Care Manager Utilization Management Jobs

... Ensure provision of quality patient care while maintaining cost-effective clinical operations ... Compliance Program, and FMS patient care and administrative policies as the ... decisions to ensure continuity of..

... Ensure provision of quality patient care while maintaining cost-effective clinical operations ... Compliance Program, and FMS patient care and administrative policies as the ... decisions to ensure continuity of..

... prior authorization requests for appropriate care and setting, following guidelines and ... case findings. Educates providers on utilization and medical management processes. Enters and maintains pertinent ... clinical information..

... policy requirements. Provides direct nursing care pre, during and post procedure, ... the direction of the Facility Manager and/or Charge Registered Nurse, utilizing ... for outstanding quality of patient..

... as assigned by the Program Manager. The Inpatient Services Charge Nurse ... scheduling, and directing Acute Patient Care staff and by performing Acute ... needed or directed by Program..