Utilization Manager Jobs

The Manager of Utilization Management oversees the daily operations of the Utilization Management Program, ensuring cost-effective and quality patient care through appropriate resource utilization. Th...

The Manager of Utilization Management oversees the daily operations of the Utilization Management Program, ensuring cost-effective and quality patient care through appropriate resource utilization. Th...

The Manager of Utilization Management is responsible for coordinating the design, development, implementation, and monitoring of utilization management functions to achieve clinical, financial, and ut...

The Utilization Management Specialist is responsible for overseeing the research, resolution, and workflow development of out-of-network referral requests. This role involves reviewing requests, ensur...

The Utilization Management Specialist is responsible for overseeing the research, resolution, and workflow development of out-of-network referral requests. This role involves reviewing requests, ensur...

The Utilization Review Manager is responsible for overseeing and managing the operations of utilization review processes, ensuring compliance with government and commercial payer regulations. This rol...

The Nurse Manager - Utilization Management oversees the operations of 24-hour departments providing patient care services, ensuring high-quality, accessible, and cost-effective care. This role involve...

The Manager Utilization Management is responsible for developing and overseeing processes and procedures for Utilization Management, including intake, concurrent review, and handling denials and appea...

The Manager Utilization Management is responsible for developing and overseeing processes and procedures for Utilization Management, including intake, concurrent review, and handling denials and appea...

The Manager of Utilization Management is responsible for understanding and managing all regulatory requirements for CMS and DOH, developing processes to ensure compliance, and overseeing nurses perfor...

The Utilization Management RN is responsible for ensuring timely review of referral requests, procedures, and pre-certification requests in accordance with established policies. This role involves app...

The Utilization Manager II position is responsible for supporting utilization review functions to ensure appropriate patient status throughout their care journey. This role involves collaboration with...

The Utilization Management RN is responsible for performing extensive record reviews to ensure compliance with state regulations and assess the medical necessity of treatment requests. This role invol...

The Manager of Utilization Management is responsible for understanding and managing all regulatory requirements for CMS and DOH, developing processes to ensure compliance, and overseeing nurses perfor...

The Director of Utilization Review is responsible for overseeing the Utilization Management Program, ensuring quality patient care while managing costs. This role involves conducting patient reviews...

The Case Manager - Utilization Review at Vail Health is responsible for coordinating with the clinical care team to ensure appropriate patient status and compliance with regulations. This role involve...

The Manager of Utilization Management is responsible for evaluating the necessity and efficiency of medical services and coordinating care for enrollees. This role involves leading a team, ensuring co...

The Director of Utilization Management is responsible for developing, managing, and directing Utilization Management programs within a Service Area or Medical Center. This role emphasizes appropriate...

The Director of Utilization Review oversees all aspects of utilization management, including utilization review, case documentation, and regulatory compliance. This role requires strong leadership ski...

The Case Manager in Utilization Management at Paradise Valley Hospital is responsible for overseeing the quality and resource management of admitted patients, ensuring cost-effective and high-quality...

The Case Manager in Utilization Management at Paradise Valley Hospital is responsible for overseeing the quality and resource management of admitted patients, ensuring cost-effective and high-quality...

The Director of Utilization Management oversees all Utilization Review functions to optimize reimbursement and ensure compliance with regulations. This role involves establishing policies, conducting...

The Director of Utilization Management oversees all Utilization Review functions to optimize reimbursement and ensure compliance with regulations. This role involves coordinating the review process, m...

The Director of Utilization Management oversees all Utilization Review functions to optimize reimbursement and ensure compliance with regulations. This role involves coordinating the review process, m...

The Manager of Utilization Management Operations oversees the utilization management team to ensure high standards of service delivery and performance. This role involves problem resolution, complianc...