Top 13132 Resource utilization manager Jobs

Manager, Utilization Review
Health Business Solutions LLC —Remote
- Nursing
- RN License
- Mid-level
7d
HOME CARE - RN CASE MANAGER
Aultman Health Foundation —Canton, OH
- Weekends as needed
- Nursing
- RN License
- Computer literacy
Respiratory Therapy Manager
Froedtert South, Inc. —Pleasant Prairie, WI
- Full-time
- Acute care
- PALS Certification
- Hospital
- Opportunities for advancement
Quick Apply
7d
Histology Manager
Medipath, LLC —Miramar, FL
- From $120,000 a year
- Full-time
- Spanish
- Word processing
- English
- Health savings account
- Relocation assistance
Quick Apply
Patient Care Manager - Floater (RN)
VITAS Healthcare —Lombard, IL
- $0.70 per mile
- Full-time
- Nursing
- RN License
- Mid-level
- Travel reimbursement
- Disability insurance
Quick Apply
Extrusion Manager
Iowa Aluminum Inc —Albia, IA
- Full-time
- 5 years
- Mentoring
- In-person
- Relocation assistance
- Health insurance
Quick Apply
3d
Registered Nurse Manager
Heart of Kansas Family Health Care, Inc. —St. John, KS
- $26 - $40 an hour
- Full-time
- CPR Certification
- Nursing
- RN License
- Continuing education credits
- Mileage reimbursement
Quick Apply
Electrical Estimator/Project Manager
Jtx electrical llc —Leander, TX
- $71,172.83 - $85,713.52 a year
- Full-time
- Construction site
- System design
- Mid-level
- Paid time off
- Flexible schedule
Quick Apply
14d
Transportation Supervisor
Gold Star Foods —Huntingdon, PA
- Full-time
- Spanish
- Management
- Customer service
Quick Apply
Registered Nurse Care Manager
McLaren Northern Michigan —Petoskey, MI
- From $35.84 an hour
- Full-time
- Nursing
- RN License
- BLS Certification
- Loan repayment program
- Relocation assistance
Quick Apply
12d
CASE MANAGER -MH ADULT
Southside Behavioral Health —South Boston, VA
- $44,435 - $77,761 a year
- 8 hour shift
- Bilingual
- Background check
- Clean driving record
- Health insurance
- Dental insurance
Quick Apply
Production Manager Data Center Infrastructure
Sanmina Corporation —Fremont, CA
- $120,000 - $160,000 a year
- 7 years
- Master's degree
- Supervising experience
- Paid holidays
- Disability insurance
General Manager
Valley Heating & Cooling —Decatur, AL
- $120,000 - $150,000 a year
- Full-time
- 5 years
- Office
- Residential
- Paid training
- Health savings account
Quick Apply
UM Case Manager/Appeals Coordinator
Havenwyck Hospital (UHS) —Auburn Hills, MI
- $60,000 - $69,000 a year
- Full-time
- Background check
- LMFT
- Nursing
- Loan repayment program
- Health insurance
Quick Apply
Project Manager/Estimator
Arrowhead Glass —Houston, TX
- $50,000 - $60,000 a year
- Full-time
- Construction site
- Mid-level
- In-person
Quick Apply
Electrical Operations Manager
Confidential —Alpharetta, GA
- From $150,000 a year
- Full-time
- Construction site
- System design
- Analysis skills
- Health savings account
- Health insurance
Quick Apply
Case Manager - Bronson Battle Creek
Bronson Healthcare —Battle Creek, MI
- Part-time
- Acute care
- Nursing
- RN License
Quick Apply
District Manager
Axon Energy Services —Odessa, TX
- Full-time
- Background check
- 7 years
- Inventory control
- Health savings account
- Health insurance
Quick Apply
13d
Regional Clinical Manager
VITRA Health —Boston, MA
- $130,000 - $140,000 a year
- Full-time
- Nursing
- RN License
- Customer service
- Disability insurance
- Health insurance
Quick Apply
Licensed Senior Structural Project Manager (Bridge)
Huitt-Zollars —Dallas, TX
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Office
- Commuter assistance
- AD&D insurance
Quick Apply

