Clinical Utilization Manager

Job SummaryCommunity Behavioral Health is seeking a highly skilled Clinical Care Manager to join our team. As a Clinical Care Manager, you will play a critical role in ensuring that our members receive timely access to quality, medically necessary behavioral health services.Key ResponsibilitiesUtilization Management: Conduct utilization review activities,...

Job SummaryWe are seeking a highly skilled Clinical Care Manager to join our team at Community Behavioral Health. The successful candidate will be responsible for conducting utilization review activities, population management, cross-system consultation, provider management, and treatment quality monitoring. This role requires a strong clinical background,...

Job Title: Clinical Care ManagerThe Clinical Care Manager is a critical role within our organization, responsible for ensuring that our members receive timely access to quality, medically necessary behavioral health services. As a Clinical Care Manager, you will be responsible for conducting utilization review activities, population management, cross-system...

Clinical Care Manager Job DescriptionThe Clinical Care Manager is a critical role within Community Behavioral Health, responsible for ensuring that members receive timely access to quality, medically necessary behavioral health services. This position requires a strong understanding of best practices and evidence-based treatments, as well as excellent...

Job Title: Clinical Care ManagerCommunity Behavioral Health (CBH) is seeking a highly skilled Clinical Care Manager to join our team. As a Clinical Care Manager, you will play a critical role in ensuring that our members receive timely access to quality, medically necessary behavioral health services.Key Responsibilities:Conduct utilization review...

Job Title: Chief Medical Officer Utilization ManagementAbout the Role:We are seeking a highly skilled and experienced Chief Medical Officer to lead our Utilization Management team. As a key member of our leadership team, you will be responsible for developing and implementing strategies to improve and maintain cost and utilization trends. You will work...

Utilization Management NurseAbout the Role:We are seeking a skilled and detail-oriented Utilization Management Nurse to join our team at Health Partners Plans. As a Utilization Management Nurse, you will play a critical role in ensuring cost-effective and quality utilization management in the acute level of care setting for the pediatric and adult population...

Job Title: Clinical Program ManagerWe are seeking a highly motivated and organized Clinical Program Manager to join our team at Lifelancer. As a Clinical Program Manager, you will be responsible for coordinating and managing clinical programs and projects, ensuring timely and budget-friendly delivery.Responsibilities:Develop and maintain project plans,...

Job SummaryWe are seeking a highly skilled Clinical Coordinator to join our team at Community Behavioral Health. The successful candidate will be responsible for directing the daily operations of their respective clinical teams, ensuring that standards of care and practices are delivered in accordance with state regulation guidelines.Key...

Job Title: Utilization Management RNWe are seeking a skilled Utilization Management RN to join our team at Open Systems Technologies. As a Utilization Management RN, you will play a critical role in ensuring compliance with federal and state laws, accreditation standards, and regulatory requirements.Responsibilities:Conduct audits and ongoing monitoring of...

Job Title: Utilization Management RNWe are seeking a skilled Utilization Management RN to join our team at Open Systems Technologies. As a Utilization Management RN, you will play a critical role in ensuring compliance with federal and state laws, accreditation standards, and company policies.Key Responsibilities:Conduct audits and ongoing monitoring of...

Job SummaryCommunity Behavioral Health (CBH) is seeking a highly skilled Clinical Care Management Specialist to join our team. As a Clinical Care Management Specialist, you will play a critical role in providing high-intensity care management to children and families in need. This is a unique opportunity to make a meaningful difference in the lives of our...

Maximize Revenue through Reimbursement ExcellenceGenesis HealthCare, a leading provider of healthcare services, seeks a skilled Clinical Reimbursement Manager to optimize revenue through the evaluation and optimization of the Medicare/Medicaid reimbursement process.Key Responsibilities:Develop and implement reimbursement priorities in nursing centers to...

Job Title: Clinical Care Management Specialist FOCUSCommunity Behavioral Health (CBH) is seeking a highly skilled Clinical Care Management Specialist to join our team. As a Clinical Care Management Specialist, you will play a critical role in providing intermediate or high-intensity care management to our members.Key Responsibilities:Work directly with...

Job Title: Clinical Case ManagerJob Summary:Excel Medical Center is seeking an experienced Clinical Case Manager to join our team. As a Clinical Case Manager, you will play a critical role in providing high-quality patient care and ensuring that our patients receive the best possible outcomes.Key Responsibilities:Assess patient needs and develop...

About the RoleAt Medtronic, we are seeking a highly skilled Clinical Specialist Manager, Pain Interventions to join our team. As a Clinical Specialist Manager, you will play a critical role in achieving unit and revenue goals while enhancing customer satisfaction by effectively managing the district's clinical team.Key ResponsibilitiesManage and coach...

Job DescriptionThe Clinical Care Manager (CCM) Specialist is a key member of the Community Behavioral Health (CBH) team, responsible for providing high-intensity care management to children and adolescents with complex behavioral health needs. The CCM Specialist will work collaboratively with members, their caregivers, and providers to ensure effective,...

Job SummaryThe Clinical Care Manager will be responsible for leading utilization management activities, population management, cross-system consultation, provider management, and treatment quality monitoring. This role requires a strong clinical knowledge of best practices and evidence-based treatments to ensure timely access to quality, medically necessary...

Clinical Reimbursement Manager Job SummaryGenesis HealthCare is a leading provider of healthcare services, offering a wide range of living options and professional clinical services. We are seeking a highly skilled Clinical Reimbursement Manager to join our team.The ideal candidate will have experience in maximizing revenue through the evaluation and...

Job SummaryWe are seeking a highly skilled Clinical Care Manager to join our team at Community Behavioral Health. As a Clinical Care Manager, you will be responsible for providing utilization management services to individuals with neurodevelopmental disorders, including Autism Spectrum Disorder. Your primary goal will be to ensure that our members receive...