irrelevant result, try a more narrow and specific term.

Top Jobs in Georgia

Director, Preschool Teacher, Research Associate, Sales Assistant, Personal Trainer, Manager, Golf Coach, Site Director, Dishwasher, Dispatcher, Elementary School Teacher, Social Studies Teacher, House Team Member, Bench Jeweler, Property Manager,

What are the top cities in Georgia 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 in Georgia?

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,

Fastest job search tips

Search on Google

"Keyword" + 123work.net

For example: Utilization Manager jobs in Georgia 123work.net

Home
Create Cover Letter
Create Resume
Account
More