- Humana (Salt Lake City, UT)
- …a part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills to support ... more
- Humana (Salt Lake City, UT)
- …a part of our caring community and help us put health first** The Manager , Utilization Management Behavioral Health utilizes behavioral health knowledge and ... more
- Veterans Affairs, Veterans Health Administration (Salt Lake City, UT)
- …of care among relevant VA providers and the Women Veterans Program Manager (WVPM) and Women's Health Medical Director. Facilitates coordination of maternity care ... more
- Molina Healthcare (Layton, UT)
- …performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), ... more
- Molina Healthcare (Layton, UT)
- …integrated) performing one or more of the following activities: utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.). ... more
- Highmark Health (Salt Lake City, UT)
- …Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... more
- University of Utah Health (Salt Lake City, UT)
- **Overview** **Come join our growing Case Management Team! Utilize your clinical & critical thinking skills to coordinate care from hospital to next level of care. ... more
- Molina Healthcare (Layton, UT)
- …including 3 or more years in one or more of the following areas: utilization management , case management , care transition and/or disease management ... more
- University of Utah Health (Salt Lake City, UT)
- …education in healthcare or a related field. + One year of experience in a utilization review or case management environment. + Basic Life Support Health Care ... more
- Molina Healthcare (Layton, UT)
- …Chief Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + ... more
- Molina Healthcare (Layton, UT)
- …of payment decisions. + Serves as a clinical resource for Utilization Management , Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. ... more
- Molina Healthcare (Layton, UT)
- …Clinical Coder + Certified Medical Audit Specialists (CMAS) + Certified Case Manager (CCM) + Certified Professional Healthcare Management (CPHM) Certified ... more