Utilization Manager Jobs in Jackson
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Search Results - Utilization Manager Jobs in Jackson
CommunityCare-Jackson
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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Optum-Jackson
as needed to meet patient needs
• Adheres to and participates in the agency's utilization management model
• Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client
You'll...
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Huron Consulting Group-Jackson
quality incentive programs, and network optimization
• Experience leading complex healthcare analytics and modeling (e.g., HCC risk adjustment, RAF optimization, clinical risk stratification, cost trend analysis, utilization management, population health...
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Healthier Mississippi People LLC-Jackson
and with financial counselors as needed.
The RN-Case Manager works with a sense of urgency for appropriate patient transition through utilization of teamwork, accountability, innovation, respect, ethical behavior and emotional intelligence.
Maintains an active RN...
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UnitedHealth Group-Jackson
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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NITELINES USA, INC-Jackson
Risk Management, and Utilization Management Programs may be required. CME requirements shall
be sufficient to satisfy requirements of appropriate licensing agencies and JC at no additional cost to the government.
Degree/Education: MD or DO medical...
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prismhr-hire.com -
UnitedHealth Group-Jackson
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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