serp_jobs.error_messages.no_longer_accepting
Oklahoma Licensed Utilization Manager
VirtualVocationsLargo, Florida, United Statesjob_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Manager, Utilization Management to oversee two Utilization Management teams and ensure compliance with healthcare guidelines.
Key Responsibilities
Manage prior authorization, concurrent review, and retrospective clinical review teams to ensure compliance with guidelines
Analyze utilization management activities and provide recommendations for improvement to senior leadership
Develop and maintain utilization management policies and educate the team on key initiatives
Required Qualifications
Graduate of an Accredited School of Nursing or Bachelor's degree with 5+ years of related experience
2+ years of supervisory experience preferred
Knowledge of utilization management principles preferred
RN - Registered Nurse - State Licensure and / or Compact State Licensure required
serp_jobs.job_alerts.create_a_job
Utilization Manager • Largo, Florida, United States
Job_description.internal_linking.related_jobs
As a Manager, you'll lead operations and people with purpose-supporting AMC's Mission while bringing our Values to life.You'll drive results through coaching, communication, and ownership, and help...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Senior Project Manager to oversee energy resilience projects and stakeholder collaboration.Key Responsibilities Track multiple concurrent project lines of effort and ma...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Care Manager (RN) to develop and facilitate complex care management activities for members with physical needs.
Key Responsibilities Evaluate member needs and recommend ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
HealthAxis is a prominent provider of core administrative processing system (CAPS) technology, business process as a service (BPaaS), and business process outsourcing (BPO) capabilities to healthca...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Operations Manager - Non-Complex.Initiates, directs, and participates in community outreach programs by encouraging and supporting associates and managers in serving as good members of the communit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Delivers training programs for clinical staff across the enterprise to orient employees to Molina's clinical methodology, policies, processes, and systems.
Ensures all Molina clinical team members a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Utilization Review Clinical Liaison.Key Responsibilities Serve as the primary point of contact for 1st level utilization review (UR) cases Coordinate 2nd level escalat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Utilization Management Nurse Consultant.Key Responsibilities Assess, plan, implement, coordinate, monitor, and evaluate healthcare services / benefits for members Gather...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Care Manager (RN) to develop and facilitate care management activities for members with physical needs.
Key Responsibilities Evaluate member needs and recommend care pla...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 
Our ideal Program Manager will be a person that ebraces that excellence is a process, a skill to be developed.This person must have a passion for staff and self-development.This person should have ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Utilization Review Nurse (PRN).Key Responsibilities Review and evaluate electronic medical records for emergency admissions to assess medical necessity Apply clinical ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Substation Group Manager to lead its utilities engineering team.Key Responsibilities Manage department resources and provide mentorship to staff Lead substation design...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours 
Hybrid with Occasional Travel; Supporting Service Territories in Florida, Delaware, Maryland, Pennsylvania, North Carolina, Virginia, Georgia, & Ohio.
At the heart of our Company is a dedication to ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Care Manager (RN) to develop and facilitate complex care management activities for members with physical needs.
Key Responsibilities Evaluate member needs and barriers t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a UM Coordinator Supervisor to oversee the operations and performance of the UM Coordinator team.
Key Responsibilities Supervises UM Coordinators in intake, case creation,...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
We're looking for motivated, engaged people to help make everyone's journeys better.The Unit Operations Manager is responsible for the day-to-day operations of the unit, while also ensuring complia...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Utilization Review Specialist to monitor and ensure the effective use of outpatient services.Key Responsibilities Establish and maintain methods for ensuring medical ne...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Partnership Manager, Energy Efficiency to lead trade ally engagement across the West Region.Key Responsibilities Identify and prioritize vendors in various energy effic...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Regional Utilization Review (UR) Manager to oversee and support utilization review operations across multiple facilities.
Key Responsibilities Manage and support facilit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day 
What do you get when you bring together a team of bright individuals and place them into an environment where "work" means making a difference in the lives of people across the globe?.You get Sciol...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
- serp_jobs.job_card.promoted
Manager
American Multi-Cinema, Inc.Brandon, FL, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
California Licensed Project Manager
VirtualVocationsClearwater, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Mississippi Licensed Care Manager
VirtualVocationsLargo, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Utilization Management Auditor
HealthAxis Group, LLCTampa, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Operations Manager (Non-Complex)
WalmartBrandon, FL, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Clinical Learning Facilitator - Utilization Management Trainer
Molina HealthcareTAMPA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Utilization Review Clinical Liaison
VirtualVocationsLargo, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Ohio Licensed Utilization Nurse Consultant
VirtualVocationsClearwater, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Kentucky Licensed Care Manager
VirtualVocationsClearwater, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Program Manager
DUI Counterattack, Hillsborouh, incTampa, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
State Licensed Utilization Review Nurse
VirtualVocationsClearwater, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Illinois Licensed Substation Manager
VirtualVocationsTampa, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Operations Training Manager
Chesapeake Utilities CorporationSpring Hill, FL, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Oklahoma Licensed Care Manager
VirtualVocationsLargo, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Utilization Management Supervisor
VirtualVocationsTampa, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Operations Manager
gategroupTampa, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Texas Licensed Utilization Review Specialist
VirtualVocationsLargo, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
California Licensed Partnership Manager
VirtualVocationsSaint Petersburg, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Florida Licensed UR Manager
VirtualVocationsLargo, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Operations / Outreach - USSOCOM
SciolexTampa, FL, USserp_jobs.job_card.full_time