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Overview Utilization Manager Healthcare staff can work anywhere….The BEST work with US! Monday-Friday 9am-5pm $35.71 - $40.43 per hour A nationally recognized comprehensive Health and Human Services Agency, with over 60 programs across New York City and greater
Overview Utilization Manager Healthcare staff can work anywhere….The BEST work with US! Monday - Friday 9a-5p $32.96 - $37.48 per hour A nationally recognized comprehensive Health and Human Services Agency, with over 60 programs across New York City
CompanyArchimedes About UsArchimedes - Transforming the Specialty Drug Benefit - Archimedes is the industry leader in specialty drug management solutions. Founded with the goal of transforming the PBM industry to provide the necessary ingredients for the
Job DetailsJob Location: LIBERTY Dental Plan Corp. - Tustin, CA 92782Position Type: Full TimeJob Category: Managementa { text-decoration: none; color: #464feb;}tr th, tr td { border: 1px solid #e6e6e6;}tr th { background-color: #f5f5f5;}The Senior Manager, Utilization Management (UM)
Company :Highmark Health Job Description : JOB SUMMARY The Product Manager, Behavioral Health & Wellness will be instrumental in shaping the fundamental value proposition of our behavioral health and wellness products within the Utilization Management function. This role
AWS Infrastructure Services owns the design, planning, delivery, and operation of all AWS global infrastructure. In other words, we’re the people who keep the cloud running. We support all AWS data centers and all of the
RNDISCG-3130 JOB DUTIES Participation in coordination of care for patients that are admitted or in observation status at MMC. Provides leadership for other team members. This Clinical Liaison would be expected to meaningfully impact length of
Your Role The Utilization Management team reviews inpatient stays and prior authorization for our members and correctly applies the guidelines for nationally recognized levels of care for both our Medi-Cal and Medicare populations. The Utilization Management Manager will report
The RN Manager, Care Management provides leadership, direction, and resource management for case managers and social workers in the inpatient and ambulatory settings. The RN Manager effectively resolves utilization review and denial management issues, provides leadership in resolving psychosocial issues,
AWS Infrastructure Services owns the design, planning, delivery, and operation of all AWS global infrastructure. In other words, we’re the people who keep the cloud running. We support all AWS data centers and all of the
Utilization Review and Appeals Case Manager Position Summary This position is responsible for performing utilization management and concurrent review activities to ensure appropriate level of care determinations for patients receiving inpatient, observation, emergency, and outpatient services. The role includes
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
The Utilization Review Nurse is responsible for applying medical knowledge, judgment, jurisdictional rules, and medical treatment guidelines to review workers’ compensation medical necessity reviews. The Utilization Review (UR) Nurse engages with physicians, peer reviewers and collaborates with claim
AWS Infrastructure Services owns the design, planning, delivery, and operation of all AWS global infrastructure. In other words, we’re the people who keep the cloud running. We support all AWS data centers and all of the
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
Overview The Department of Vermont Health Access (DVHA)s Clinical Operations Unit (COU) is seeking a qualified registered nurse to join our dynamic team. Work in a supportive work environment with a Monday - Friday schedule, paid
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 Manager of Utilization Management provides daily oversight for Case Management teams (which includes RN’s, Social Workers, and Coordinators). The Manager of Utilization Management is responsible for ensuring high quality, cost-effective, and appropriate allocation of member services, treatments, and resources.