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Manager, Utilization Review

Health Business Solutions LLC -
Remote

Apply Now

Job Details

7 days ago

Qualifications

RN License
Bachelor of Science in Nursing
Bachelor's degree in nursing

Full Job Description

The Manager, Utilization Review is responsible for overseeing the daily operations of the Utilization Review for one of our clients and leading a team of Utilization Review Nurses. This role involves ensuring efficient care coordination, managing healthcare costs, and maintaining high-quality patient care standards. The Manager, Utilization Review will collaborate with various healthcare professionals to improve patient outcomes and streamline care processes.

Key Responsibilities:

1. Leadership and Team Management:

Supervise and mentor a team of Utilization Review Nurses, providing guidance and support to ensure excellent performance.

Foster a collaborative and cohesive work environment within the department.

Conduct regular staff meetings, performance evaluations, and staff development activities.

2. Care Coordination and Oversight:

Oversee the development and implementation of individualized care plans for patients.

Collaborate with the healthcare team to ensure coordinated and efficient patient care across different healthcare settings.

Monitor and assess the appropriateness of care plans and resource utilization.

3. Quality Improvement:

Implement and monitor quality improvement initiatives to enhance patient outcomes and compliance with healthcare regulations.

Analyze data and metrics to identify areas for improvement in care coordination processes.

4. Budget Management:

Manage the department's budget and resource allocation efficiently while maintaining high-quality patient care.

Collaborate with finance and administrative teams to optimize resource utilization.

5. Staff Development:

Provide ongoing training and education to Utilization Review Nurses to keep them updated on best practices and regulatory changes.

Encourage professional growth and development within the department.

6. Patient Advocacy:

Serve as a patient advocate, ensuring that patients' needs and preferences are addressed throughout their healthcare journey.

Participate in complex case reviews and offer guidance on challenging patient cases.

7. Documentation and Compliance:

Ensure accurate and timely documentation of patient records, care plans, and progress notes in accordance with regulatory standards.

Qualifications:

Current RN (Registered Nurse) license. Compact or Multi-State License strongly preferred.

Bachelor's degree in Nursing (BSN) required Masters (MSN) preferred.

Previous experience in case management or care coordination, with at least 2 years in a leadership role.

Strong clinical assessment and critical thinking skills.

Excellent communication and interpersonal skills.

Knowledge of healthcare regulations, insurance processes, and quality improvement methodologies.

Proficiency in electronic health records (EHR) and healthcare software.

Dedication to patient-centered care and a commitment to ethical practice.

If you are an experienced and visionary nurse leader who is passionate about improving patient care and outcomes, we invite you to apply for the Utilization Review Nurse Manager position. Join our team and lead the way in optimizing patient care. Apply today!

Health Business Solutions (HBiz) is an Equal Opportunity Employer. We are committed to providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, or any other status protected by applicable federal, state, or local law.

HBiz complies with all applicable employment laws for remote and multi-state hiring and provides reasonable accommodations as required by law.

Apply Now

Refine Your Search

resource utilization manager jobs

Manager, Utilization Review

HOME CARE - RN CASE MANAGER

Respiratory Therapy Manager

Histology Manager

Patient Care Manager - Floater (RN)

Extrusion Manager

Registered Nurse Manager

Electrical Estimator/Project Manager

Transportation Supervisor

Registered Nurse Care Manager

CASE MANAGER -MH ADULT

Production Manager Data Center Infrastructure

General Manager

UM Case Manager/Appeals Coordinator

Project Manager/Estimator

Electrical Operations Manager

Case Manager - Bronson Battle Creek

District Manager

Regional Clinical Manager

Licensed Senior Structural Project Manager (Bridge)

I want to receive the latest job alert for resource utilization manager

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