Top 643271 Manager utilization mgmt Jobs

Utilization Manager
Clarvida —Savannah, GA
- Full-time
- Management
- Licensed Clinical Social Worker
- LPC
- Continuing education credits
- Paid holidays
Quick Apply
Utilization Manager
Clarvida —Augusta, GA
- Full-time
- Management
- Licensed Clinical Social Worker
- LPC
- Continuing education credits
- Paid holidays
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Senior Manager, Utilization Management
1199SEIU Family of Funds —New York, NY
- $125,400 - $156,700 a year
- Full-time
- Nursing
- 6 years
- RN License
Nurse Case Manager, Utilization Management
1199SEIU Family of Funds —New York, NY
- $89,400 - $106,100 a year
- Full-time
- Nursing
- RN License
- Mid-level
Manager, Utilization Review
Health Business Solutions LLC —Remote
- Nursing
- RN License
- Mid-level
13d
Program Manager EHR Trainer
SCA Health —Remote
- $112,000 - $125,000 a year
- Full-time
- 3 years
- Continuous improvement
- Mentoring
- Disability insurance
- Health insurance
Biologics Manager
MedicoCX —Remote
- $65,000 - $85,000 a year
- Full-time
- Remote
- Nursing
- Mid-level
- High school diploma or GED
- Paid holidays
- Health insurance
Quick Apply
7d
Clinic Engagement Manager
THE MAVEN PROJECT —Remote
- $60,000 - $70,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
Quick Apply
ECM Clinical Manager (RN)
Vynca —Remote
- $90,000 - $125,000 a year
- Weekends as needed
- Background check
- RN License
- Pass drug screening
- Health insurance
- Dental insurance
Epic Patient Access Applications Manager
Xtensys Connected Health Solutions —Remote
- $130,000 - $160,000 a year
- Full-time
- 3 years
- Travel
- Business Administration
Clinical Services Assistant Manager
EMC Insurance —Remote
- $100,085 - $152,122 a year
- Full-time
- Nursing
- RN License
- 8 years
- Work from home
10d
CTMA Manager
BeiGene —Remote
- $118,600 - $158,600 a year
- Full-time
- Data analysis skills
- Microsoft Office
- Bachelor's degree
- Health savings account
- Employee stock purchase plan
Care Manager - Utilization Management (Must Have UAS Experience)
MetroPlus Health Plan —New York, NY
- $112,351 a year
- Full-time
- Remote
- RN License
- Physical & Rehabilitation Medicine
- Mid-level
Program Manager, Healthcare Services (Enhanced Care Mgmt - PST hours)
Molina Healthcare —Sacramento, CA
- $84,067 - $163,931 a year
- Full-time
- LMFT
- Nursing
- LVN
- Health insurance
ECM Clinical Manager (LCSW/LMFT)
Vynca —Remote
- $90,000 - $125,000 a year
- Weekends as needed
- Background check
- LMFT
- Pass drug screening
- Health insurance
- Dental insurance
Clinical Site Relationship Manager
IUVO BIOSCIENCE OPERATIONS, LLC —Remote
- $100,000 - $145,000 a year
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
Quick Apply
CHS Utilization and Appeals Manager
Catholic Health —Melville, NY
- $110,000 - $150,000 a year
- Nursing
- RN License
- Word processing
- Health insurance
- Tuition reimbursement
Medical Billing Manager
Saratoga Schenectady Gastroenterology Associates —Burnt Hills, NY
- $85,000 - $115,000 a year
- Full-time
- HIPAA
- Recruiting
- Contracts
- Health savings account
- Health insurance
Quick Apply
RN - Operations Educator Supervisor
El Rio Community Health Center —Tucson, AZ
- $34.16 - $49.47 an hour
- Full-time
- Spanish
- Nursing
- Management
Quick Apply
Manager Quality & Performance Improvement
Baptist Health South Florida —Miami, FL
- $105,647.55 - $140,511.24 a year
- Full-time
- Nursing
- RN License
- Hospital
- Commuter assistance
- Paid parental leave

