• RN- Utilization Management

    ERP International (Nellis AFB, NV)
    …from own clinical practice and education relevant to nursing and utilization management. * Participates in the orientation, education, and training of other ... at least 3 years of total nursing experience in a direct patient care clinical inpatient and outpatient setting. Must have utilization management experience for… more
    ERP International (11/02/24)
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  • Care Coordinator, Utilization Management

    Hackensack Meridian Health (Holmdel, NJ)
    …healthcare and serve as a leader of positive change. The **Care Coordinator, Utilization Management** is a member of the healthcare team and is responsible for ... coordinating, communicating, and facilitating the clinical progression of the patient's treatment. Accountable for a designated patient caseload; the Care… more
    Hackensack Meridian Health (10/24/24)
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  • Care Coordinator RN, Utilization Management

    Hackensack Meridian Health (Neptune, NJ)
    …healthcare and serve as a leader of positive change. The **Care Coordinator, Utilization Management** is a member of the healthcare team and is responsible for ... coordinating, communicating, and facilitating the clinical progression of the patient's treatment. Accountable for a designated patient caseload; the Care… more
    Hackensack Meridian Health (10/24/24)
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  • Enterprise Shared Services Program Manager…

    LA Care Health Plan (Los Angeles, CA)
    Enterprise Shared Services Program Manager II (ALD) Job Category: Administrative, HR, Business Professionals Department: Claims Data and Support Services Location: ... to support the safety net required to achieve that purpose. Job Summary The Enterprise Shared Services Program Manager II is responsible for leading and managing a… more
    LA Care Health Plan (10/25/24)
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  • Director of Enterprise Data Engineering…

    Mount Sinai Health System (New York, NY)
    **Job Description** **Director of Enterprise Data Engineering - Digital and Technology Partners - Remote - Req#3016788** The Director of Enterprise Data ... Engineering is a key part of the enterprise data & analytics leadership team. This role will develop and execute the data engineering portion of our refreshed … more
    Mount Sinai Health System (10/19/24)
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  • AVP, Enterprise Network…

    Northwell Health (Melville, NY)
    **Req Number** 139582 Job Description The AVP, Enterprise Communications is responsible for managing LAN/WAN, wireless networks, security, and cloud connectivity ... health system's values. Job Responsibility Key Responsibilities + Lead the Enterprise Communications function by developing leaders and driving programs and… more
    Northwell Health (10/12/24)
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  • Clinical Investigation Lead

    Humana (Columbus, OH)
    …with how utilization management (UM) and regulatory guidance can influence clinical strategies. + Highly creative and able to think "outside the box" ... a part of our caring community and help us put health first** The Clinical Strategy Team is a multi-disciplinary team focused on using advanced analytics techniques… more
    Humana (11/09/24)
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  • Assistant Director Clinical Research…

    HonorHealth (Scottsdale, AZ)
    …oversees the research coordination aspects of clinical operations supporting the clinical research enterprise at HRI including clinical research ... Oversee the clinical coordination operations in its entirety supporting the clinical research enterprise . This includes clinical trial support operations… more
    HonorHealth (08/20/24)
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  • VP, Marketplace Clinical Operations…

    Molina Healthcare (Bowling Green, KY)
    …service. **Job Duties** + Provides leadership, direction and oversight to the segment clinical teams - specifically care management and utilization management - ... quality cost effective health care for Molina members. + Ensures that the clinical models for both care and utilization management reflect applicable federal… more
    Molina Healthcare (11/08/24)
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  • Expanse Clinical Pharmacy Manager WFH

    HCA Healthcare (Nashville, TN)
    …to include onsite assistance as needed *Supports the judicious use of clinical decision support through appropriate prioritization of accurate and actionable ... a part of our team. **Job Summary and Qualifications** The Expanse Clinical Pharmacy Manager is responsible for designing, implementing and managing the development… more
    HCA Healthcare (11/07/24)
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  • Manager - Analytics & Clinical

    Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
    …& Control; Accreditation and Regulatory Compliance; Patient Experience; IS-Analytics; IS- Clinical Informatics, Financial Planning & Decision Support and ... and purpose of the job. Under the general direction of the Director of Clinical Analytics, the Analytics & Clinical Effectiveness (A&CE) Manager position is… more
    Lucile Packard Children's Hospital Stanford (10/12/24)
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  • Pharmacy Specialist - Ambulatory Clinical

    Henry Ford Health System (Bingham Farms, MI)
    …quality of care provided by the primary care team. He/she works with utilization management reports, corporate data stores, and information services to optimize drug ... services, decrease waste, and rework in the region, and improve drug utilization . The Pharmacy Specialist will be instrumental in guiding the further development… more
    Henry Ford Health System (09/14/24)
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  • Clinical Informatics Analyst- Hospice…

    Randstad US (Madison, WI)
    clinical information systems. + Experience working with clinicians on analyzing clinical problems, workflows, and decision support. + Proficient in using ... clinical informatics analyst- hospice (hybrid). + madison ,...Wisconsin that wants to build a department for the enterprise . Must be willing to travel and be onsite… more
    Randstad US (10/24/24)
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  • Epic Cadence Analyst ( Decision Tree)…

    Cedars-Sinai (CA)
    **Job Description** **Grow your career at Cedars-Sinai!** The Enterprise Information Services (EIS) team at Cedars-Sinai understands that true clinical ... " list, which highlights hospitals that have excelled in the utilization of electronic functionalities, telemedicine, digital imaging, artificial intelligence and… more
    Cedars-Sinai (08/23/24)
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  • Rare Renal Clinical Account Manager - North…

    Novo Nordisk (Minneapolis, MN)
    …NN, other affiliates, and global. We're looking for individuals who are enterprise thinkers, inclusive leaders, and strong collaborators, as we embark on shaping ... and community thought-leaders in an assigned territory. The Rare Renal Clinical Account Manager will be principally responsible for driving disease awareness,… more
    Novo Nordisk (10/31/24)
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  • Medical Director - Clinical Biochemical…

    The Cigna Group (Bloomfield, CT)
    …you crave an intellectually stimulating job that allows you to leverage your clinical expertise while developing new skills and improving the lives of others? Then ... look no further! As a Clinical Biochemical Genetics or Clinical Molecular Genetics...to help ensure patients receive proper care via evidence-based decision making. **What you'll enjoy about working here:** +… more
    The Cigna Group (08/14/24)
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  • Medical Director - Medical Affairs (Oncology)

    CVS Health (Sacramento, CA)
    …cross functional thinking and decision making. Medical Directors represent the clinical decision making and professional thought process of the prescriber as ... from from home role. The Medical Affairs department provides clinical business support to the entire enterprise ...and decision making. Medical Directors represent the clinical decision making and professional thought process… more
    CVS Health (08/23/24)
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  • Customer Success Engagement Manager-National…

    Wolters Kluwer (Philadelphia, PA)
    …pharmacist editors, technologists, and product visionaries collaborate to provide advanced clinical decision support solutions that measurably improve ... *This is an **individual contributor** position **Wolters Kluwer Health's Clinical Effectiveness (CE)** organization is a fast-growing and innovation-driven… more
    Wolters Kluwer (10/01/24)
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  • Nursing Admin Director - Cancer Center, Cookeville…

    Vanderbilt University Medical Center (Cookeville, TN)
    …ensuring that standards are met within the Patient Care Centers to assure Clinical Enterprise accreditation/licensure. * Ensure utilization of space within ... supports the mission, vision and credo of the Vanderbilt Clinical Enterprise . Maintain the established goals of... * Define space requirements and monitor the effective utilization of assigned space within the Patient Care Center.… more
    Vanderbilt University Medical Center (10/17/24)
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  • Senior Medical Director, Behavioral Health - New…

    Magellan Health Services (Albuquerque, NM)
    …policy and clinical guideline committees. May do background research to support clinical decision making and policies. + Assesses technology and clinical ... + Evaluates the effectiveness and cost of care of clinical programs through review and analysis of utilization...and financial data., Assists with root cause analyses and enterprise resolution of issues; modifies programs as needed to… more
    Magellan Health Services (10/02/24)
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