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Showing 1-20 of 5,888
Utilization Management Specialist jobs

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Pella Regional Health Center-Iowa

V Experience in Case Management preferred. V Knowledge of insurance, utilization review, Medicare, Medicaid. Uses current utilization review practices, Milliman...

Meritage Medical Network-Novato, CA

This position also coordinates directly with Utilization Management to ensure a complete network of service offerings and contracts with non-network providers...

Logisticare-Salt Lake City, UT

We seek a Utilization Review Specialist to join our growing company. Prior experience in medical office, social service or case management....

Surf City Recovery-Huntington Beach, CA

SCR is looking for a dedicated and experienced Utilization Review Specialist to join our team. In addition, candidate will also provide some case management...

Select Medical-Mechanicsburg, PA

The Corporate Utilization Management Specialist is responsible for utilization management functions and appropriate application of medical necessity criteria....

Nationwide Mutual Insurance Company-Gainesville, FL

Good verbal and written communication skills required for contacts with all levels of staff, management, external sources, negotiation, presentations, project...

Beach House Center for Recovery-Juno Beach, FL

Ensure that both effective utilization management and client experience standards are maintained. Train staff on insurance utilization review and authorization...

Kindred At Home-Newnan, GA

Proven track record of clinical management, education and management of healthcare staff. Minimum of one year in a clinical management role....

Kindred At Home-Columbia, MO

Proven track record of clinical management, education and management of healthcare staff. Minimum of one year in a clinical management role....

FIS-New York, NY

FIS Global, Institutional and Wholesale is seeking a Managing Director, Key Account Management (MD, KAM) for the Key Account Management Program....

Method 3-Carlisle, PA

Vendor Management and Service Level Agreements. Ensure the appropriate utilization of HR data according to the Global Information Projection Instructions....

AtriCure, Inc.-Long Island, NY

Guidance and support for physicians during live surgical procedures, and utilization and/or operation of company technology....

Prudential-Dubuque, IA

The Relationship Management Specialist is responsible for ensuring client satisfaction through periodic client meetings and discussions covering service levels,...

Skyline Madison Campus-Madison, TN

Ability to research, understand, and explain healthcare services' volume, utilization, and market data....

Salude-Suwanee, GA

Supervise Licensed Practical Nurses, Care Specialists (CNA) and other personnel. Ongoing pursuit of Continuing Education Credits in clinical subjects,...

Navitus Health Solutions / Lumicera Health Services-Madison, WI

Familiarity with Formulary, Prior Authorization, Step Therapy, and other utilization management tools. The Specialist, Formulary Operations will perform the...

Managed Health Services IN-Indianapolis, IN

Knowledge of utilization management principles and healthcare managed care. Participate in case management committees and work on special projects related to...

Adeptus Health - Corporate-Lewisville, TX

Interfaces with Senior Management, Billing, IT, Accounting and Patient Accounts Departments. Interacts with Senior Management billing, IT, and Accounting on...

MountainView Hospital-Las Vegas, NV

Utilization review or Case Management experienced in an acute care facility. (includes, but is not limited to):....

Substance Abuse Facility-West Palm Beach, FL

Preferred Candidate should have a minimum of 2 years’ current experience/knowledge in Utilization Review & Management....


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