Showing 1-10 of 5,993
Showing 1-10 of 5,993
Utilization Management Specialist jobs

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PRIMARY PROVIDER MANAGEMENT COMPANY, INC. - Fresno, CA

Assist management to measure the effectiveness of the case management program and implement interventions for improvement....

Kindred At Home - Sandy Springs, GA

Nurse, quality assurance RN, quality assurance nurse, quality assurance registered nurse, OASIS C, OASIS-C, HCS-D, HCSD, HCS D, homecare coding, homecare coding...

Commonwealth Care Alliance - Massachusetts

Familiarity with utilization management review. The UM Specialist reports to the Utilization Management Nurse Manager....

Alameda Health System - Oakland, CA

Certification in Case Management, CCMC or ACM. Coordinates with Care Management team when cases do not meet criteria;...

New England Center for Mental Health - Littleton, MA

Maintains quality of care by integrating risk management, quality management, utilization management, and infection control management principles within the...

AP Staffing - Boston, MA

Collaborate with state agencies and behavioral health specialists to facilitate appropriate care and resolve clinical network management issues....

Blue Cross and Blue Shield of Kansas - Topeka, KS

3-5 years of case management or disease management experience desired. Experience in applying statistics to quality management research is preferred....

Meritage Medical Network - Novato, CA

2-3 years of utilization or HMO experience preferred. Highly organized, effective at time management, skilled in the use of computers and multiple software...

Aurora Behavioral Health Care - Covina, CA

Maintains appropriate records of the Utilization Review Department. To proactively monitor utilization of continuum services and optimize reimbursement for ACOH...


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