Utilization Review Manager - Home Care jobs in Anchorage, AK

Utilization Review Manager - Home Care ensures quality and level of care for patients are up to established standards and comply with federal, state, and local regulations. Investigates and resolves reports of inappropriate care. Being a Utilization Review Manager - Home Care may require a bachelor's degree. Typically reports to a head of a unit/department. To be a Utilization Review Manager - Home Care typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)

Recently Added Utilization Review Manager - Home Care jobs

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UTILIZATION REVIEW MANAGER
  • North Star Behavioral Health
  • Anchorage, AK FULL_TIME
  • Responsibilities:
    UTILIZATION REVIEW MANAGER OPPORTUNITY

    North Star Behavioral Health, Alaska's premier mental health facility, is on a mission to provide hope and healing to individuals facing psychiatric or substance abuse challenges. We specialize in military-specific care for first responders, service members, veterans, and their dependents through the Chris Kyle Patriots Hospital. Our commitment is to prioritize patient care, offering excellence, comfort, and security during their most vulnerable moments. Join us, and you'll become part of a supportive network of peers and leaders dedicated to continuous learning and industry excellence. At North Star, your career can thrive through robust education opportunities and advancement within the Universal Health Services (UHS) network.

    Visit     us at: www.northstarbehavioral.com

    Who is North Star:     At North Star Behavioral Health, we are dedicated to delivering a level of care that not only meets but exceeds expectations. Our vision is simple yet profound: to provide care that patients enthusiastically recommend to their family and friends, care that physicians prefer for their patients, and care that our employees take pride in delivering every day.
    We uphold this vision by wholeheartedly embracing the following principles:
    • Service Excellence
    • Continuous Improvement
    • Employee Development
    • Ethical and Fair Treatment
    • Teamwork
    • Compassion
    • Innovation
    Our commitment to excellence isn't just a slogan—it's a way of life at North Star Behavioral Health. If you share these values and are passionate about making a positive impact on the lives of individuals and families facing mental health challenges, we invite you to join our team.

    Benefits include:
      • Challenging & Rewarding Work Environment
      • Competitive Compensation & Generous Paid Time Off
      • Excellent Medical, Dental, Vision, and Prescription Drug Plans
      • 401(K) with Company Match & Discounted Stock Plan
      • SoFi Student Loan Refinancing Program
      • Career Development Opportunities within UHS and its 300 Subsidiaries!
      • Tuition Assistance
    Together, we can continue to provide the highest level of care and create a brighter future for those we serve.

    As the Controller at North Star, you will report to the CFO and play a crucial role in overseeing the accounting operations. You will be responsible for producing financial reports, maintaining robust accounting records, and implementing controls and budgets to mitigate risk and ensure compliance with accounting standards.

    SHIFT    : 8 hour shifts

    SCHEDULE:     Monday - Friday, 9:00 AM - 5:00 PM

    Key Responsibilities:

    • Leadership Collaboration:       Actively participates in leadership discussions and decision-making processes as a valued member of the Leadership Team.
    • Utilization Management Oversight: Manages all utilization management activities, including PHP/IOP/off-campus programs, ensuring compliance with regulatory requirements.
    • Documentation Training: Provides documentation training for clinical staff, including physicians, nursing, social services, and discharge planner, during New Employee Orientation.
    • Physician Engagement and Liaison: Engages with physicians daily to ensure compliance, serves as a key liaison with hospital physicians, aligning engagement with payer expectations, patient acuity, and discharge planning requirements.
    • UM Plan Development and Resource Management: Develops and updates the Utilization Management (UM) Plan, manages and tracks Physician Certification Forms and Emergency Care Attestations, and oversees resource management, addressing trends within the facility.
    • Quality Assurance and Education: Acts as the Medical Necessity Expert, providing guidance to physicians and leadership, offering ongoing education to facility providers on Medical Necessity Guidelines, Level of Care, and payer changes.

    Qualifications:
    Qualifications:
    • Bachelor's degree in Social Work or related field.
    • Three (3) years clinical experience with a psychiatric mental health population preferred.
    • Proven experience in a similar leadership role.
    • Must be 21 years of age


    One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $12.6 billion in 2021. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 89,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

    EEO Statement
    All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

    We believe that diversity and inclusion among our teammates is critical to our success.

