• Utilization Management ( UM

    Community Based Care of Brevard, Inc. (Osceola County, FL)
    Salary: $67,000/year Position Summary: The UM Program Manager provides oversight and management of service authorization data validation, reporting and trend ... line-by-line entries, and submits to finance for payment. The UM Program Manager reconciles ARGOS Dependency Cases...Function : Collect, analyze, and summarize data within the Utilization Management System to prepare reports for… more
    Community Based Care of Brevard, Inc. (06/18/24)
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  • Medical Director, UM Review, Family…

    AmeriHealth Caritas (Orlando, FL)
    …in collaboration with the Corporate Medical Director(s), Senior Medical Directors, Utilization Management and the Vice President, Medical Affairs. The ... **Responsibilities:** Provide organizational leadership in the operational areas of care management , utilization review, appeals, quality improvement and related… more
    AmeriHealth Caritas (06/11/24)
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  • Executive Medical Director Revenue Cycle

    AdventHealth (Maitland, FL)
    …and changes related to Care Management ..Serves as a member of the Utilization Management ( UM ) Committee by ensuring committee is actively reviewing ... experience **_E_** **_XPERIENCE_** **_P_** **_REFERRED_** _:_ . Understanding of Hospital Care Management , including Utilization Management . Two years or… more
    AdventHealth (05/18/24)
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