Utilization Management Representative

Job Title: Utilization Management RepresentativeWe are seeking a highly skilled Utilization Management Representative to join our team at Elevance Health. As a Utilization Management Representative, you will play a critical role in ensuring that our members receive the necessary healthcare services while minimizing unnecessary costs.Key...

Job Title: Utilization ManagerCarolina Therapeutic Services is seeking a highly skilled Utilization Manager to join our team. As a Utilization Manager, you will play a critical role in ensuring the continuity of care and quality of service to our consumers.Key Responsibilities:Develop authorizations with Managed Care Organizations (MCOs) to ensure timely and...

A prestigious 100+ patient bed hospital in Northern California is searching for a highly motivated and experienced Clinical Coordinator to join their dynamic healthcare team. This is an exceptional opportunity to make a significant impact on patient care and contribute to the growth and development of clinical services within the hospital. In this role, the...

Job Title: Utilization ManagerCarle Foundation Hospital is seeking a skilled Utilization Manager to join our team. As a Utilization Manager, you will play a critical role in ensuring that patients receive the most appropriate level of care while minimizing costs.Key Responsibilities:Collaborate with the interdisciplinary team to facilitate placement of...

Job Summary: Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. Ensures cost effective and quality patient care by appropriate utilization of resources. Provides direction to staff which may include Outside Utilization, Extended Care, Bed Placement, Discharge Planning, Transportation and others...

Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Commercial Utilization Management is critical to the success of Blue Shield of California and the Utilization Management department in realizing its goals and objectives. This individual will play a key role as part of Utilization Management team in delivering and...

Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Commercial Utilization Management is critical to the success of Blue Shield of California and the Utilization Management department in realizing its goals and objectives. This individual will play a key role as part of Utilization Management team in delivering and...

Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Commercial Utilization Management is critical to the success of Blue Shield of California and the Utilization Management department in realizing its goals and objectives. This individual will play a key role as part of Utilization Management team in delivering and...

Job Summary: Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. Ensures cost effective and quality patient care by appropriate utilization of resources. Provides direction to staff which may include Outside Utilization, Extended Care, Bed Placement, Discharge Planning, Transportation and others as...

Job Title: Utilization Management SpecialistAt St. Tammany Health System, we are committed to delivering world-class healthcare close to home. As a Utilization Management Specialist, you will play a critical role in ensuring that our patients receive the most appropriate and effective care.Job Summary:The Utilization Management Specialist is responsible for...

Job Title: Industrial Sales RepresentativeWe are seeking an experienced Industrial Sales Representative to join our team at American Equipment HR LLC. As a key member of our sales team, you will be responsible for selling our line of industrial equipment, including overhead cranes, to customers in various industries.Responsibilities:Develop and maintain...

Job Summary: Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. Ensures cost effective and quality patient care by appropriate utilization of resources. Provides direction to staff which may include Outside Utilization, Extended Care, Bed Placement, Discharge Planning, Transportation and others...

Job Summary: Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. Ensures cost effective and quality patient care by appropriate utilization of resources. Provides direction to staff which may include Outside Utilization, Extended Care, Bed Placement, Discharge Planning, Transportation and others...

Job Title: Utilization Management NurseYale University is seeking a skilled Utilization Management Nurse to join our team. As a key member of our healthcare team, you will be responsible for ensuring that patients receive the most effective and efficient care possible.Key Responsibilities:Conduct thorough reviews of patient cases to assess the necessity and...

Your Role The Utilization Management team reviews the inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care. The Utilization Management Nurse, Senior will report to the Utilization Management Nurse Manager. In this role you will be assigned a list of inpatient facilities and then review clinical...

Crystal Clean (CC) is one of the nation’s leading privately held companies in the environmental waste services industry. We are seeking highly motivated individuals with a strong work ethic to join our rapidly growing company. Crystal Clean offers competitive compensation, excellent benefits, and opportunities for advancement. We are willing to provide...

Your Role The Utilization Management team reviews the inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care. The Utilization Management Nurse, Senior will report to the Utilization Management Nurse Manager. In this role you will be assigned a list of inpatient facilities and then review clinical...

Your Role The Utilization Management team reviews the inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care. The Utilization Management Nurse will report to the Utilization Management Nurse Manager. In this role you will be assigned a list of inpatient facilities and then review clinical information...

Your Role The Utilization Management team reviews the inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care. The Utilization Management Nurse will report to the Utilization Management Nurse Manager. In this role you will be assigned a list of inpatient facilities and then review clinical information...

Utilization Management NurseWhy Choose Jefferson Health Plans? We are an award-winning, not-for-profit health maintenance organization offering Medicaid, Medicare, and Children's Health Insurance Program (CHIP) plans that include special benefits to improve the health and wellness of our members. We are committed to creating a community where everyone...