- Fresenius Medical Care (Olmito, TX)
- …Preparedness Plan; ensure maintenance of equipment . Ensure proper medical records management and HIPAA compliance . Oversees the continuous and data driven Quality ... and policies, and then developing and implementing an associated center specific management plan. . Ensure adverse events are reported, documented and necessary… more
- Molina Healthcare (Sparks, NV)
- …services professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term ... * Assists in implementing health management , care management , utilization management , behavioral health...and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care Management… more
- Christus Health (San Antonio, TX)
- …and 24/7 accountability for effective implementation of nursing practice and operations for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse ... manager affects departmental outcomes through interpretation, implementation, and evaluation...patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the… more
- Fresenius Medical Care (San Antonio, TX)
- …all implanted devices are completed accurately, timely and maintained according to records management guidelines. Acts as the Facility Manager in the absence of ... , facility staff and physician to coordinate the facility operations and patient procedures to ensure provision of quality... manager or at the direction of organization management . Appointed Governing Body positions, takes on primary role… more
- UPMC (Pittsburgh, PA)
- … Utilization Management Care Manager to support the Utilization Management Clinical Operations Department. This position will predominantly work ... Friday. Preference will be given to candidates located in Pennsylvania. The Utilization Management (UM) Care Manager is responsible for utilization … more
- Intermountain Health (Las Vegas, NV)
- … Manager of Care Management I leads and collaborates with care management operations across utilization review, acute and emergency department care, ... work and complex care planning, transitions of care, and utilization management . The position ensures compliance with...with compliance and legal to support care delivery. The Manager Care Management I reports to the… more
- CVS Health (Baton Rouge, LA)
- …And we do it all with heart, each and every day. **Position Summary** The Utilization Management Manager of Prior Authorization oversees a team of clinical ... clinical leadership, operations , IT, and regulatory bodies-to align utilization management with enterprise strategies. + Manage escalations, complex… more
- Elevance Health (Washington, DC)
- …office 4 days each week. The office is located at 609 H. Street NE.** The ** Manager of Utilization Management ** **ll** is responsible for managing a team of ... and acuity. + Provides direct oversight and is responsible for Utilization Management execution/decision making for managed member populations. Primary… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …functions. Oversees daily operations , which include supervising staff performing utilization management activities. The goal is to achieve clinical, ... *_SUMMARY:_* We are currently seeking a* Utilization Review Manager * to join ourTransitional...financial, and utilization goals through effective management , communication, and… more
- Huron Consulting Group (Chicago, IL)
- …Join our team as the expert you are now and create your future. The Manager of Utilization Management is responsible for planning, organizing, developing, ... of the Utilization Review Plan and the overall operation of the Utilization Management Department in accordance with federal, state and local guidelines,… more
- LifeCenter Northwest (Bellevue, WA)
- …- $159,600.00 Salary Position Type Full Time Description and Qualifications The Manager , Organ Utilization (OUM) provides strategic leadership and operational ... Responsibilities + Lead and engage daily with the Organ Utilization Coordinator (OUC) team in donor case operations...identify areas for improvement. + Partner with the Organ Utilization Program Manager (OUPM) on OUCT staffing,… more
- Logan Health (Kalispell, MT)
- …Excellence. Logan Health is looking for an RN to lead the way as our Manager of Clinical Documentation Integrity (CDI) & Utilization Review! This role is ideal ... workflows with clarity. What You'll Be Doing: As the Manager of CDI & Utilization Review, you...manner + Partnering with the Chief Medical Officer on utilization review initiatives, length of stay management ,… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE** : Supervise the daily operations of the utilization management (UM) department functions to ensure appropriate ... of business. **Knowledge, Skills and Abilities (KSAs)** + Oversight of Utilization Management clinicians while championing process improvement, change adoption… more
- LifeCenter Northwest (Bellevue, WA)
- …performance goals. ESSENTIAL JOB FUNCTIONS Leadership Responsibilities + Oversees daily operations of the organ utilization team, including allocation processes ... a culture of collaboration, accountability, and continuous improvement across the organ utilization function. + Mentors and develops the manager (s) and lead… more
- Healthfirst (NY)
- …with other Operations leaders including but not limited to Care Management , Clinical Eligibility, Behavioral Health, and Appeals and Grievances teams to align ... member care in a cost-effective manner + Ensure UM operations meet regulatory requirements set forth by CMS, New...improve department performance + Collect, analyze, and report on utilization trends, patterns, and impacts to identify areas for… more
- Behavioral Center of Michigan (Warren, MI)
- …all state mandated regulations. Maintains compliancy with regulation changes affecting utilization management . Reviews patient recrods and evaluates patient ... programs and advises physicians and other departments of regulations affecting utilization management . Consults with Social Services Department regarding the… more
- South Middlesex Opportunity Council (Framingham, MA)
- …casual Working Conditions: As part of the responsibilities of this position, the Utilization Management Coordinator will have direct or incidental contact with ... children and families. This position will coordinate billing and monitor utilization review for the Clinic and Residential Recovery Programs. Candidates must… more
- Henry Ford Health System (Troy, MI)
- … Manager of Pharmacy Benefits and other delegated pharmacist. Facilitates the operations of the Pharmacy Care Management Department by organizing, improving, ... and implementing pharmacy benefit management policies and procedures. Major areas of responsibility include...Additional Information + Organization: Community Care Services + Department: Pharmacy- Utilization Mgmt + Shift: Day Job + Union Code:… more
- Johns Hopkins University (Baltimore, MD)
- … Manager Job Posting Title (Working Title): Building Operations Manager , SNF Agora (Capital Planning & Facilities Management , Krieger) Role/Level/Range: ... We are seeking a **_Building Operations Manager ,_** **_SNF Agora_** who will...special projects as needed, such as space assessments and utilization , crisis management and safety protocol. **Special… more
- L3Harris (Malabar, FL)
- …land, sea and cyber domains in the interest of national security. Job Title: Senior Manager , Operations Management Job Code: 32225 Job Location: Malabar, Fl ... + Six Sigma Green Belt, Black Belt, or equivalent certification. + Previous Operations Management experience in a high-mix electronics manufacturing facility. +… more
