Common use of Utilization Management Manager Clause in Contracts

Utilization Management Manager. The Contractor shall employ a Utilization Management Manager who is dedicated full-time to the Contractor’s Indiana Medicaid product lines. The Utilization Management Manager shall, at a

Utilization Management Manager. The Contractor shall employ a Utilization Management Manager who is dedicated full-time to the Contractor’s Indiana Medicaid product lines. The Utilization Management Manager shall, at aIndiana

Utilization Management Manager. The Contractor shall employ a Utilization Management Manager who is dedicated full-time to the Contractor’s Indiana Medicaid product lines. The Utilization Management Manager shall, at aa minimum, be responsible for directing the activities of the utilization management staff. With direct supervision by the Medical Director, the Utilization Management Manager shall direct staff performance regarding prior authorization, medical necessity determinations, concurrent review, retrospective review, appropriate utilization of health care services, continuity of care, care coordination and other clinical and medical management programs. The Utilization Management Manager shall work

Utilization Management Manager. The Contractor shall employ a Utilization Management Manager who is dedicated full-time to the Contractor’s Indiana Medicaid product lines. The Utilization Management Manager shall, at aa minimum, be responsible for directing the activities of the utilization management staff. With direct supervision by the Medical Director, the Utilization Management Manager shall direct staff performance regarding prior authorization, medical necessity determinations, concurrent review, retrospective review, appropriate utilization of health care services, continuity of care, care coordination and other clinical and medical management