22 Utilization Management Physician Jobs
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RN, Risk Management Coordinator Community Health System - CA - Fresno, California in Quality Assurance, Case Management, Discharge Planning, Utilization Review, Infection Control or nursing project development/education required Licenses and Certifications • RN - Current and valid 2 days ago
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VP of Practice Operations Insight Global - Cary, NC, United States with the management services organizations. Supports and is an active participant in physician recruitment, to include plan development for new specialties, implementation timetable, physician contracts 27 days ago
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Utilization Review Specialist Lawrence General Hospital - Lawrence, Massachusetts The Utilization Review Specialist, under supervision and in collaboration with the Utilization Review Coordinator, Utilization Review Nurses, Physician advisor and healthcare team supports 9 days ago
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Physician Advisor - Utilization Management Ochsner Health - New Orleans, Louisiana in ongoing training and education related to the Physician Advisor role and responsibilities including topics related to Utilization Management, Care Management and other related areas as requested * Identify 24 days ago
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Director, Health Information Management Erlanger Behavioral Health - Chattanooga, Tennessee and analyze clinical data for research purposes, process improvement, utilization management, mandatory reporting, and more. Provide staff management to including hiring, development, training, performance 3 days ago
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Utilization Management Specialist - RN Sanford Health - Sioux Falls, South Dakota the department in monitoring the utilization of resources, risk management and quality of care for patients in accordance with guidelines and criteria. Assist in report preparation, correspondence, and maintenance 4 days ago
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Provider Performance Senior Advisor - Georgia - Hybrid - Cigna Healthcare Cigna - Atlanta, GA of reporting and using analytics resources to identify key opportunities for utilization and cost management. * Acting as government program knowledge leader for the local market. * Responsible for maintaining 7 days ago
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Senior Contract Compliance Analyst CommonSpirit Health - Englewood, Colorado expertise to research and guide strategy regarding high-impact denials and underpayments and, when appropriate, collaborates with utilization management and physician teams to drive towards issue resolution 3 days ago
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Senior Case Manager Memorial Hermann Health System - Houston, Texas , evaluation and revision of clinical pathways and other Case management tools as a member of the clinical resource/team. Assists in compilation of physician profile data regarding LOS, resource utilization 2 days ago
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CASE MANAGEMENT SPECIALIST - WEEKEND OPTION owensboroworkdaytest - Owensboro, Kentucky with the Physician, Medical Director, Director, Manager, and Supervisor of Case Management on patients who are not meeting the regulatory requirements for hospitalization. Delivers regulatory letters to patients 29 days ago
Top locations
- Houston, TX (27)
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- Fresno, CA (9)
- Brockton, MA (9)
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