Showing 1-20 of 6,187
Showing 1-20 of 6,187
Utilization Management Specialist jobs

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NewCourtland NetworkPhiladelphia, PA

Under the direction of the AVP of Utilization Management, The UM Specialist implements and supports processes that assist the Network reach and/or maintain...

HealthfirstNew York, NY

Advanced degree from an accredited institution with focus in Communications, Organizational Psychology, Change Management, Organizational Transformation Strong...

CenteneAbilene, TX

Participate in case management committees and work on special projects related to case management as needed....

EmblemHealthNew York, NY

Provides recommendations to management regarding administrative costs, cost saving opportunities, best practices and performance issues....

UW HealthMadison, WI

In addition to donor case management and donor family support, the OPC candidate is expected to become involved in the OPO community as a whole;...

SilverSummit HealthplanLas Vegas, NV

Actively participate in integrated team care management rounds. Identify related risk management quality concerns and report these scenarios to the appropriate...

Dallas, TexasDallas, TX

The Labor Management Specialist will serve a key role as part of the Performance Management and Innovation (PMI) team located in the home office in Dallas....

Memorial HermannHouston, TX

Ensures safe care to patients, adhering to policies, procedures, and standards, within budgetary specifications, including time management, supply management,...

Clear View Behavioral HealthLoveland, CO

The Utilization Review Specialist is responsible for reviewing of assigned admissions, continued stays, utilization practices and discharge planning according...

Herman & KittleIndianapolis, IN

Herman & Kittle Properties-Lead Management Specialist. Use and management of outside training software programs (i.e....

The OrchardsChester, WV

Tracks Medicare customer days and utilization to ensure that the criteria for “skilled services” continues to be met and that documentation supports services...

Community First Health CentersNew Haven, MI

The Clinical Improvement Specialist is responsible for providing quality management and clinical education support to DCS and its programs....

Cancer Treatment Centers of AmericaAtlanta, GA

Utilization Management, Bill Audit, Case Management or Appeals and Denials experience preferred. Responsible for coordinating and performing all aspects of...

BOE GroupGreen Bay, WI

CHANGE INTEGRATION SPECIALIST. Relevant post-secondary degree and/or Change Management certification. Awareness/understanding, speed of adoption, ultimate...

Crestview RecoveryPortland, OR

Utilization Review Specialist. Strong organizational, decision-making, problem-solving and time management skills....

PeaceHealthSpringfield, OR

Certified Wound Specialist (CWS) required at date of hire. Updates Pressure Ulcer Policy and Procedure, monitors specialty bed utilization....

MountainView HospitalLas Vegas, NV

A minimum of two years of experience in nursing or other clinical area, coding, process improvement, or utilization review/case management in an acute care...

Peak Wellness CenterLaramie, WY

Ensures professional interface with Behavioral Health Organization partner for utilization management. Responsible for clinical services within the psychosocial...


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