TITLE: Director Case Management / Utilization Management / CDI Location: Buckeye Lake, OH Now is your chance... while simultaneously promoting cost-effective resource utilization. Provides director-level oversight of Inpatient and ED Case Management...
strategic and operational leadership. This leadership is for SFHP's Utilization Management (UM) program, ensuring members...: $195,000 - $215,000 per year WHAT YOU WILL DO: Lead daily operations of the Utilization Management department, including prior authorization...
Director of Utilization Management provides strategic leadership, oversight and operational management for all utilization..., and manages resource utilization across the acute care continuum. The Director collaborates with medical staff, nursing, revenue...
Director of Case Management / Utilization Management / CDI Location: near Gratiot, OH Now is your chance..., this opportunity is worth exploring. Position Highlights Full-time, Director-level leadership role overseeing Case Management...
, regarding utilization review and specific managed care issues. · Provide staff management to including hiring, development... population of the facility preferred. · Four or more years’ experience in utilization management required. · Three...
! Dynamic physician leader needed to champion FirstHealth’s Utilization Management efforts. We are a private, community-based...- and under-utilization of resources, medical necessity, levels of care, care progression, denial management, compliance with governmental...
Job Category: Case Management Job Description: Responsible for the utilization management, quality assurance... management, department director and/or physician advisor as appropriate. Refer cases not meeting criteria (including situations...
Job Title: Utilization Management Coordinator Job Description As a Utilization Management Coordinator.... Your role will involve compiling daily inpatient logs, reviewing specified utilization management reports, processing referrals...
Organizations, and the Director of Utilization Management, while monitoring quality of documentation to facilitate collections... have an opportunity for a Full Time Case Manager (Utilization Management). The Case Manager collaborates with physicians to effectively...
. Reports to the Health Plan Manager of Utilization Management. This position will be an integral member of the health plan... populations. 2. Utilization Management experience. CORE DUTIES AND RESPONSIBILITIES: The statements described...
Organizations, and the Director of Utilization Management, while monitoring quality of documentation to facilitate collections... have an opportunity for a Full Time Case Manager (Utilization Management). The Case Manager collaborates with physicians to effectively...
Utilization Management Nurse Consultant (Lead) will report to the FEP Utilization Management Medical Review Manager. In this role... relevant experience 4 years clinical experience preferred * Previous experience in utilization management preferred...
management experience Strong knowledge of utilization management processes and industry best practice In-depth knowledge... clinical and operational management services and market expansion initiatives for Managed Medicaid, Medicare Advantage, Special...
JOB RESPONSIBILITIES Utilization Management- Utilization Management: Independently working more complex prospective... meetings to promote knowledge, troubleshoot, problem shoot and resolve issues as relates to utilization management. Serves...
Job Title: Utilization Management Coordinator Job Description As a Utilization Management Coordinator.... Your role will involve compiling daily inpatient logs, reviewing specified utilization management reports, processing referrals...
Job Category: Health Information Management Job Description: Senior Utilization Management Assistant at Irvine..., CA. This position is Per Diem and will work 8-hour, Day shifts. Under the supervision of Regional Director of Care Management, the...
identified with at risk or high utilization needs. Functions as an active team member of the Utilization Management Team. KEY...JOB SUMMARY: Responsible for clinical review of utilization requests and assessment and implementation of potential...
or three (3) years utilization/case management or 3rd party payer work experience. Ability to adjust priorities quickly... solving skills. Scheduled work hours and days may vary depending upon departmental needs determined by department director...
Job Category: Revenue_Cycle Job Description: Under broad direction from the Centralized Utilization Management... Manager, is responsible for the hospital-wide Utilization Management Programs in a general acute care hospital which serves...
. In addition, the Clinical Utilization Management Pharmacist will work with our Medical Director and Clinical Formulary team... information about this position. Reporting to the Manager of Clinical Pharmacy, the Clinical Utilization Management Pharmacist...