Talent.com
Oklahoma Licensed Utilization Manager

Oklahoma Licensed Utilization Manager

VirtualVocationsHuntsville, Alabama, United States
job_description.job_card.variable_hours_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 • Huntsville, Alabama, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Travel Physical Therapist (PT) in Fayetteville, TN

Travel Physical Therapist (PT) in Fayetteville, TN

AlliedTravelCareersFayetteville, TN, US
serp_jobs.job_card.full_time +1
AlliedTravelCareers is working with Delta Healthcare Providers to find a qualified Physical Therapist (PT) in Fayetteville, Tennessee, 37334!. Setting : Outpatient, Orthopedics .Compensation : $1,65...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Minnesota Licensed Program Manager

Minnesota Licensed Program Manager

VirtualVocationsHuntsville, Alabama, United States
serp_jobs.job_card.full_time
A company is looking for a Program Manager for the Preferred Provider Network.Key Responsibilities Lead and coordinate strategic and operational processes for the Preferred Provider Network Deve...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Iowa Licensed RN Case Manager

Iowa Licensed RN Case Manager

VirtualVocationsHuntsville, Alabama, United States
serp_jobs.job_card.full_time
A company is looking for an RN Case Manager to provide comprehensive case management services remotely.Key Responsibilities : Provide telephonic case management and utilization review for assigned...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Licensed Medicare Operations Supervisor

Licensed Medicare Operations Supervisor

VirtualVocationsHuntsville, Alabama, United States
serp_jobs.job_card.full_time
A company is looking for a Supervisor Medicare LTSS Operations.Key Responsibilities Ensure effective daily operation of the Medicare LTSS Care Coordination team and supervise staff Develop and m...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Kentucky Licensed Care Manager

Kentucky Licensed Care Manager

VirtualVocationsHuntsville, Alabama, United States
serp_jobs.job_card.full_time
A company is looking for a Care Manager Transition of Care.Key Responsibilities Evaluate member needs through post-discharge assessments and medication reconciliation Develop care / service plans ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Georgia Licensed Utilization Management RN

Georgia Licensed Utilization Management RN

VirtualVocationsHuntsville, Alabama, United States
serp_jobs.job_card.full_time
A company is looking for an RN Central Utilization Management.Key Responsibilities Conduct medical necessity reviews and clinical assessments for patient admissions and ongoing care Ensure timel...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
RN Licensed Utilization Management Supervisor

RN Licensed Utilization Management Supervisor

VirtualVocationsHuntsville, Alabama, United States
serp_jobs.job_card.full_time
A company is looking for a Supervisor of Utilization Management to oversee a clinical review team ensuring appropriate care for members. Key Responsibilities Supervises day-to-day activities of th...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Ohio Licensed Clinical Outcomes Manager

Ohio Licensed Clinical Outcomes Manager

VirtualVocationsHuntsville, Alabama, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Outcomes Manager - Population Health.Key Responsibilities Conducts regular in-person and virtual rounds to provide status reports and insights to providers and...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Assistant Manager

Assistant Manager

SonicOwens Cross Roads, AL, US
serp_jobs.job_card.full_time
Hot burgers, cold shakes, and little moments of magic right in the neighborhood.At SONIC, we do things a little differently. We find the fun, the moment of chill in the everyday.Working at SONIC, yo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Travel Physical Therapist (PT) - $1,796 to $1,968 per week in Fayetteville, TN

Travel Physical Therapist (PT) - $1,796 to $1,968 per week in Fayetteville, TN

AlliedTravelCareersFAYETTEVILLE, TN, US
serp_jobs.job_card.full_time
AlliedTravelCareers is working with AMN Healthcare Allied to find a qualified Physical Therapist (PT) in FAYETTEVILLE, Tennessee, 37334!. Job Description & Requirements.Physical Therapist - Outp...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Tax Associate - Local

Tax Associate - Local

IntuitGurley, AL, United States
serp_jobs.job_card.full_time
Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Associates in one of our new TurboTax locations across the United States on...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Oregon Licensed Operations Manager

Oregon Licensed Operations Manager

VirtualVocationsHuntsville, Alabama, United States
serp_jobs.job_card.full_time
A company is looking for a Delegate Operations Program Manager II.Key Responsibilities Lead the annual subcontractor performance review process for assigned delegated entities Develop and update...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Travel LPN / LVN - $44 per hour in Harvest, AL

Travel LPN / LVN - $44 per hour in Harvest, AL

TravelNurseSourceHarvest, AL, US
serp_jobs.job_card.full_time
TravelNurseSource is working with Adelphi Medical Staffing to find a qualified Other LPN / LVN in Harvest, Alabama, 35749!. Profession : Licensed Practical Nurse.Mon, Tue, Wed, Thu, Fri, Sat, 11 : 00 ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Travel Outpatient Physical Therapist

Travel Outpatient Physical Therapist

Synergy Medical StaffingFayetteville, TN, US
serp_jobs.job_card.permanent
Synergy Medical Staffing is seeking a travel Outpatient Physical Therapist for a travel job in Fayetteville, Tennessee.Job Description & Requirements. Location : Fayetteville, Tennessee.Shift : 5x...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Utilization Management Representative

Utilization Management Representative

VirtualVocationsHuntsville, Alabama, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Management Representative - DME - Remote.Key Responsibilities Coordinate prior authorization reviews and ensure compliance with requirements Verify insuran...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Case Manager (NC, FL Licensed)

Case Manager (NC, FL Licensed)

VirtualVocationsHuntsville, Alabama, United States
serp_jobs.job_card.full_time
A company is looking for a Case Manager located in Charlotte, NC; Raleigh, NC; or Orlando, FL.Key Responsibilities Serve as the primary contact for client, provider, and customer inquiries regard...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Compact RN Utilization Management Nurse

Compact RN Utilization Management Nurse

VirtualVocationsHuntsville, Alabama, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Management Nurse RN - Remote.Key Responsibilities Conduct prior authorization reviews for skilled nursing facilities, acute inpatient rehabilitation, and lo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Florida Licensed Utilization Management RN

Florida Licensed Utilization Management RN

VirtualVocationsHuntsville, Alabama, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Management RN PRN.Key Responsibilities Analyze patient records to assess hospital admissions, treatment legitimacy, and appropriate care levels Facilitate ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours