Utilization Management Nurse

Job Title: Clinical Utilization ManagerChristiana Care is seeking a skilled Clinical Utilization Manager to join our team. As a key member of our Utilization Management department, you will play a critical role in ensuring the delivery of efficient and effective healthcare services.Job Summary:The Clinical Utilization Manager will work collaboratively with...

Job Title: Clinical Utilization ManagerShaker for ChristianaCare Direct is seeking a skilled Clinical Utilization Manager to join our team. As a key member of our healthcare operations team, you will play a critical role in ensuring efficient and effective healthcare delivery.About the Role:The Clinical Utilization Manager will be responsible for evaluating...

Weekend Incentive Program Case ManagerShaker for ChristianaCare Direct is seeking a skilled Case Manager to join our team for our Weekend Incentive Program. As a Case Manager, you will play a critical role in ensuring efficient and effective healthcare delivery, evaluating medical necessity, and collaborating with ED providers for discharge planning.Key...

Job SummaryAs a Regional Utilization Management Director at Kaiser Permanente, you will provide strategic leadership for joint Health Plan/TSPMG management efforts related to appropriate utilization of hospitals and specialty care. You will monitor transition of care, continuing care/sub-acute care resources, non-core hospital oversight to UM/case...

Job SummaryKaiser Permanente is seeking a highly experienced and skilled Regional Utilization Management Director to provide leadership and direction for our regional utilization management program. This individual will be responsible for ensuring that our members receive high-quality healthcare in the most appropriate and cost-effective manner.Key...

Job Title: Utilization Review NurseAt Sonder Health Plans, we are seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will play a critical role in ensuring that healthcare services are administered with quality, cost efficiency, and within compliance.Key Responsibilities:Conduct concurrent reviews of member...

Job Description:The Clinical Review Specialist role at Sonder Health Plans is to ensure that healthcare services are administered with quality, cost efficiency, and within compliance.By continuously reviewing and auditing member treatment records, the Clinical Review Specialist will ensure members do not receive unnecessary procedures, ineffective treatment,...

Job SummaryWe are seeking a highly skilled Senior Utility Coordinator to join our team at Luster National. As a key member of our project management team, you will be responsible for coordinating utility services on various transportation projects.Key ResponsibilitiesPerform technical work related to utility existing locations, adjustments, relocations, and...

Job SummaryThe Utilities Project Manager will be responsible for the coordination and management of dry utility relocations for the Project. This includes ensuring that the utility adjustment process meets the requirements of the Design, Build, and Finance Agreement.Key ResponsibilitiesManage dry utility relocation coordination to ensure compliance with...

Job SummaryWe are seeking a skilled Utilization Review Nurse to join our team at Children's Healthcare of Atlanta. As a key member of our multidisciplinary team, you will play a critical role in ensuring the efficient and effective delivery of healthcare services to our patients.ResponsibilitiesParticipate in pre-screening assessments of prospective patients...

Job SummaryWe are seeking a skilled Utilization Review Nurse to join our team at Children's Healthcare of Atlanta. As a key member of our multidisciplinary team, you will play a critical role in ensuring the efficient and effective delivery of healthcare services to our patients.ResponsibilitiesParticipate in pre-screening assessments of prospective patients...

Job SummaryWe are seeking a highly skilled Utilization Management Representative to join our team at Elevance Health. As a key member of our organization, you will play a critical role in coordinating cases for precertification and prior authorization review.Key ResponsibilitiesManage incoming calls and post-service claims work, ensuring timely and accurate...

Job SummaryWe are seeking a skilled Utilization Review Nurse to join our team at Children's Healthcare of Atlanta. As a Utilization Review Nurse, you will play a critical role in ensuring that patients receive the most appropriate level of care while minimizing unnecessary costs.Key ResponsibilitiesConduct pre-screening assessments of prospective patients to...

Clinical Nurse Manager Job DescriptionWe are seeking a highly motivated and compassionate Clinical Nurse Manager to join our dialysis team at Health Systems Management, Inc. Our organization has a strong reputation for providing high-quality patient care and encouraging physician input while maintaining efficient business operations.Responsibilities:Promote...

Job OpportunityHazen and Sawyer is seeking a highly motivated and detail-oriented professional to join our Utility Management Solutions Group. As a key member of our team, you will work closely with engineers, planners, and asset management professionals to develop innovative solutions for water-related projects.Key ResponsibilitiesCollaborate with...

Job SummaryWe are seeking a highly motivated and compassionate Clinical Nurse Manager to join our dialysis team at Health Systems Management, Inc.Key ResponsibilitiesPromote a Culture of Excellence: Foster a harmonious working environment by utilizing effective communication skills and team building concepts.Ensure Patient Safety: Maintain a safe environment...

Job Title: ICU Resource Utilization NurseWe are seeking an experienced ICU Resource Utilization Nurse to join our team at Emory Healthcare.About the Role:The ICU Resource Utilization Nurse is a critical care nurse who provides support to the critical care units of Emory Healthcare. This role involves assisting with patients leaving the ICU for diagnostic...

Job Description:The Utilization Review Nurse role at Sonder Health Plans is a critical position that ensures healthcare services are administered with quality, cost efficiency, and within compliance.Key Responsibilities:Conduct concurrent reviews of members' clinical information to ensure efficiency and effectiveness of care.Review preauthorization requests...

About the RoleWe are seeking a highly skilled and experienced Senior Utility Project Manager to join our team at US Tech Solutions. As a key member of our team, you will be responsible for managing and delivering complex utility projects, including voltage conversions, feeder additions, and reliability improvements.Key Responsibilities:Manage and coordinate...

Job SummaryFerrovial is seeking a highly skilled Project Manager to lead the coordination of utility adjustments for our infrastructure development projects. As a key member of our team, you will be responsible for ensuring that utility relocation activities are completed efficiently and effectively, minimizing disruptions to our construction schedule.Key...