Utilization Review Manager - Home Care jobs in the United States

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)

U
RN Case Manager - Utilization Review (FT Days)
  • Utilization Review (FT Days) - Grady Health System Careers
  • United States, GA FULL_TIME
  • SUMMARY 
     

    The Nurse Case Manager collaborates with other members of the case management and health care teams, utilizes professional nursing skills to:  assist the patient in achieving optimal health; assure appropriate use of health care resources; facilitate/coordinate timely care along the continuum; decrease unnecessary variances in care through proactive case management; develop a safe and timely discharge plan to meet the patient’s needs.

    QUALIFICATIONS 
     

    • Bachelor's Degree required, preferably in Nursing.
    • Current Georgia Registered (RN) license
    • Current Basic Life Support Healthcare Provider (American Heart Association) certification required. 
    • Minimum of  three years of direct nursing experience and demonstrated clinical competence required. 
    • Experience in Case Management preferred. 
    • Knowledge of age specific needs of population served.     

    Equal Opportunity Employer-Minorities/Females/Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity.

                                                                                                                                                                                                    

  • 24 Days Ago

U
Utilization Review - Non Exempt
  • Utilization Review - 630
  • Baltimore, MD FULL_TIME
  • Utilization Review - 630As NeededDay 8 Hour Shifts (8:30 am-5:00 pm)0Req# 43127 JOB DESCRIPTION SUMMARY: Under general supervision, utilize clinical knowledge and critical thinking skills to provide o...
  • 19 Days Ago

U
Case Management Specialist - Utilization Review
  • Utilization Review in Owensboro, KY - Owensboro
  • Owensboro, KY FULL_TIME
  • Summary Job Summary Facilitates cost-effective, quality patient outcomes by determining the appropriate level of care and providing guidance, education, and support to assigned patients. Job Responsib...
  • 8 Days Ago

M
Manager - Nursing Utilization Review (FT)
  • MU Health Care
  • Columbia, MO FULL_TIME
  • Join the MU Healthcare team as a dynamic leader overseeing the daily operations of our Utilization Management (UM) staff. You'll play a pivotal role in hiring, developing, and managing the UM team, ut...
  • 1 Day Ago

M
Care Manager (RN) - Utilization Review
  • MaineHealth
  • Portland, ME FULL_TIME
  • Summary This is a bargaining unit position Date posted: 01/30/2024 For a limited time MaineHealth is offering up to $10,000 Sign on bonus for all eligible experienced Registered Nurses with 1-3 years ...
  • Just Posted

T
Nurse Case Manager/Utilization Review
  • Tuba City Regional Health Care Corporation
  • Tuba, AZ FULL_TIME
  • Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to th...
  • 21 Days Ago

R
Senior Project Manager
  • REI Systems
  • Sterling, VA
  • REI Systems is looking for a Senior Project Manager to join our team. The Senior Project Manager provides leadership, ov...
  • 3/28/2024 12:00:00 AM

M
Utilization Management - RN/LPN (Full Remote)
  • Morgan Stephens
  • Falls Church, VA
  • COMPANY SUMMARY: With over 35 years of experience, our mission is to provide high-quality, affordable healthcare to thos...
  • 3/28/2024 12:00:00 AM

G
Assistant Manager
  • Glosslab LLC
  • Bethesda, MD
  • **Assistant Manager** at GLOSSLAB Bethesda, Maryland, United States **** **GLOSSLAB is transforming the nail industry, o...
  • 3/28/2024 12:00:00 AM

E
RN Nurse Case Mgr I (NoVA)
  • Elevance Health
  • Arlington, VA
  • Anticipated End Date: 2024-03-31 Position Title: RN Nurse Case Mgr I (NoVA) Job Description: LOCATION: This is primarily...
  • 3/28/2024 12:00:00 AM

W
Director, Regulatory Affairs
  • Water Environment Federation - Wef
  • Alexandria, VA
  • Job DescriptionWater Environment Federation - WEF How This Position Contributes to the Team The Director of Regulatory A...
  • 3/28/2024 12:00:00 AM

O
Senior Vice President Information Technology
  • ORBCOMM
  • Sterling, VA
  • A little bit about the role: ORBCOMM is seeking an SVP Information Technology/Information Systems that will report to th...
  • 3/26/2024 12:00:00 AM

S
Rapid Rehousing Program Manager
  • Shelter House
  • Leesburg, VA
  • Title: Community Housing Program Manager Department: Loudoun Community Housing Programs Reports to: Senior Director of L...
  • 3/25/2024 12:00:00 AM

S
General Manager
  • SafeSplash Swim School
  • Sterling, VA
  • Job Description Job Description Reports to District Manager Company Owned Schools Description This position is a full-ti...
  • 3/24/2024 12:00:00 AM

Income Estimation for Utilization Review Manager - Home Care jobs
$76,038 to $96,944