- Marion County (Salem, OR)
- …& Human Services is looking for an adaptable, collaborative, and experienced Program Manager who will assist the department in achieving its mission: To create a ... the program, department, county and community.Community Partnerships The YFS Program Manager is responsible to build and maintain collaborative community partner… more
- UT Health Tyler (Tyler, TX)
- …bonus up to $20,000 Join our team as a full-time, day shift, Case Manager Registered Nurse in Tyler, TX. Fulfilling your purpose begins here: People First, Always. ... and service of patients across the continuum promoting quality care, effective utilization of resources and assuming a leadership role with the interdisciplinary… more
- Sharp HealthCare (San Diego, CA)
- …of the System Integrated Care Management (ICM) team the Transfer and Admissions Utilization Manager (UM) partners with the Centralized Patient Placement Center ... Guidelines (MCG) + Experience and understanding of federal and state regulations governing utilization management + Accredited Case Manager (ACM) - American Case… more
- UNC Health Care (Chapel Hill, NC)
- …to improve the health and well-being of the unique communities we serve. RN Utilization Manager position specifically for a Utilization Manager /Clinical ... care episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management… more
- Immigration and Customs Enforcement (IN)
- …this position. Responsibilities DUTIES AND RESPONSIBILITIES: Serves in the capacity of Regional Utilization Manager and subject matter expert in the oversight of ... the air, on the ground and at sea. SUPERVISORY CONTROLS: The Regional Utilization Manager works under the supervision of the IHSC Utilization Management… more
- UNC Health Care (Hendersonville, NC)
- …the health and well-being of the unique communities we serve. Summary: The Utilization Manager (UM) assesses new admissions, continued stay and discharge review ... met and care delivery is coordinated. The UM completes utilization reviews in accordance with federal regulations and the...patient data and treatments. Communicates daily with the Care Manager to manage level of care transitions & appropriate… more
- Acacia Network (Bronx, NY)
- Acacia Network Inc. Utilization Manager Bronx, : 5/30/2024 Job Description Job ID#: 3904 Job Category: Acacia Network Inc. Position Type: Full Time Details: ... residential services requiring MCO approval. The salary for the Utilization Manageris $65,000/annually based on relevant experience. KEY ESSENTIAL FUNCTIONS:… more
- Samaritan Daytop Village (Rhinebeck, NY)
- …and goal of sustaining high quality care/service delivery to persons served, the Utilization Manager works to assist CASAC Counselors and supervisory staff as ... needed with assuring compliance with external and internal utilization review/quality and appropriateness requirements. What qualifications do you need: + Bachelor… more
- Universal Health Services (Gulfport, MS)
- …visit us at www.gulfportbehavioral.com/ Position Summary: Join a team where the Utilization Review Manager assumes responsibility for the functioning of the ... Utilization Review Department. Provides utilization review services in a manner consistent with the...patient length of stay and level of care. Oversees utilization review activities with other departments to ensure reimbursement… more
- Universal Health Services (Panama City, FL)
- Responsibilities Utilization Review Manager Opportunity Emerald Coast Behavioral Hospital provides inpatient treatment services to children, adolescents and ... therapy for chronic depression. Visit us on-line at: https://emeraldcoastbehavioral.com/ The Utilization Review Manager is responsible for oversight of… more
- The Mount Sinai Health System (New York, NY)
- The Utilization Review Manager for the Selikoff Centers for Occupational Health is responsible for the management of program operations within a particular ... records, and internal and external regulatory and survey requirements. + The Utilization Review Manager collaborates with multiple professionals to support and… more
- Baptist Memorial (Memphis, TN)
- …education + Employee referral program Job Summary: Position: 18373 - System Manager - Utilization Review Facility: BMHCC Corporate Office Department: HS Case Mgmt ... Summary Responsible for the Utilization Review Program across the system. In collaboration...system care coordination leadership ensures the strategic goals for Utilization Review are established and achieved. Establishes policies and… more
- Universal Health Services (Dearborn, MI)
- Responsibilities Utilization Management Case Manager Beaumont Behavioral Health (a UHS Facility) A growing 144-bed behavioral health facility - Beaumont ... For more information, please visit our website: https://beaumontbh.com/ PositionSummary The Utilization Management Case Manager is primarily responsible for… more
- Catholic Health (Lockport, NY)
- …Holiday Rotation Hours: 8:00a-4:00p, 9:00a-5:00p, 10:00a-6:00p, 11:00a-7:00p Summary: The RN Care Manager , Utilization Review/ Transitions of Care, as an active ... member of the Care Management and interdisciplinary care team, provides comprehensive Utilization Review and transitions of care services to patients and families in… more
- Providence (OR)
- …best people, we must empower them._** **Providence Health Plan is calling a Manager Utilization Management RN, Prior Authorization who will:** + Be responsible ... for Management and supervision of the PHP Utilization Management (UM) or Care Management (CM) clinical programs,...of clinical experience + 2+ years of experience in utilization , quality or care management within an insurance or… more
- Trinity Health (Mason City, IA)
- …Monday-Friday 0630-1430; no weekends or holidays **About The Job** The Utilization Review Case Manager responsibilities include case screening, insurance ... in the state of Iowa. + Bachelor's Degree required. BSN preferred + Utilization management focused certifications that are recognized in the state of Iowa preferred… more
- Beth Israel Lahey Health (Burlington, MA)
- …Hours:** 40 **Work Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full Time Days 8:00am-4:30pm ... Case Manager for Hospital at Home Care Transitions coordinates utilization review, discharge planning and monitors quality assurance for Lahey Clinic inpatient… more
- Mountains Community Hospital (Lake Arrowhead, CA)
- Full Time - Exempt position SUMMARY The Case Manager is responsible for utilization management and case management of patient admissions at MCH by collecting and ... recording all information and data needed for utilization review as requested and required by third party payers. Monitors and audits medical record charts for… more
- Sodexo (Chicago, IL)
- …productivity and innovation are born in this environment.** Sodexo is seeking a **Senior Manager , Contract Utilization ** to work as a member of our Distribution ... channels + Manage regional and prime catalogs + Drive higher contracted utilization rate through implementations. **Is this opportunity right for you? We are… more
- Highmark Health (Pittsburgh, PA)
- …+ 3 years with utilization review/management + 1 year as a supervisor or manager of Utilization /Case Management with a Managed Care Organization + 1 year in ... prior leadership and/or project management experience + 1 year in a clinical area/function/organization **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + Registered Nurse (RN) **SKILLS** + Outstanding customer focus, results orientation,… more
