Director of Utilization Management

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 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...

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 SummaryWe are seeking a highly skilled Utilization Management Director to join our team at APLA Health. As a key member of our healthcare operations team, you will be responsible for managing the daily operations of Utilization Management (UM) at APLA Health and Wellness (APLAHW).Key ResponsibilitiesDevelop and implement a standardized Utilization...

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 SummaryAs a key member of our team, the Director of Utilization Management will be responsible for developing and managing programs that emphasize appropriate admissions, concurrent and retrospective review of care, and other integrated functions to promote a centralized, coordinated, interdisciplinary process in the continuum of care.Key...

Job Summary:As a key member of the Kaiser Permanente team, the Utilization Management Program Director plays a vital role in ensuring cost-effective and quality patient care. This position oversees the day-to-day operations of the Utilization Management Program, collaborating with multidisciplinary teams to plan and coordinate care across the continuum. The...

Job SummaryHealthcare Recruitment Partners is seeking a highly skilled Director of Utilization Management and Case Coordination to lead our team in Los Angeles, California. As a key member of our organization, you will be responsible for directing the Case Management and Utilization Review program, developing and managing programs that emphasize appropriate...

Job Summary:As a key member of the Recruitics JB team, we are seeking a skilled Utilization Management Program Director to lead our Utilization Management Program in the Service Area or a Medical Center. This role is responsible for ensuring cost-effective and quality patient care by appropriate utilization of resources. The ideal candidate will provide...

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 Summary:As a key member of the Kaiser Permanente team, the Utilization Management Program Director will oversee the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. This role is responsible for ensuring cost-effective and quality patient care by appropriate utilization of resources. The successful...

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...

Job SummaryWe are seeking a highly skilled Utilization Management Nurse, Senior to join our team at Blue Shield of CA. As a key member of our Utilization Management team, you will play a critical role in reviewing inpatient stays for our members and ensuring that nationally recognized levels of care are applied correctly.Key ResponsibilitiesPerform...

Job SummaryWe are seeking a highly skilled Utilization Management Nurse, Senior to join our team at Blue Shield of CA. As a key member of our Utilization Management team, you will play a critical role in reviewing inpatient stays for our members and ensuring that nationally recognized levels of care are applied correctly.Key ResponsibilitiesPerform...

Job SummaryDevelops, manages, and directs the Utilization Management programs in a Service Area or a Medical Center. Develops and manages programs that emphasize appropriate admissions, concurrent, and retrospective review of care. May also be responsible for other integrated functions such as Discharge Planning, Case Management program, Outside Utilization...

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...

Job SummaryThis is a challenging and rewarding role that requires a strong background in healthcare operations and management. As a Utilization Manager at APLA Health, you will be responsible for overseeing the daily operations of our Utilization Management (UM) program, ensuring that all processes and programs are fully implemented and compliant with...

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,...

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 SummaryWe are seeking a skilled RN Manager of Utilization Management to oversee the coordination of services through an interdisciplinary process. The ideal candidate will have a strong background in case management and be able to assess patients to determine the appropriate level of care.Key...