- CenterWell (Salt Lake City, UT)
- …part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent… more
- Humana (Salt Lake City, UT)
- …+ Registered nurse (RN) with unrestricted licensed **OR** independent licensed clinical social worker + 2 -5 yrs of previous senior leadership experience ... and help us put health first** The Utilization Management ( UM ) Director, Clinical Strategy and Practice for...to work effectively in a cross-functional, matrixed environment. + 2 + yrs Payer experience with responsibility for the creation… more
- Humana (Salt Lake City, UT)
- …+ Registered nurse (RN) with unrestricted licensed **OR** independent licensed clinical social worker + 5+ years of previous clinical experience in ... Establish standardized protocols and workflows across the enterprise. + Lead activities regarding UM annual evaluation + Lead activities related to UM Program… more
- Molina Healthcare (Salt Lake City, UT)
- …state, and local laws and regulatory requirements affecting the medical and clinical staff. **Job Duties** + Provides medical oversight and expertise in ... appropriate care at the most effective setting. Evaluates the effectiveness of UM practices. Actively monitors for over and under-utilization. Assumes a leadership… more