RN Manager of Utilization Management

Job SummaryWe are seeking a highly skilled Outpatient UM Clinician to join our team at MedPOINT Management. As a key member of our Utilization Management department, you will play a critical role in ensuring that our members receive high-quality, cost-effective care.Key ResponsibilitiesReview and process precertification requests for medical necessity,...

Job SummaryManagement Business Solutions is seeking a skilled Healthcare Manager to lead our Utilization Management Program. As a key member of our team, you will be responsible for managing the day-to-day operations of the program, ensuring cost-effective and quality patient care through appropriate resource utilization.Key Responsibilities:Develop and...

RN Manager of Utilization Management Job SummaryThe RN Manager of Utilization Management is a key role in our healthcare organization, responsible for overseeing the coordination of services through an interdisciplinary process. This position requires a strong leader who can balance individually identified patient and family needs with cost-effective...

RN Manager of Utilization Management Job DescriptionJob Summary:The RN Manager of Utilization Management is responsible for overseeing the coordination of services through an interdisciplinary process across the continuum of care. This role expands the Care Management focus, balancing individually identified patient and family needs with cost-effective...

Job Title: Utilization Management DirectorManagement Business Solutions is seeking a highly skilled Utilization Management Director to join our team. As a key member of our healthcare operations team, you will be responsible for managing the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center.Key...

Job SummaryFamily Health Centers of San Diego is seeking a skilled Utilization Management RN to join our team. As a Utilization Management RN, you will play a critical role in ensuring that our patients receive the highest quality care while minimizing unnecessary costs.Key ResponsibilitiesConduct prospective, initial, and retrospective reviews of inpatient,...

Job Title: Utilization Management Program DirectorManagement Business Solutions is seeking a highly skilled Utilization Management Program Director to lead our team in providing exceptional patient care and ensuring cost-effective utilization of resources.Key Responsibilities:Develop and maintain policies and procedures for Utilization ManagementCollaborate...

Job Summary:As a RN Utilization Manager at Kaiser Permanente, you will play a critical role in coordinating and screening patient admissions and continued stays. You will work collaboratively with physicians to make recommendations for alternate levels of care when patients do not meet medical necessity for inpatient hospitalization. Your interactions with...

{"title": "Case Management Utilization Coordinator", "subtitle": "Join our team at UCLA Health", "content": "As a Case Management Utilization Coordinator, you will play a vital role in ensuring smooth and efficient case management processes to support quality care at UCLA Health.Under the direction of the Utilization Management, Assistant Manager, you will...

Job Summary:Kaiser Permanente is seeking a skilled Case Manager Utilization RN to join our team. As a key member of our multidisciplinary team, you will work collaboratively with physicians to coordinate and screen for the appropriateness of admissions and continued stays. Your expertise will be essential in making recommendations to physicians for alternate...

Job SummaryWe are seeking a detail-oriented and organized professional to join our team as a Utilization Management Intensive Case Management Coordinator. This role will play a vital part in ensuring smooth and efficient case management processes to support quality care at UCLA Health.Key ResponsibilitiesProcess and manage authorization requests, including...

Job SummaryWe are seeking a skilled and compassionate Case Manager Utilization RN to join our team at Kaiser Permanente. As a key member of our multidisciplinary team, you will work collaboratively with physicians and other healthcare professionals to coordinate and screen for the appropriateness of admissions and continued stays.Key ResponsibilitiesDevelop...

Your RoleAs a key member of the Utilization Management team at Blue Shield of California, you will play a critical role in delivering and collaborating on all aspects of utilization management and care coordination for Commercial membership.This position requires a strong leader who can provide direction and leadership in compliance to regulatory...

Job SummaryWe are seeking a skilled Case Manager Utilization RN to join our team at Recruitics JB. As a key member of our multidisciplinary team, you will play a vital role in coordinating and screening for the appropriateness of admissions and continued stays. Your expertise will be instrumental in making recommendations to physicians for alternate levels...

Job SummaryAs a Case Manager Utilization RN at Kaiser Permanente, you will play a critical role in ensuring the delivery of high-quality, cost-effective care to our patients. You will work closely with physicians, other healthcare professionals, and patients to develop and implement individualized plans of care that meet the unique needs of each patient.Key...

Job SummaryWe are seeking a skilled Case Manager Utilization RN to join our team at Kaiser Permanente. As a key member of our multidisciplinary team, you will work collaboratively with physicians and other healthcare professionals to coordinate and screen for the appropriateness of admissions and continued stays.Key ResponsibilitiesDevelop and implement...

Job SummaryWe are seeking a skilled Case Manager Utilization RN to join our team at Recruitics JB. As a key member of our multidisciplinary team, you will work collaboratively with physicians to coordinate and screen for the appropriateness of admissions and continued stays.Key ResponsibilitiesDevelop and implement individualized plans of care to ensure...

Job SummaryWe are seeking a skilled Case Manager Utilization RN to join our team at Kaiser Permanente. As a key member of our healthcare team, you will work collaboratively with physicians to coordinate and screen for the appropriateness of admissions and continued stays. Your expertise will be essential in making recommendations to physicians for alternate...

Director of Utilization ManagementThe Director of Utilization Management plays a pivotal role in overseeing the Case Management and Utilization Review program. This individual is responsible for developing and managing programs that emphasize appropriate admissions, concurrent and retrospective review of care, and other integrated functions such as Discharge...

Job Title: Utilization Management Nurse, SeniorAbout the Role:The Utilization Management Nurse, Senior will play a critical role in ensuring that our members receive the most appropriate care possible. As a member of the Utilization Management team, you will be responsible for reviewing inpatient stays to determine medical necessity and ensuring that our...