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Utilization Manager Jobs

1 - 15 of 632
1 - 15 of 632
Search Results - Utilization Manager Jobs
apartmentVitalCore Health StrategiesplaceLansingevent_available
Join the VitalCore Team in Michigan! We're people who are fueled by passion, not profit. VitalCore Health Strategies (VCHS), an industry leader in Correctional Health Care has an opening for full-time Utilization Management Clerk at Michigan...
apartmentCenteneplaceFlorissant (MO)event_available
of utilization management team./n /n  •  Monitors and tracks UM resources to ensure adherence to performance, compliance, quality, and efficiency standards /n  •  Collaborates with utilization management team to resolve complex care member issues /n  •  Maintains...
1 similar job: Jefferson City
apartmentChristianaCareplaceNewark (DE)event_available
Registered Nurse (RN) - Utilization Management FT Day Shift (Hrs.: 8a-4:30p) - On-site Newark, DE ChristianaCare Hospital in Newark, DE, is seeking a Utilization Management Nurse (RN) with experience with insurance providers such as Aetna...
apartmentCVS HealthplaceRemoteevent_available
accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Utilization Management is a 24/7 operation and work schedule may...
apartmentChristianaCareplaceNewark (DE)event_available
Job Description Registered Nurse (RN) - Utilization Management /n FT Day Shift (Hrs.: 8a-4:30p) - On-site /n Newark, DE /n /n ChristianaCare Hospital in Newark, DE, is seeking a Utilization Management Nurse (RN) with experience...
placeHonolululanguageicims.comevent_available
Job Description: Spectrum Healthcare Resources has a need for a Utilization Manager Registered Nurse (UMRN). These will be completely remote positions, working entirely from the Nurse’s home. The Nurse will be reviewing cases, educating patients...
apartmentSamaritan Health ServicesplaceEugeneevent_available
South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin Our ideal candidate will have the following experience:  •  - Health plan utilization management  •  Medicare and Medicaid rules and regulations and health plan benefit...
apartmentWellspring Nurse SourceplaceFranklin (NH)event_available
Job Description /n Wellspring Nurse Source is seeking a travel nurse RN Case Management Insurance for a travel nursing job in Franklin, New Hampshire. Job Description & Requirements/n /n  •  Specialty: Case Management Insurance /n  •  Discipline: RN...
apartmentAccentureplaceBentonville (AR)languageaccenture.comevent_available
improve network performance, access, and provider sustainability in line with their strategic priorities. As a Network Performance/Utilization Manager, your primary responsibilities may include:  •  Advise clients on network strategy, provider capacity...
apartmentSamaritan Health ServicesplaceCorvallis (OR)event_available
South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin Our ideal candidate will have the following experience:  •  - Health plan utilization management  •  Medicare and Medicaid rules and regulations and health plan benefit...
1 similar job: Salem
apartmentSynergy Medical StaffingplaceFranklin (NH)event_available
Job Description /n Synergy Medical Staffing is seeking a travel nurse RN Long Term Care (LTC) Case Management Insurance for a travel nursing job in Franklin, New Hampshire. Job Description & Requirements/n /n  •  Specialty: Case Management...
apartmentCatalytic SolutionsplaceFranklin (NH)event_available
Catalytic Solutions is seeking a travel nurse RN Case Management Insurance for a travel nursing job in Franklin, New Hampshire. Job Description & Requirements  •  Specialty: Case Management Insurance  •  Discipline: RN  •  Start Date: ASAP  •  Duration...
placeHoustonlanguageicims.comevent_available
Job Description: Spectrum Healthcare Resources has a potential opportunity for a Registered Nurse Utilization Management at Lackland AFB in San Antonio, TX. This contract position offers:  •  Monday-Friday 730am-430pm  •  Outpatient Clinic...
2 similar jobs: San Antonio, Dallas
placeJacksonvillelanguageufhealth.orgevent_available
Overview: The RN Utilization Management plays a critical role in evaluating patient medical records to ensure the necessity and appropriateness of healthcare services. Involves coordinating with healthcare providers to maintain compliance...
2 similar jobs: Miami, Tampa
placeNew Yorklanguagevnshealth.orgevent_available
improvement needs as appropriate.  •  For Utilization Management Only:  •  Issues Determinations, Notices of Action, and other forms of communication to members and providers which communicate VNS Health’s determinations. Ensures all records/logs related...
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