Magellan utilization management jobs
Web1969. Type: Company - Public (MGLN) Industry: Health Care Services & Hospitals. Revenue: $5 to $10 billion (USD) Competitors: The Cigna Group, Humana, APS Healthcare. Create Comparison. Magellan Health, Inc., a Fortune 500 company, is a leader in managing the fastest growing, most complex areas of health, including special … Web5. Case Management and Utilization Management RNs and Social Worker responsibilities for medical and behavioral health include, but are not limited to: a. Perform pre-service, concurrent, and post-service reviews. b. Utilization Management RNs can approve UM benefit and medical coverage if medical and or benefit criteria is met.
Magellan utilization management jobs
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WebBehavioral health programs and services. Specializing in the most complex, costly areas of care, Magellan Healthcare partners with states to manage behavioral health programs. … WebApr 14, 2024 · The Utilization Management Nurse 1: • Uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, …
WebWhere do you fit at Magellan? Explore exciting career opportunities at some of Magellan's fast-growing and priority hiring areas.
WebDevelops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality of patient care, ensuring that patients … Web12 rows · 12 Magellan Health Utilization Review jobs. Search job openings, see if they fit - company ...
Web21 Magellan Health Utilization Management jobs available on Indeed.com. Apply to Medical Director, Behavioral Health Manager, Director of Clinical Services and more!
WebApr 10, 2024 · Easy 1-Click Apply (MAGELLAN HEALTH, INC.) Care Manager, Health Plan (BH) - Licensed/Remote in CA job in San Diego, CA. View job description, responsibilities and qualifications. See if you qualify! ... Knowledge of utilization management procedures, mental health and substance abuse community resources and providers. ... signs for windows for businessWebDirects all medical management utilization and case management and their related compliance functions (CMS, state regulations, URAC). Estimated: $98.6K - $125K a year Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. theramatrix physical therapyWebMar 28, 2024 · Collects and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental health and substance abuse issues, and participates in special quality improvement projects. theramatrix physical therapy michiganWeb77 rn remote Jobs in California 5.0 Choices Case Management, Inc. RN Case Manager - WC Field Sacramento, CA $94K - $132K (Employer est.) Easy Apply 4d If you have 2+ years of CA Workers' Compensation Case Management experience and currently reside in California, this job opportunity may be for you!… 3.8 Inland Empire Health Plans theramat floor warmerWebCare coordination and case management Magellan employs many methods to identify members with complex needs to match them with the appropriate level of specialized case management services, including: Intensive care coordination for members with serious mental illness (SMI) and comorbid conditions signs for wedding venueWeb2024 – 2024 Magellan Care Guidelines 3 Preamble - Principles of Medical Necessity Determinations Magellan uses MCG Guidelines®, along with its proprietary clinical criteria, Magellan Healthcare Guidelines, as the primary decision support tools for our Utilization Management Program. thera max mosWebMagellan reduced monthly inpatient utilization by 68% for members served in a behavioral health program with the Enhanced Community-Based Intensive Treatment model, which facilitates team-delivered & integrated care. Members who complete the program continue to experience improvements. signs for wedding guest book