Director Utilization Management with CA RN License
A company is looking for a Director of Utilization Management.Key Responsibilities : Oversee utilization management nursing teams and operationsDevelop UM work plans and bring new lines of business into the UM workflowReview program metrics, analyze statistics, and provide reporting to leadershipRequired Qualifications : 5 years of progressive leadership experience in Care ManagementMaster's degree in nursing or equivalent experienceClear and current CA Registered Nurse (RN) licenseKnowledge of healthcare laws and regulationsExperience in developing and leading care coordination programs
Director of Utilization Management
A company is looking for a Director of Utilization Management (UM) Cost of Care Strategy. ...
National Accounts Director - CA/CO/ID/MT Remote
The Cardiac Management Solutions division of ZOLL Medical Corporation develops products to protect and manage cardiac patients, including the LifeVest wearable cardioverter defibrillator (WCD), the ZOLL cardiac monitor, and associated technologies. The National Accounts Director will assume full res...
Telephonic Case Manager - CA RN License
A company is looking for a Telephonic Case Manager with compact and CA RN licenses. ...
Behavioral Health Utilization Management Clinician I - Rn, Lpn, Licsw, Lmhc, Lmft
Communicate effectively with medical director regarding identified variances within the case against criteria utilized for medical review. Regularly communicates with the UM Manager, Medical Director, physician advisor/reviewer and primary care physician for support, problem resolution and notificat...
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...
Medical Director, Utilization Management
Provide clinical support and participate in utilization management, quality management, clinical services and care management programs to identify opportunities for improvement and efficiency. Two (2) years of previous medical director experience working for a health plan, medical group, or hospital...
Supervisor Utilization Management RN
Key Responsibilities:Oversee daily operations of the Clinical Team, ensuring data integrity and compliance with regulatory standardsConduct reviews of inpatient and outpatient services to determine medical appropriateness and coordinate care plansEngage with members to assess needs and support them ...
Director Utilization Management
Minimum 3 years of clinical case management (Utilization Management, Denial Management, Care Coordination). The Utilization Management (UM) Director is responsible for the market(s) development, implementation, evaluation and direction of the Utilization Management Program and staff in support of th...
RN Supervisor Utilization Management
A company is looking for a Supervisor, Utilization Management to oversee clinical review teams ensuring appropriate care for members. US citizenship and current National Agency Check government security clearance required for certain positions. ...
RN Utilization Management Review - SNF
A company is looking for a Utilization Management Registered Nurse 2 for SNF Review. ...