Utilization Review Manager Salary in Mount Pleasant, South Carolina

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Average Salary for Utilization Review Manager in Mount Pleasant, South Carolina

The average salary of a(n) Utilization Review Manager in Mount Pleasant, South Carolina is $43,072.

The average hourly rate of a(n) Utilization Review Manager in Mount Pleasant, South Carolina is $20.71.

The average bonus of a(n) Utilization Review Manager in Mount Pleasant, South Carolina is $1,413.00.

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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Medical Case Manager - Charleston, SC

CorVel Corporation

Strong cost containment background, such as utilization review or managed care also useful. Please be aware that CorVel generally does not review all...

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RN, CASE MANAGER - Mount Pleasant, SC

East Cooper Medical Center

Previous Case Management, Utilization Review or Discharge Planning experience desirable. The RN Case Manager is responsible to facilitate care along a continuum...

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Senior Operations Manager - Charleston, SC

Avis Budget Group

Reviews work being performed in the area to ensure complete, timely, and consistent results, and evaluates the performance of subordinates in formal reviews....

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Skilled Inpatient Care Coordinator (SICC) - Charleston, SC

naviHealth

Manager or Medical Director. When naviHealth is delegated for utilization management review refer requests that cannot be approved for continued stay and are...

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Project Manager - Charleston, SC

Faithful+Gould

Reviews high-level deliverables across projects. Oversees managers working on client engagements within practice....

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