At St. Tammany Health System, delivering world-class healthcare close to home is our goal. That means we are committed to attracting and retaining the very best professionals for every position in our health system. We believe
Location:Christus St. Michael Hospital Pay Rate: Salary - Salary Plan, 52,500.00 USD Annual Work Shift:All salaried managers are expected to work 50 to 55 hours per week. (United States of America) Job Description We’re looking for a
At Duke Health, were driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we
Posting number: 2026-00161 Department: MANAGED CARE Division: YOEME HEALTH PLAN Job classification: Yoeme Managed Care Utilization Manager Posting type: External Posting Categories: Health Services SummaryThe Yoeme Managed Care Utilization Manager (YMCU) works with the Executive Director of Health to plan,
Company :Highmark Health Job Description : JOB SUMMARY *If located within a 50 mile radius of a Highmark office in PA, DE, WV or NY this is a hybrid role requiring 3 days in office *Note
Overview Evaluates patients for appropriateness of admission type and setting, utilizing a combination of clinical information and InterQual guidelines. The Utilization Review Nurse utilizes clinical knowledge to support the coordination and documentation and communication of medical services
Description Position Summary: The Manager, Clinical Workforce Utilization owns the end-to-end optimization of field clinician staffing across HealthFlex Home Health Services. This role is accountable for maximizing productive utilization of the clinical workforce, matching clinician capacity to patient demand
Description Under the general direction of the Director of Behavioral Health, the Case Manager – Utilization Review RN provides clinically based case management and utilization review services to support the delivery of high-quality, cost-effective patient care. The RN is
Santa Barbara Cottage Hospital seeks a Utilization Management Case Manager Lead for their Care Management department responsible for providing education on current and updated regulatory compliance, orients and trains all new hires. Assists Manager of Case Management with meetings,
Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates
Overview Chino Valley Medical Center is a 112-bed community hospital established in 1972 and centrally located in Southern California’s Chino Valley. A nine-time recipient of the Healthgrades Patient Safety Excellence Award (2014-2022), Chino Valley Medical Center
Overview Chino Valley Medical Center is a 112-bed community hospital established in 1972 and centrally located in Southern California’s Chino Valley. A nine-time recipient of the Healthgrades Patient Safety Excellence Award (2014-2022), Chino Valley Medical Center
Summary Oversees the accurate processing of claims that have been deferred for medical necessity review. Ensures compliance with nationally recognized standards, and local, state, and federal laws and regulations. Identifies and implements process improvement opportunities. Description
Job Description:The role of the inpatient case manager is one of patient advocate of appropriate utilization of resources. The inpatient case manager applies the process of assessment, planning, implementation, monitoring, evaluation and coordination of care to meet the patient’s
The Utilization Review RN Case Manager applies knowledge of medical necessity criteria and regulatory requirements in determining the appropriate patient status for any person destined for a bed on the patient care units. This position works closely with
Overview St. Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles. St. Francis provides vital healthcare services for the 700,000 adults and 300,000 children in our community who count on the
Job Summary The Manager of Utilization Management and Complex Care Management provides day-to-day operational leadership for the Utilization Management, Transitional Care, and Care Management teams, supports the execution of processes designed to improve health outcomes, reduce healthcare utilization costs, and
Posting number: 26-01191 Department: Family Services Job classification: BEHAVIORAL HEALTH SUPERVISOR Posting type: Open Categories: Social Services, Community and Social Services SummaryAre you a knowledgeable behavioral health professional seeking ways to support youth with intensive needs
About Blue Cross and Blue Shield of Minnesota At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and
Come work at the best place to give and receive care! Job Description: RN Manager Utilization Review Who We Are: Elliot Health System’s Care Coordination Department, located in Manchester, NH, plays a vital role in ensuring seamless, patient-centered