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The Director, Utilization Management participates in the design, strategic planning, development, implementation, and administration of all aspects of the utilization management programs.
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As a Utilization Management Representative I, you will be responsible for coordinating cases for precertification and prior authorization review. Utilization Management Representative I.
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Job Title: Utilization Review Nurse - Post Acute Care Job DescriptionThe PAC Nurse is a telephonic role focused on recommending discharge plans, managing transitions of care, and overseeing the length of stay for Long Term Acute Hospitals, Skilled Nursing Facilities, and Institutional Rehab Facilities.
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The Case Manager (CM) / Utilization Review (UR) nurse staff augmentation full time role will temporarily fill in for Optum care management teams for short term staffing as well as provide consultative support to the front-line care management team, as appropriate.
$88,000 - $173,200 a yearFull-timeExpandUpdated 1 month ago - UpvoteDownvoteShare Job
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Genetics Testing Utilization Review. Makes medical necessity determinations for grievance and appeals appropriate for their specialty. Knowledge/Experience in Genetic Testing preferred but not required.
$162,801 - $293,055 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Amazon is seeking analytical and efficient product managers to help Amazon achieve best-in-class fleet utilization and capacity in the United States and Canada. Make high-judgement decisions to quickly resolve fleet utilization issues.
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The RN Utilization Review is repsonsible for integrates national standards for case management scope of services including Utilization Management supporting medical necessity and denial prevention, coordination with payers to authorize appropriate level of care and length of stay for medically necessary services required for the patient, compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy.
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