- CHRISTUS Health (Wake Village, TX)
- …two (2) years' experience in Case Management and/or Utilization Management is required. Licenses, Registrations, or Certifications RN License in the ... Description Summary: The Registered Nurse Clinical Care Coordinator is...errors are identified to maximize hospital reimbursement and resource utilization . * Responsible for 24/7 ongoing management … more
- CHRISTUS Health (Alamo Heights, TX)
- …and operations for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- Humana (Salem, OR)
- …a part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills to support ... communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the… more
- Commonwealth Care Alliance (Boston, MA)
- …care services,procedures, and facilities under the provisions of CCA's benefits plan.The Manager , Utilization Management is responsible for overseeing and ... managing the daily operation of the Utilization Management Review Nurse and...in the area of service decisions and organizational determinations.The Manager , Utilization Management reports to… more
- Providence (Mission Hills, CA)
- **Description** The Manager of Utilization Management provides a key role in leading, facilitating and managing the hospital utilization management ... The Manager assists the Regional Director of Utilization Management , Appeals & Clinical Training through...related area + Upon hire: California Registered Nurse License + 5 years Healthcare management … more
- Elevance Health (Tampa, FL)
- …with health plans for people enrolled in Medicaid and/or Medicare programs in Florida. ** Manager I Utilization Management ** **Location:** 11430 NW 20th ST, ... workplace model with PulsePoint sites used for collaboration, community, and connection. The ** Manager I Utilization Management ** is responsible for the… more
- CVS Health (Springfield, IL)
- …**Position Summary:** The Associate Manager is responsible for oversight of Utilization Management /Case Management staff. This position is responsible ... department + 3+ years inpatient clinical experience as a Registered Nurse + 3+ years of Managed...years of Managed Care experience + 1+ years of Utilization Management experience + 1+ year Leadership… more
- Trinity Health (Silver Spring, MD)
- …travel paid._** **Minimum Licensure/Certification Required (if applicable):** + State of Maryland license as a Registered Nurse + RN with BSN or RN with ... time **Shift:** **Description:** The Interim Manager of Care Management & Utilization Review, under the supervision and in collaboration with the Director,… more
- UCLA Health (Los Angeles, CA)
- …the next level. You can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management , you'll provide direct management ... a self-motivated, detail-oriented, service-driven leader with: + Current unrestricted RN licensure in CA required + Bachelors of Science,...(BSN) degree required + Five or more years of utilization management required + Four or more… more
- Sharp HealthCare (San Diego, CA)
- …Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered Nursing ... experience + 3 Years recent case management , utilization review, care coordination experience + California Registered Nurse ( RN ) - CA Board of… more
