Utilization Manager Jobs in Irving
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Search Results - Utilization Manager Jobs in Irving
TalentBurst, Inc.-Irving
to perform comprehensive assessments of clinical information and treatment plans and apply medical necessity criteria to determine the appropriate level of care
Resource/Utilization Management appropriateness: Assess assigned patient population for medical...
resume-library.com -
Christus Health-Irving
and support a case management program with the functional integration of pre-admission screening, advance staff education, provide impatient and outpatient case management including social services, discharge planning and placement; and tailor utilization...
Dallas, 15 mi from Irving
a talented team where patient care is more than a job. It's our passion.
PRIMARY PURPOSE
Parkland Community Health Plans (PCHPs) Utilization Management (UM) Nurse is responsible for the management of members requiring care for continued services...
tiptopjob.com -
Christus Health-Irving
required.
• Case Management / Utilization Management and discharge planning experience preferred.
• Must possess a good background in medical terminology and anatomy and physiology as the fundamental of medical science.
• Registered Health Information...
OptumCare-Dallas, 15 mi from Irving
provides support to the UM department in administrative functions for UM organization determinations and appeal coordination. This position utilizes knowledge of Medicare and state HMO guidelines in order to facilitate and comply with the Utilization...
Christus Health-Irving
required.
• Case Management / Utilization Management and discharge planning experience preferred.
• Must possess a good background in medical terminology and anatomy and physiology as the fundamental of medical science.
• Registered Health Information...
Elevance Health-Grand Prairie, 6 mi from Irving
but are not limited to:
+ Identifies and develops best practices and cost of care improvement processes around physician, hospital and ancillary network contract negotiation strategies, utilization management efforts, new products, annual benefit design...
shirecareers.jobs -
UnitedHealth Group Inc-Dallas, 15 mi from Irving
experience
• ICD Coding experience or solid knowledge of codes
• NCCN experience
• Background in preservice review/utilization review/utilization management
• All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter...
Dallas, 15 mi from Irving
a talented team where patient care is more than a job. It's our passion.
Primary Purpose
Directs the Clinical Resource Management department to include the Utilization Management (UM) plan and associated programs to impact resource management...
tiptopjob.com -
Dallas, 15 mi from Irving
to include two (2) years of direct clinical care OR two (2) years of case management/utilization management required.
Skills & Knowledge:
• Knowledge of workers' compensation laws and regulations
• Knowledge of case management practice
• Knowledge...
icims.com -
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