    Notice
    At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.
  • 25 Days Ago
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Rehabilitation Coordinator - SESH Utilization Review
  • Providence
  • Anchorage, AK OTHER
  • Description"The PPS Coordinator will ensure compliance with all CMS regulations affecting inpatient rehabilitation", specifically PPS (Prospective Payment System); establish policies, practices and pr...
  • 13 Days Ago
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Social Worker MSW - SESH Utilization Review
  • Providence
  • Anchorage, AK FULL_TIME
  • Description The Social Services Clinician MSW provides services to patients and their families/caregivers to meet their social and emotional needs as they relate to their medical diagnoses and concern...
  • 14 Days Ago
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Social Services Clinician MSW - SESH Utilization Review
  • Providence
  • Anchorage, AK OTHER
  • DescriptionThe Social Services Clinician MSW provides services to patients and their families/caregivers to meet their social and emotional needs as they relate to their medical diagnoses and concerns...
  • 6 Days Ago
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Social Worker MSW - SESH Utilization Review
  • Providence Health
  • Anchorage, AK FULL_TIME
  • Description The Social Services Clinician MSW provides services to patients and their families/caregivers to meet their social and emotional needs as they relate to their medical diagnoses and concern...
  • 1 Month Ago
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Registered Nurse - RN / Utilization Review Exp - UTL-EX
  • Cross Country Nurses
  • Kodiak, AK FULL_TIME
  • RN Job Description As a registered nurse (RN), you will provide care for patients dealing with illness or injury. Depending on your role, you'll work at a hospital, outpatient center, private practice...
  • 1 Month Ago
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0 Utilization Review Manager - Home Care jobs found in Anchorage, AK area

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Small Utility Consultant I (Job #233) ($33.67 - $37.15) (Temporary, Part-Time)
  • Rural Community Assistance Corporation
  • Anchorage, AK
  • General Purpose: Under general supervision of the Regional Field Manager, this role provides technical, managerial, and ...
  • 4/23/2024 12:00:00 AM
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Project Manager I
  • GCI
  • Anchorage, AK
  • Job Description GCI's Project Manager I is responsible for leading multiple concurrent projects to completion by followi...
  • 4/22/2024 12:00:00 AM
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Executive Director - Chugach Tribal Services
  • Chugach Alaska Corporation
  • Anchorage, AK
  • About CTS: Chugach Tribal Services is a newly established 501c3 non-profit entity whose purpose is to strengthen connect...
  • 4/22/2024 12:00:00 AM
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Chief Financial Officer
  • Alaska Village Electric Cooperative
  • Anchorage, AK
  • At Alaska Village Electric Cooperative, we're on a mission to light up the last frontier. We are also on a journey to tr...
  • 4/21/2024 12:00:00 AM
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Project Manager III
  • GCI
  • Anchorage, AK
  • Job Description GCI's Project Manager III is responsible for leading multiple concurrent projects to completion by follo...
  • 4/21/2024 12:00:00 AM
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Supervisory Program Analyst (Team Manager) NTE 1 YR, MBE, MBP (12-month Roster) AMENDED
  • Department Of The Treasury
  • Anchorage, AK
  • Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL DIVISION? A description of the business units can be found at: https...
  • 4/19/2024 12:00:00 AM
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Store Manager - 110-5806 - Anchorage, AK
  • Michaels Stores
  • Anchorage, AK
  • Store Manager - 110-5806 - Anchorage, AK page is loaded **Store Manager - 110-5806 - Anchorage, AK** **Store Manager - 1...
  • 4/19/2024 12:00:00 AM
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Project Manager
  • Leidos
  • Anchorage, AK
  • Description The National Airspace Systems Integration Support (NISC) program at Leidos is seeking an individual with Pro...
  • 3/13/2024 12:00:00 AM
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About Anchorage, Alaska

Anchorage (officially called the Municipality of Anchorage; Dena'ina: Dgheyaytnu) is a unified home rule municipality in the U.S. state of Alaska. With an estimated 298,192 residents in 2016, it is Alaska's most populous city and contains more than 40 percent of the state's total population; among the 50 states, only New York has a higher percentage of residents who live in its most populous city. All together, the Anchorage metropolitan area, which combines Anchorage with the neighboring Matanuska-Susitna Borough, had a population of 401,635 in 2016, which accounts for more than half of the s...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Manager - Home Care jobs
$84,040 to $107,143
Anchorage, Alaska area prices
were up 2.8% from a year ago
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