- Baylor Scott & White Health (San Juan, PR)
- …and members. **Key Success Factors** + Demonstrable knowledge in discharge planning, case management , utilization review and different care levels. + ... type and/or level **Job Summary** As a Manager for Utilization Review , you guide and supervise staff....work experience + Hold a valid registration as a Registered Nurse As a health care system… more
- Elevance Health (San Juan, PR)
- …in an ambulatory or hospital setting or minimum of 1 year of prior utilization management , medical management and/or quality management , and/or ... from one of the 50 states of the United States. + Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding, and managed health care including… more