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Utilization Management Supervisor - Concurrent Review - RN
Central California Alliance for Health
Salinas CA
…Under direction, this position: Supervises the daily activities of the Utilization Management (UM) Concurrent Review staff; Coordinates and implements
6 days ago

Supervisor Appeals and Grievances
Sharp Healthcare
San Diego CA
…in Business Administration or related field Three (3) years' experience in claims, utilization review , appeals or member services in a managed care environment
15 days ago

RN Case Manager - Case Management - Kissimmee - Weekends Only
Florida Hospital
Kissimmee FL
…planning, implementation and overall evaluation of individual patient needs. Care coordination, utilization review and management, as well as discharge planning
4 days ago

Utilization Management Supervisor - Concurrent Review - RN
Central California Alliance for Health
Salinas CA
…DESCRIPTION Under direction this position Supervises the daily activities of the Utilization Management UM Concurrent Review staff Coordinates and implements
5 days ago

Clinical Coordinator Youth Services Licensed - FT
PSA Behavioral Health
…to the program planning process. Participate in quality assurance and utilization review including admission, service continuation, transition planning, and
9 days ago

Supervisor-Clinical Appeals
Loma Linda University Medical Center
Loma Linda CA
…Minimum three years of experience in case management or discharge planning, utilization review , or internal auditing required. Valid Driver's license required
8 days ago

Program Director
Paradigm Treatment Centers
San Francisco CA
…all Para-professional and professional staff in the program Establish and maintain utilization review mechanisms and processes it in accordance with standards
19 days ago

Director of Utilization Management
Beacon Health Options
Miami FL
…Job Description ABOUT THE POSITION We are currently seeking a dynamic Clinical Director of Utilization Management to join our team at our office in Miami, FL . The
18 days ago

Associate Director, Clinical Operations CVMD
MedImmune, LLC
Gaithersburg MD
…plans to ensure delivery to timelines, budget and quality with efficient resource utilization . Review of the CSRs and any regulatory submissions. Co-leads the
3 days ago

Lead Physician
Holy Cross Hospital
Germantown MD
…Experience in the development and management of quality, risk, and utilization review processes. Demonstrated leadership, communication, and analytical skills.
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