Utilization Review Manager Salary in Eden Prairie, Minnesota

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Average Salary for Utilization Review Manager in Eden Prairie, Minnesota

The average salary of a(n) Utilization Review Manager in Eden Prairie, Minnesota is $47,360.

The average hourly rate of a(n) Utilization Review Manager in Eden Prairie, Minnesota is $22.77.

The average bonus of a(n) Utilization Review Manager in Eden Prairie, Minnesota is $1,553.00.

Job Description:

Manages a department responsible for the determination of medical necessity and appropriateness of care based on predetermined criteria and/or guidelines. Manages the utilization review function to ensure accurate and timely prior authorization of designated healthcare services, concurrent review, and retrospective review activity. Typically requires licensure as a Registered Nurse with clinical and managed care experience. Hires, develops, and motivates a qualified utilization review department staff. Plans, organizes, implements, and evaluates departmental outcomes. Performs regular data analysis of hospital census, authorization information, and medical cost reports to identify variances and root causes so that areas of focus may be identified and resources may be appropriately deployed. Ensures that benefits and policies are properly interpreted and that care is rendered in the most appropriate site of service with a focus on quality care and cost efficient outcomes. Assures timely response to provider requests for services per department standards. Conducts regular clinical reviews for utilization management activities based on guidelines and standards for patients in a variety of settings. Prepares and manages the departmental budget. Less

Manages a department responsible for the determination of medical necessity and appropriateness of care based on predetermined criteria and/or guidelines. Manages the utilization review function to ensure accurate and timely prior authorization of designated healthcare services, concurrent review, and retrospective... More

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Results for Utilization Review Manager in Eden Prairie, Minnesota

Case Manager, RN - Eden Prairie, MN - Eden Prairie, MN

UnitedHealth Group

Experience in utilization review, concurrent review or risk management. Certified Case Manager (CCM). RN, Acute Care, Managed Care, Case Management, Certified...

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RN Case Manager - Monday-Friday in Eden Prairie, MN - Eden Prairie, MN

UnitedHealth Group

Experience in utilization review, concurrent review and/or risk management. Certified Case Manager (CCM). Case Management, Case Manager, Cancer Support, RN,...

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Operations Manager - Minneapolis, MN

Universal Hospital Services

Trains, mentors and on-boards new Hospital Operation Managers. The Operations Manager is responsible for managing and maximizing equipment utilization,...

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Plant Manager - New Hope, MN

Magellan Professional Solutions, Inc.

Review costs and modify programs to meet budget guidelines. Develop plans to ensure efficient utilization of employee aptitude, equipment/machinery, and...

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Advanced Practice Provider Manager - Golden Valley, MN

Twin Cities Orthopedics

Responsible for ongoing utilization review and standardization of care delivery expectations across the TCO system. Position purpose summary:....

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