Utilization Manager Jobs in Nevada
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Search Results - Utilization Manager Jobs in Nevada
Molina Healthcare, Inc.Las Vegasappcast.io
Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
• Provides behavioral health oversight and clinical leadership for health plan and/or market specific utilization management and care management...
Renoicims.com
EXPERIENCE, TRAINING
Required qualifications:
1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non-managed care environments.
2. Experience in basic to intermediate computer...
The Valley Health SystemHenderson
Subsidies
Job Description:
The Director of Case Management is responsible for the assessment, planning, coordination, development and evaluation of the Case Management program. This includes the functions of case management, utilization management...
Las Vegasenlyte.com
Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab...
1 similar job: Birmingham
The Valley Health SystemNorth Las Vegas
and rewarding work environment
Job Description:
To achieve quality healthcare outcomes by establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is achieved for all...
7 similar jobs: Whitney, Winchester, Boulder City, Enterprise, Spring Valley...
Hendersonicims.com
population. Previous experience in utilization management is preferred
LICENSES/DESIGNATIONS/CERTIFICATIONS:
• Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional...
The Valley Health SystemReno
and rewarding work environment
Job Description:
To achieve quality healthcare outcomes by establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is achieved for all...
SlateRxLas Vegastrinethire.com
and escalations involving formulary coverage, utilization management, specialty medications, emerging therapies, benefit design, member impact, and treatment alternatives.
• Communicate complex clinical and financial concepts effectively to clinical and non...
The Valley Health SystemReno
and rewarding work environment
Job Description:
To achieve quality healthcare outcomes by establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is achieved for all...
The Valley Health SystemEnterprise
and rewarding work environment
Job Description:
To achieve quality healthcare outcomes by establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is achieved for all...
7 similar jobs: Whitney, Winchester, Boulder City, Henderson, Paradise...
The Valley Health SystemLas Vegas
and rewarding work environment
Job Description:
To achieve quality healthcare outcomes by establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is achieved for all...
The Valley Health SystemSparks
and rewarding work environment
Job Description:
To achieve quality healthcare outcomes by establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is achieved for all...
HumanaCarson Cityappcast.io
with prior experience participating in teams focusing on quality management, utilization management, or similar activities
Preferred Qualifications:
• Knowledge of the managed care industry, Integrated Delivery Systems, health insurance, or clinical group...
Keck Medicine of USCLas Vegasappcast.io
with contracted utilization management company to discuss patients with complex diagnosis and/or refer high risk patients to appropriate specialty services, including assistance in management of home health needs.16. Performs other duties as assigned.Required...
University of Southern CaliforniaLas Vegasappcast.io
with various high risk specialists.
13. 13. Manages complex transitions of care for patients with complex and/or multiple high risk hospitalizations.
14. 14. Works with contracted utilization management company to discuss care of high risk patients, including...
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