A company is looking for a Supervisor, Utilization Management.Key Responsibilities : Monitoring and tracking UM resources to ensure adherence to performance, compliance, quality, and efficiency standardsCollaborating with the UM team to resolve complex care member issuesEducating and providing resources for the UM team on key initiatives and facilitating communication between team, members, and providersRequired Qualifications : Graduate of an Accredited School of Nursing or Bachelor's degree with 4+ years of related experienceKnowledge of utilization management principles preferredActive RN - Registered Nurse - State Licensure and / or Compact State LicensureExperience in developing and implementing UM policies, procedures, and guidelinesExperience in evaluating UM team performance and providing feedback
Supervisor, Utilization Management
The Supervisor of Utilization Management (UM) is responsible for the direct oversight of daily operations of utilization management activities, providing assistance with the development and implement of new programs and related workflows, policies, procedures for all lines of business, and serving a...
RN Director Utilization Management
A healthcare organization is seeking an RN Director of Utilization Management. ...
UTILIZATION MGMT ED RN - Case Management - Full-time (1.0 FTE), 8-hr. Days
Working in collaboration with Physician Advisors, Financial Services, Compliance, Denials Management, Patient Access, Clinical Documentation Integrity, Billing, and Revenue Cycle, the UM RN plays an essential role in the financial health of the institution, navigating the complexities of patient car...
RN Care Manager Utilization Management
Key Responsibilities:Review utilization of resources to reduce unnecessary lengths of stay and overutilization of hospital servicesCommunicate with healthcare team, payers, and others to promote cost-effective outcomesMentor staff, collaborate with on-site care management team, and maintain educatio...
UTILIZATION MGMT ED RN - Case Management - Full-time (1.0 FTE), 8-hr. Evenings
Working in collaboration with Physician Advisors, Financial Services, Compliance, Denials Management, Patient Access, Clinical Documentation Integrity, Billing, and Revenue Cycle, the UM RN plays an essential role in the financial health of the institution, navigating the complexities of patient car...
Director Utilization Management with CA RN License
A company is looking for a Director of Utilization Management. ...
Utilization Management RN - Per Diem
The Utilization Management RN will interface with managed care organizations, external reviewers and other payers to ensure that the admission, continued stay, and discharge plan complie utilizations with TJC, HCFA, and established utilization management policies and procedures. Utilization Manageme...
Utilization Management RN - Per Diem
The Utilization Management RN will interface with managed care organizations, external reviewers and other payers to ensure that the admission, continued stay, and discharge plan complie utilizations with TJC, HCFA, and established utilization management policies and procedures. Utilization Manageme...
Utilization Management RN (Relief) - Case Management - Relief / Per Diem, 8-hr. Days
Working in collaboration with Physician Advisors, Financial Services, Compliance, Denials Management, Patient Access, Clinical Documentation Integrity, Billing, and Revenue Cycle, the UM RN plays an essential role in the financial health of the institution, navigating the complexities of patient car...
Travel Nurse RN - Case Manager - $2,508 to $2,781 per week in Irvine, CA
Ready to learn more? Apply today to start your Travel Adventure with LRS Healthcare!. ...