Utilization Management Physician Jobs

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

from: linkedin.com - 17 days ago

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

from: HealtheCareers.com - 14 days ago

Southwestern Health Resources CIN - Pittston, PA

coordination, CNC health plan and MA ops, network business development, network physician engagement, physician engagement, patient experience and quality, risk adjustment and utilization management. The SEO

from: Southwestern Health Resources CIN - 6 days ago

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

from: resume-library.com - 17 days ago

Tallahassee Memorial Healthcare - Tallahassee, Florida

Management, Utilization Management, and Financial Counseling staff members (when appropriate). Performs these functions in accordance with the facility's philosophy, policies, procedures, and standards

from: resume-library.com - 21 days ago

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

from: HealtheCareers.com - 19 days ago

Cigna - Charlotte, NC

for utilization and cost management. * Acting as government program knowledge leader for the local market. * Responsible for maintaining compliance to CMS and company policies and guidelines. * Leading market

from: Cigna - 7 days ago

Sanford Health - Sioux Falls, South Dakota

to physicians and other health care professionals. Educates members of the healthcare team regarding trends, external regulations and internal policies that effect resource utilization and potentially, prior

from: resume-library.com - 10 days ago

MVP Health Care - Tarrytown, New York

initiatives, as well as disease state management functions of the pharmacy department; Providing drug related and benefit information to member services, provider relations, utilization management and medical

from: resume-library.com - 12 days ago

kentucky

decision letters as needed in support of the utilization review contract :Assists management with training new Nurse Reviewers to include daily monitoring, mentoring, feedback and education. :Maintains Competitive

from: Tiptopjob.com - 22 days ago