Utilization Manager Jobs in Grand Rapids
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Search Results - Utilization Manager Jobs in Grand Rapids
CommunityCare-Grand Rapids-
to support timely utilization decisions
• Provide clinical consultation on complex medication requests and coverage determinations
• Support development and maintenance of medical drug utilization management programs
• Develop and maintain evidence-based...
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MID-STATE HEALTH NETWORK-Grand Rapids-
experience in behavioral health treatment service delivery or utilization management;
• 3 years’ working experience in healthcare service delivery;
• Knowledge of the principles and practices of continuous quality improvement;
• Capacity to use data to inform...
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UnitedHealth Group-Grand Rapids-
Overview
In this leadership role, you steer a diverse training and quality team across multiple sites to elevate utilization management operations. You will design and deliver onboarding and ongoing education, align quality initiatives...
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Banner Health-Grand Rapids-
to drive system changes, mentor team members, and lead or participate in cross-functional initiatives. Your work enables data-driven insights that improve care quality, utilization management, and operational efficiency. This role offers remote flexibility...
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Alignment Healthcare-Grand Rapids-
Overview
In this Regional Medical Director role, you lead non-acute utilization management across markets to optimize clinical outcomes, quality, and total cost of care. You collaborate with regional leaders and provider networks to advance prior...
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UnitedHealth Group-Grand Rapids-
Overview
As Medical Director, you guide clinical coverage determinations within Enterprise Clinical Services, collaborating with leadership to ensure high-quality, cost-effective patient care. You lead utilization management activities and engage...
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UnitedHealth Group-Grand Rapids-
Overview
In this role you support authorization decisions for psychiatric and chemical dependency care, working within Utilization Management to ensure medical necessity and efficient care transitions. You will handle data entry, coordination...
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