Supervisor, Utilization Management, RN - United States

Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental health needs, substance use disorders, traumatic brain injuries, and intellectual/developmental disab ...

Altior Healthcare elevates mental health through treatment programs across the US. · ...

The Manager of Utilization Review oversees a team of utilization review nurses to optimize patient care and manage resources effectively. Collaborates with the multidisciplinary team for quality timely and cost effective utilization management to achieve optimal outcomes. · Serve ...

Description · The Utilization Management Review Nurse is responsible for assisting in the development, planning, coordination, and administration of the Utilization Management activities. The Utilization Management Nurse conducts reviews to assure the appropriate levels of care a ...

About IntusCare · IntusCare is the only end-to-end ecosystem built specifically to help Programs of All-Inclusive Care for the Elderly (PACE) programs deliver exceptional care, strengthen financial performance, and stay compliant. IntusCare replaces outdated technology and manual ...

The Utilization Management Supervisor will primarily be responsible for managing the UM nursing staff in the day to day operations of the department. · ...

General Statement of Duties: The Utilization Review Manager is responsible for coordinating, managing, and documenting medical necessity and authorization processes for behavioral health services reimbursed by commercial payers. This role supports residential treatment, partial h ...

AmeriHealth Caritas is seeking talented individuals to join our team as Utilization Management Technicians. · ...

Clinical care nurses coordinate overall member care from pre-admission to continued stay and outpatient services using a proactive decision-making process attaining quality outcomes for members. · Initiating the continuum of care process for neonatal admissions · Interacting tele ...

We are an equal opportunity employer with a diverse team of professionals. · ...

The Utility Project Manager will be responsible for the planning, · coordination, · and execution of utility-related activities for · a large-scale bridge-tunnel construction project. · This role requires close collaboration with utility owners, · design and construction teams, · ...

The Utility Project Manager will be responsible for the planning, coordination, and execution of utility-related activities for the HRBT project. · This role requires close collaboration with utility owners, · design and construction teams, · and regulatory agencies to ensure tim ...

We are hiring a skilled LTC Utilization Management Reviewer to join our team. · Type of Opportunity: Full time · Job Exempt: Yes · Work Shift: Days (United States of America)NF LOC evaluations and determinations, · Responsible for the review of all required medical documentation ...

Assesses member needs and identifies solutions that promote high quality and cost-effective health care services. · ...

This role provides daily oversight of the Utilization Management Correspondence team under the supervision of the Director of Utilization Management Administrative Operations and Audit. · ...

The Utility Project Manager will be responsible for the planning, coordination, and execution of utility-related activities for the HRBT project. · ...

We are breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this f ...

Dane Street is seeking a Physician Reviewer to provide utilization review services for the Group Health Department. · ...

The Utilization Management Review Supervisor manages a remote team of up to 12 clinical reviewers who process prior authorization requests for Medicaid members in the Louisiana market. · ...

+Job summary · Dura-Line LLC. is currently seeking to hire an Area Sales Manager- Utility for our US Central Region to execute growth strategies for our region to include leading and managing all resources in the district, while ensuring proper coverage of customers in select mar ...