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Utilization Manager

Clarvida -
Savannah, GA

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Job Details

Full-time

Benefits

Continuing education credits
Paid holidays
Health insurance
Dental insurance
401(k)
Flexible spending account
Cell phone reimbursement
Employee assistance program
Vision insurance
Employee discount
Opportunities for advancement
Life insurance
Pet insurance

Qualifications

Quality control corrective actions
Management
Overseeing health insurance pre-certification
Treatment plan documentation
LMSW
Corporate training
Licensed Clinical Social Worker
LPC
EHR testing
Care documentation
Contract performance monitoring
Performance feedback (performance evaluation method)
Mid-level
Clinical staff training
Utilization management
Clinical assessment documentation
Resource utilization in healthcare
LAPC
Social service program compliance monitoring
EHR training delivery
Professional development training
Audit support
Documentation reviews

Full Job Description

Description

Utilization Manager

LCSW, LPC, LMSW, LAPC

As our Utilization Manager, you will coordinate Utilization Management functions for the agency.

Trains staff on proper documentation, including assessments, treatment planning, progress notes, transition/discharge plans
Provides feedback to staff regarding changes needed in order to meet service guidelines, fidelity review, and licensure requirements
Trains staff on proper submission of Registration, Authorization and Discharge requests
Performs Utilization Management reviews, to include On Hold reports, and coordinates resolution of pended authorizations
Tracks utilization of services and compliance with contractual requirements
Assists in the coordination of external audits
Develops and implements any corrective action plans needed
Completes regular testing of the electronic medical record functionality

Perks of this role:

8:30am-5:00pm weekday office schedule
Stability and growth opportunities working with a national agency

Do the Following Apply to You?

Licensed as LCSW, LPC, LMSW, or LAPC
Ability to communicate effectively, both orally and in writing.
Ability to train others

What we offer:

Full Time Employees:
- Paid vacation days that increase with tenure
- Separate sick leave that rolls over each year
- Up to 10 Paid holidays*
- Medical, Dental, Vision benefit plan options
- Employee Assistance Program
- Health, Dependent and Transportation Flexible Spending Accounts
- Employee, Spouse and Dependent Basic and Optional Life Insurance
All Employees:
- 401 K Plan
- Mileage & Cell Phone Reimbursement (or company phone)
- Pet Insurance
- DailyPay- daily access to your earnings without waiting for payday!
- SoFi at Work student loan refinancing
- Next Steps Financial Wellness program webinars and tools
- Company laptop and great IT support
- Verizon discount
- Dell discount
- Perks at Pathways national discounts on travel, shopping, and entertainment
- Training, Development and Continuing Education Credits for licensure requirements
- Opportunities for advancement! As we grow, you grow with us!

To Learn More About Us:

Pathways @ http://www.pathways.com/mission-vision-and-values/

Current openings @ https://www.pathways.com/working-at-pathways
Pathways is an equal opportunity employer with a commitment to diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, disability, veteran status or any other protected characteristic.

- benefit availability may vary by State/County

Quick Apply

Refine Your Search

manager utilization mgmt jobs

Utilization Manager

Utilization Manager

Senior Manager, Utilization Management

Nurse Case Manager, Utilization Management

Manager, Utilization Review

Program Manager EHR Trainer

Biologics Manager

Clinic Engagement Manager

ECM Clinical Manager (RN)

Epic Patient Access Applications Manager

Clinical Services Assistant Manager

CTMA Manager

Care Manager - Utilization Management (Must Have UAS Experience)

Program Manager, Healthcare Services (Enhanced Care Mgmt - PST hours)

ECM Clinical Manager (LCSW/LMFT)

Clinical Site Relationship Manager

CHS Utilization and Appeals Manager

Medical Billing Manager

RN - Operations Educator Supervisor

Manager Quality & Performance Improvement

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