Utility Manager M/F - North

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. · ...

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 IntusCare replaces outdated technology and manual ...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 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 ...

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

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 ...

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

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 ...

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, · ...

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

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 ...

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

· Dane Street, a certified "Great Place to Work" company is seeking a Physician to provide utilization review services for the Group Health Department. · This role requires utilizing clinical expertise to review medical records and provide an interpretation of the medical approp ...

· Description · The Position: Uplight is creating a new category of energy. We make software that manages energy resources in homes and businesses—including things like smart thermostats, electric vehicles, solar panels, storage batteries, heat pumps, and even people's behavior— ...

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 ...

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. · ...

Imagine360 seeks a Supervisor, Utilization Management to join the team The Supervisor is responsible for utilizing their nursing education clinical and professional experiences to provide supervision to the UM Nurses and associated programs and processes as directed by the Senior ...

· Orbia Advance Corporation is a Purpose-led company with big aspirations. We are out to advance life around the world while maximizing value to our shareholders, customers and employees. The Company is passionate about the topics that define how people will live and thrive tomo ...

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

We are a nationally recognized healthcare management organization with over 40 years of experience delivering innovative, high-quality clinical solutions. · ...