Utilization Review Manager - Home Care jobs in Wyoming

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)

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UTILIZATION REVIEW COORDINATOR
  • Wyoming Behavioral Institute
  • Casper, WY FULL_TIME
  • Responsibilities:
    Consider a career with meaning and purpose!

    Join Wyoming Behavioral Institute as a Utilization Review Coordinator, and enjoy a career that provides purpose, meaning and career development opportunities.
    Wyoming Behavioral Institute, located in Casper, WY is a psychiatric hospital providing excellent care to children, adolescent and adults. We take pride in being a cohesive, family-friendly, flexible, educational and welcoming work environment!

    Hourly rates: $25 - $35 per hour
    Shift- Days: M-F 8am to 5pm, FT (32 – 40 hours)

    Your Benefits will include:
    • Paid training program
    • Excellent and affordable full benefits package (including employee wellness) within 30 days of starting
    • Start earning Paid Time off from your first day of work
    • Education/Tuition Reimbursement program – continue to develop your skills
    • Serve others in a therapeutic, teamwork-oriented work environment with a diverse and collaborative multi-disciplinary team of clinical professionals
    • Opportunities to grow and develop your clinical skills in Case Management and Utilization Review
    Your role and responsibilities:
    • YOU WILL use your clinical skills to work with the Utilization Review & Treatment teams to assist with patient caseloads, pre-certifications, assist with performing concurrent reviews & certify cases for inpatient and residential clients.

    • YOU WILL
      be an active interdisciplinary team member with the treatment team, physicians, Therapists, Case Management and other disciplines and will interface with payer sources and insurance companies to support & optimize patient treatment.


    • YOU WILL be equipped to communicate effectively the necessary information regarding patient status, treatment, covered services, treatment plans, transition plans, discharge and upcoming reviews. Work actively with clinicians, insurance plans, business associates and outside agencies & treatment providers to achieve the best outcome for WBI patients.

    .

    Your Qualifications include:
    • You Must be at twenty-one (21) years of age to apply

    • You must have a BSW or BA/BS in social sciences, healthcare, or related human services degree

    • You must be in good mental health and physical condition (able to walk, bend, reach), and willing to work with psychiatric patients, families, providers and insurance companies in an active & busy treatment setting.
    .
    • You must have effective interpersonal and presentation skills when working with treatment teams, physicians, patients and staff members
    .
    • You must have one year of experience in social services, clinical services, public health, community resource development or related discipline.

    • You will use your expertise as a member of the treatment team and will be expected to give input into treatment decisions, consistent with your education and clinical experience.


    Qualifications:
    Your Qualifications include:
    • You Must be at twenty-one (21) years of age to apply

    • You must have a BSW or BA/BS in social sciences, healthcare, or related human services degree

    • You must be in good mental health and physical condition (able to walk, bend, reach), and willing to work with psychiatric patients, families, providers and insurance companies in an active & busy treatment setting.
    .
    • You must have effective interpersonal and presentation skills when working with treatment teams, physicians, patients and staff members
    .
    • You must have one year of experience in social services, clinical services, public health, community resource development or related discipline.

    • You will use your expertise as a member of the treatment team and will be expected to give input into treatment decisions, consistent with your education and clinical experience.

  • 3 Days Ago

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Client Care Manager
  • Home Instead
  • Casper, WY FULL_TIME
  • Are you looking for a position with a company that offer independence, autonomy and trust? Are you looking for a career that makes a meaningful difference in the lives of others? If you answered ‘yes'...
  • 29 Days Ago

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Client Care Manager
  • Home Instead Wyo
  • Casper, WY FULL_TIME
  • Are you looking for a position with a company that offer independence, autonomy and trust? Are you looking for a career that makes a meaningful difference in the lives of others? If you answered ‘yes’...
  • 1 Month Ago

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Home Health Aide (HHA)
  • Comfort Keepers Home Care
  • Midwest, WY PART_TIME
  • Join our team!We are committed to Elevating the Human Spirit!Do you want a rewarding career helping others? Do you want to work with a supportive team of caring professionals dedicated to the promise ...
  • 1 Month Ago

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Child Care Worker
  • LaLa's Littles In-Home Child Care
  • Cheyenne, WY PART_TIME
  • We are looking for a Child Care Teacher to encourage the healthy intellectual and psychological growth of the children in our facilities. You will teach and supervise them while also motivating them t...
  • 14 Days Ago

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Care Professional
  • CATHEDRAL HOME
  • Laramie, WY FULL_TIME
  • As a member of the Cathedral Home team, you will advocate for youth and families, build strong relationships, and create lasting supports to meet community needs. Offer hope and help to youth working ...
  • 6 Days Ago

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Utilities Manager
  • Insight Global
  • We recognize that our success depends on the quality of the people we hire. We are currently seeking highly talented ind...
  • 4/18/2024 12:00:00 AM

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Utilization Management Assistant - Utilization Management
  • Providence Health & Services
  • Hesperia, CA
  • Under the direction of the Utilization Supervisor/ Manager, this position is responsible for the distribution, review, a...
  • 4/18/2024 12:00:00 AM

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Utilities Manager
  • City of Upland, CA
  • Upland, CA
  • Salary : $124,287.53 - $158,625.88 Annually Location : Public Works - 1370 N. Benson Ave Upland, CA Job Type: Full Time ...
  • 4/17/2024 12:00:00 AM

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Director Utilization Management
  • AMI Network
  • San Diego, CA
  • I’m partnered with a major health plan in San Diego to find a Director of Utilization Management! This top-rated Medicai...
  • 4/17/2024 12:00:00 AM

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Utility Manager
  • Dsj Global
  • Saint Louis, MO
  • We are seeking a highly skilled and experienced Utility Manager to oversee the operation and maintenance of utility syst...
  • 4/16/2024 12:00:00 AM

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Utilization Management Manager
  • Medasource
  • Fresno, CA
  • Job Title: Interim Case Management Manager Client: Large Healthcare Provider Location: Fresno, California Start Date: AS...
  • 4/16/2024 12:00:00 AM

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Utilization Management Manager
  • Medasource
  • Fresno, CA
  • Job Title: Utilization Management Manager Location: Fresno, California (travel reimbursement if needed) Start Date: ASAP...
  • 4/16/2024 12:00:00 AM

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Utility Manager
  • DSJ Global
  • St Louis, MO
  • We are seeking a highly skilled and experienced Utility Manager to oversee the operation and maintenance of utility syst...
  • 4/14/2024 12:00:00 AM

Wyoming (/waɪˈoʊmɪŋ/ (listen)) is a state in the mountain region of the western United States. The state is the 10th largest by area, the least populous, and the second most sparsely populated state in the country. Wyoming is bordered on the north by Montana, on the east by South Dakota and Nebraska, on the south by Colorado, on the southwest by Utah, and on the west by Idaho and Montana. The state population was estimated at 577,737 in 2018, which is less than 31 of the most populous U.S. cities including Denver in neighboring Colorado. Cheyenne is the state capital and the most populous city...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Manager - Home Care jobs
$73,134 to $93,240