1474 utilization management director jobs found in the United States

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RN Clinical Manager
  • Kindred at Home
  • Silver Spring, MD
  • Works with Utilization Review staff relative to data tracking for performance review and outcomes ... Competently performs patient care assignments and staff management activities. * Provides direct ...
  • 4 days ago

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Physician Clinical Reviewer, MRx - Anesthesiologist
  • Magellan Health
  • Washington, DC
  • On a requested basis, reviews appeal cases and/or attends hearings for discussion of utilization management decisions. On a requested basis, may function as Medical Director for select health plans ...
  • 7 days ago

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Utilization Review Denial Nurse (LPN/RN)
  • University of Maryland Medical System Health Plans
  • Timonium, MD
  • This individual works under the direct supervision of the Utilization Management Nurse Manager. Essential Duties and Responsibilities: · Conduct utilization reviews as assigned by the director or ...
  • 13 days ago

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Quality Assurance Consultant - Skilled Nursing
  • HCR ManorCare
  • Silver Spring, MD
  • ... director of clinical services, general manager, regional director operations, to identify ... Promotes continuity of quality care through the utilization of nursing process, resident assessment ...
  • 14 days ago

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Travel ICU RN - Intensive Care Unit RN
  • Focus Staff
  • Reston, VA
  • Supports the Collaborative Care Management Model as a working partner with physicians, social ... Direct Deposit * Travel Assignment Housing Stipend, or Furnished Housing * Meals & Entertainment ...
  • 16 days ago

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Medical Director - Psychiatrist
  • Magellan Health
  • Washington, DC
  • Develops and implements a Utilization Management program and action plan, which includes strategies ... General Job Information Title Medical Director - Psychiatrist Grade 34 Job Family Clinical Services ...
  • 16 days ago

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Registered Nurse - Case Manager Utilization Review
  • Accountable Healthcare Staffing
  • Washington, DC
  • Case Management opening in Washington, Washington DC. This and other rn jobs brought to you by ... We have direct relationships with most of our partners and run numerous Managed Service Provider ...
  • 27 days ago

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RN Clinical Care Coordinator
  • The Coordinating Center
  • Baltimore, MD
  • Senior Clinical Care Coordinators and Program Directors provide consultation, health and community ... Utilization of the case management process to guide service delivery. * Provision of education on ...
  • 28 days ago

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Utilization Management
  • UHS
  • FOREST PARK, IL Full Time
  • Responsibilities Utilization Management opportunity with one of the nation’s largest and most respected hospital compani...
  • 28 Days Ago

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Utilization Management Professional-2
  • Magellan Health
  • Maryland Heights, MO Full Time
  • Under general supervision, and in collaboration with Medical Directors and other members of the clinical team, gathers a...
  • 20 Days Ago