Top 24 Utilization management Jobs in Cullman Al

CASE MANAGER FT
CULLMAN REGIONAL —Cullman, AL
- Full-time
- Microsoft Word
- Nursing
- Microsoft Excel
Registered Nurse - Full Time
Hometown Medical Group —Cullman, AL
- From $30 an hour
- Full-time
- Vital signs
- Medication administration
- RN License
- AD&D insurance
- Paid holidays
Quick Apply
11d
Hospital - Clinical Pharmacist Specialist (Bone Marrow Transplant)
UT Health Science Center at San Antonio —United States
- Hospital
- Outpatient experience
- 3 years
Quick Apply
Remote Physician (MD/DO), PMR or Neurology, Outpatient Prior Authorizations (REMOTE/FT) (IC to FTE)
Virtix Health —United States
- $125 an hour
- 8 hour shift
- Remote
- Background check
- Medicine
- Doctoral degree
- Work from home
Quick Apply
Family Medicine Medical Director Utilization Management
Amerihealth Caritas —United States
- Weekends as needed
- Hybrid work
- Medicine
- Physical & Rehabilitation Medicine
- 3 years
- Paid holidays
- Health insurance
Inpatient Medical Coding Quality Auditor
Pena4 Inc. —United States
- $80,000 - $90,000 a year
- 8 hour shift
- Remote
- 5 years
- US work authorization
- Senior level
- Health insurance
- Dental insurance
Quick Apply
5d

More jobs to discover

Find similar jobs that you might be interested in.

Legal Nurse Consultant (Acute Care)
Starnes Davis Florie LLP —Birmingham, AL
Working closely with attorneys, this role evaluates medical records, identifies liability and causation issues, supports defense strategy, and transforms…
$100,000 a year
Quick Apply
Legal Nurse Consultant (Long-Term Care)
Starnes Davis Florie LLP —Birmingham, AL
Working closely with attorneys, this role evaluates medical records, identifies liability and causation issues, supports defense strategy, and transforms…
$100,000 a year
Quick Apply

Show more similar jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Utilization Management Behavioral Health Professional
Humana —Ohio
Bachelor's degree in nursing OR a master's degree in a Human Services field with a professional individual or compact licensure in the state of Kentucky without…
$65,000 - $88,600 a year
1d
Branch Manager
BrightStar Care —Columbus, OH
Valid driver's license and reliable transportation. Bachelor's degree in healthcare administration, business, nursing, social work, or related field.
$64,404.77 - $79,562.73 a year
Quick Apply

Show more jobs in cities nearby

I want to receive the latest job alert for utilization management in cullman al

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

utilization management jobs near cullman al

CASE MANAGER FT

CULLMAN REGIONAL -
Cullman, AL

Apply Now

Job Details

Full-time

Qualifications

Microsoft Word
Customer communication
Microsoft Excel
Medicare
Word embeddings
Cerner
Acute care facility experience
InterQual
Utilization management
Resource utilization in healthcare

Full Job Description

Job Summary:

Coordinate with physicians, nurses, social workers and other health team members to expedite medically appropriate, cost-effective care.
Support physician provision of patient care with accountability for designated patient case load.
Facilitate precertification and payor authorization processes and facilitate collaborative management of patient care across the continuum, intervening as necessary.
Promote effective utilization and monitoring of healthcare resources and assumes a leadership role with the multidisciplinary team to achieve optimal clinical and resource outcomes.
Apply process improvement methodologies in evaluating outcomes of care.
Maintain and ensure adherence to clinical guidelines, tools and protocols based on evidence-based medicine related to quality measure indicators.
Assume leadership role in coordinating quality improvement activities related to quality measure initiatives.
Demonstrate and encourage team behavior and exceptional patient/guest experiences.
Uphold and promote patient safety and quality.

Education:
Associate's degree in nursing or higher degree is required. Currently licensed by the state of Alabama. BSN preferred.

Experience:
Five years' clinical experience in acute care setting i.e., medical surgery critical care, ER, OR required.

One year experience in Utilization Review with JIVA, Interqual, Cerner, Medicare, HMOs, and other payors.

Additional Skills/Abilities:
Skill and proficiency in applying highly technical principles, concepts and techniques that are central to case management. Advanced communication and interpersonal skills with all levels of internal and external customers. Must be proficient in Microsoft Word and Excel. Excellent organizational skills are required. Must be able to set priorities appropriately and handle multiple issues concurrently.

Apply Now

Refine Your Search

utilization management jobs in cullman al

CASE MANAGER FT

Registered Nurse - Full Time

Hospital - Clinical Pharmacist Specialist (Bone Marrow Transplant)

Remote Physician (MD/DO), PMR or Neurology, Outpatient Prior Authorizations (REMOTE/FT) (IC to FTE)

Family Medicine Medical Director Utilization Management

Inpatient Medical Coding Quality Auditor

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for utilization management in cullman al

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected