- AmerisourceBergen Drug Corporation (Conshohocken, PA)
- …people and animals everywhere. Apply today!Job Details Summary: Secure Supply Chain Manager will have three main responsibilities: 1) manage the overall vendor DSCSA ... local law.The company's continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters… more
- AmerisourceBergen Services Corporation (Kalamazoo, MI)
- …Apply today!Job DetailsUnder general supervision of the Field Sales Support Manager or Supervisor, supports sales associates with effective merchandising activities ... local law.The company's continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters… more
- UNC Health Care (Hillsborough, NC)
- **Description** RN Utilization Manager is responsible for clinical reviews for medical necessity for both admission and continuing stay patients during the day ... care episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management… more
- ERP International (Corpus Christi, TX)
- **Overview** ERP International is seeking a **Registered Nurse (RN)** ** Utilization Manager ** for a full-time position in support of the **Naval Health Clinic ... collection. Analyzes data and prepares reports to describe resource utilization patterns. Briefs applicable data/slides to provider staff, executive staff,… more
- UNC Health Care (Hendersonville, NC)
- …the health and well-being of the unique communities we serve. Summary: The Utilization Manager (UM) assesses new admissions, continued stay and discharge review ... met and care delivery is coordinated. The UM completes utilization reviews in accordance with federal regulations and the...patient data and treatments. Communicates daily with the Care Manager to manage level of care transitions & appropriate… more
- UNC Health Care (Hendersonville, NC)
- **Description** Job Summary The Utilization Manager (UM) assesses new admissions, continued stay and discharge review cases for medical necessity, appropriate ... met and care delivery is coordinated. The UM completes utilization reviews in accordance with federal regulations and the...patient data and treatments. Communicates daily with the Care Manager to manage level of care transitions & appropriate… more
- Acacia Network (Bronx, NY)
- Acacia Network Inc. Utilization Manager Bronx, : 5/30/2024 Job Description Job ID#: 3904 Job Category: Acacia Network Inc. Position Type: Full Time Details: ... residential services requiring MCO approval. The salary for the Utilization Manageris $65,000/annually based on relevant experience. KEY ESSENTIAL FUNCTIONS:… more
- Samaritan Daytop Village (Rhinebeck, NY)
- …and goal of sustaining high quality care/service delivery to persons served, the Utilization Manager works to assist CASAC Counselors and supervisory staff as ... needed with assuring compliance with external and internal utilization review/quality and appropriateness requirements. What qualifications do you need: + Bachelor… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Utilization Review Manager for the Selikoff Centers for Occupational Health is responsible for the management of program operations ... records, and internal and external regulatory and survey requirements. + The Utilization Review Manager collaborates with multiple professionals to support and… more
- Banner Health (AZ)
- …offering remote and hybrid work settings. In the role of a Behavioral Health Utilization Care Manager , you will be tasked with assignments at various hospitals ... SUMMARY This position is the point person for all utilization activities for assigned members. As part of an...of care and develops, implements, monitors and documents the utilization of resources and progress of the member through… more
- Humana (Jefferson City, MO)
- …a part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills to support the ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific guidelines… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and leadership programs + And more **Description** We're seeking an **Assistant Manager , Utilization Review** , responsible for supervising and coordinating ... activities of personnel in the Utilization Review Department, including: + Staff schedules to ensure...staff quality audits to ensure compliance of Emory Healthcares Utilization Review Plan, regulatory guidelines, and department policies and… more
- Trinity Health (Mason City, IA)
- …Monday-Friday 0630-1430; no weekends or holidays **About The Job** The Utilization Review Case Manager responsibilities include case screening, insurance ... in the state of Iowa. + Bachelor's Degree required. BSN preferred + Utilization management focused certifications that are recognized in the state of Iowa preferred… more
- Dartmouth Health (Lebanon, NH)
- Overview The Manager of Utilization Management is responsible for day to day operations of the utilization review program at multiple Dartmouth Health system ... hospitals covering a range of settings from the Academic Medical Center to Critical Access Hospitals. This role involves collaborating with program medical directors, care teams and health plans to ensure regulatory compliance and appropriate financial… more
- AdventHealth (Altamonte Springs, FL)
- **Senior Manager of Utilization ** **-AdventHealth Well65** **All the benefits and perks you need for you and your family:** . Benefits from Day One . Paid Days ... when not at a practice)** **The role you'll contribute:** The Senior Manager of Utilization will oversee ED, Inpatient, and Specialist utilization , and… more
- AmeriHealth Caritas (Dublin, OH)
- ** Utilization Management Plan Oversight Manager ** Location: Dublin, OH Primary Job Function: Medical Management ID**: 37872 Your career starts now. We are ... Officer for the Ohio Market, this position is representing Utilization Management (UM) in state interactions/audits, validation of regulatory reporting/analytics… more
- UCLA Health (Los Angeles, CA)
- …next level. You can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll provide direct management to a team ... (BSN) degree required + Five or more years of utilization management required + Four or more years of...off-site meetings and conferences + ACM - Accredited Case Manager preferred + CCM - Certified Case Manager… more
- Sharp HealthCare (San Diego, CA)
- …of the System Integrated Care Management (ICM) team the Transfer and Admissions Utilization Manager (UM) partners with the Centralized Patient Placement Center ... preferred.** + Experience and understanding of federal and state regulations governing utilization management. + Accredited Case Manager (ACM) - American Case… more
- McLaren Health Care (Detroit, MI)
- **Position Summary:** Responsible for providing assistance to the Utilization Manager (UM) RN in the coordination of patient admission and continued stay ... based on medical necessity. 2. Performs concurrent and retrospective utilization management-related activities and functions to ensure that appropriate data… more
- Hartford HealthCare (Torrington, CT)
- …moment*. **Job:** **Professional Clinical* **Organization:** **Charlotte Hungerford Hospital* **Title:** * Utilization Review Social Work Care Manager (LCSW) - ... Nurse Director & Social Work Supervisor, the Inpatient Psychiatric Utilization Review Social Worker will work collaboratively with the...activities on a 17 bed Adult unit. The Care Manager will liaison with insurance companies and other referral… more
