- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) ... accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy + Works...assigned work in a timely and accurate manner + Knowledge of the Utilization management … more
- Rady Children's Hospital San Diego (San Diego, CA)
- …Manager , the UM Operations Trainer's primary job function is to support Utilization Management operations by training non-clinical staff on how to ... function. MINIMUM QUALIFICATIONS: HS Diploma,GED,or Equivalent 2 Years of Experience Knowledge of medical terminology, ICD-10 Codes, CPT Codes, HCPC Codes, health… more
- Stanford Health Care (Palo Alto, CA)
- …to patients, interrelationships of the care components, and their effective integration + Knowledge of the models of case management , including the principles ... Health Care (SHC)? Are you a seasoned RN Case Manager ? Here is your opportunity to work with the...and practices of discharge planning, utilization review, and quality assurance/improvement + Knowledge … more
- Home Depot (Atlanta, GA)
- **Position Purpose:** The Product Management Sr. Manager is responsible for attracting, retaining, and developing top talent focused on assessing market needs ... System (CMS), and the roadmap for new content creation products. The Product Management Sr. Manager focuses on guiding and executing the delivery of business… more
- Kaiser Permanente (Salem, OR)
- …hospital, nursing facilities, home health, hospice, and Durable Medical Equipment (DME). Knowledge of utilization management principles and tools. ... navigate conflict in high pressure situations. Preferred Qualifications: Certified in Case Management . Knowledge of appropriate utilization of acute hospital… more
- Stanford Health Care (Palo Alto, CA)
- …patients, interrelationships of the care components, + and their effective integration + Knowledge of the models of case management , including the principles and ... delivery and quality of patient care. A hospital-based case management system has as its primary goal to ensure...practices of discharge + planning, utilization review, and quality assurance/improvement + Knowledge … more
- Integra LifeSciences (Princeton, NJ)
- …pathways to advance patient outcomes and set new standards of care. The Manager , Contracts and Vendor Management , is responsible for overseeing the Information ... cost savings, operational efficiency and mitigation of risk. The Manager , Contracts and Software Assets, is a recognized Subject...software asset management , procurement, or IT vendor management . + Strong knowledge of contract law,… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- … and supplier performance measurement skills required- Procurement process knowledge , contract management , financial analysis, market analysis, supplier ... bid analysis and complex negotiations for efficiencies. Harnesses enterprise wide knowledge and perspective coupled with in-depth functional knowledge to… more
- Neuberger Berman (New York, NY)
- We're seeking a Senior Product Manager to lead the Enterprise Data Management (EDM) User Success & Enablement team-a firmwide function that drives user success, ... + Collaborate across domains to understand business problems and optimize data utilization . **Qualifications** + 8-12+ years in product management , consulting,… more
- Commonwealth Care Alliance (Boston, MA)
- …Work collaboratively with internal departments-including Clinical Operations, Contracting, Network Management , Utilization Management , and Business ... and improvement efforts. Through reporting, data analysis, and partnership management , the LTSS Program Manager ensures that...& Language (nice to have):** + Familiarity with care management and utilization management systems… more
- Commonwealth Care Alliance (Boston, MA)
- …member experience. - Address provider inquiries related to care coordination, utilization management , and program participation, collaborating with internal ... does not have direct reports. Essential Duties & Responsibilities: Provider Relationship Management - Serve as the primary relationship manager and point… more
- Commonwealth Care Alliance (Boston, MA)
- …delegated partnerships programs, working with clinical community partners responsible for care management and utilization management across CCA's One Care ... and performance monitoring initiatives or relevant position - Working knowledge of project/program management practices - Ability...& Language (nice to have): - Familiarity with care management and utilization management systems… more
- Battelle Memorial Institute (Colorado Springs, CO)
- …assist patients to optimize their level of function and self-care + Possess knowledge of patient education principles and management of complex medical, ... line is seeking a highly motivated, full-time **Nurse Case Manager ** to join our team in support of our...to ensure adherence within legal and professional parameters + Knowledge and skill in using pre-established utilization … more
- Hawaiian Electric (Honolulu, HI)
- …with electric utility transmission and/or distribution, normally acquired through relevant project management experience. + In depth knowledge of project and ... Senior Project Manager - Oahu Date:Nov 26, 2025 Location: Honolulu,...management , including Earned Value (EV) analysis. + Working knowledge of applicable laws, regulations, and codes related to… more
- Teleflex (Chicago, IL)
- US Remote Sales Manager , Anesthesia **Date:** Nov 21, 2025 **Location:** Chicago, IL, US **Company:** Teleflex **Expected Travel** : Up to 50% **Requisition ID** ... our world-class brands including: + LMA and Rusch airway management devices designed to help reduce the risk of...in patients' lives. **Position Summary** The US Remote Sales Manager reports directly to the Director of Sales (DoS)… more
- Saint Agnes Medical Center (Fresno, CA)
- …the acute care continuum for CVHP members. This includes discharge planning, utilization management , care coordination, and support for resource utilization ... an interdisciplinary team to improve patient care through the effective utilization of the facility's resources. The incumbent makes significant contributions toward… more
- DESC (Seattle, WA)
- …consistent, recovery-oriented, trauma-informed, and harm-reduction-based care. The Clinical Project Manager ensures that case management and clinical practices ... and effective service delivery. + Share responsibility for integrated operations and case management with the Nursing Project Manager to ensure all clinical,… more
- SMBC (Charlotte, NC)
- … Knowledge of Apptio application and TCO methodology advanctageous - Formal project management expertise and knowledge of project management methodology / ... **Role Description** Role Description The Senior Director of IT Business and Project Manager will report to the Americas Division Technology Head of Business &… more
- Stanford Health Care (Menlo Park, CA)
- …management services, which includes strategic planning, financial performance management , resource utilization , contract administration, operational metrics, ... Management : + Coordination with Transition Strategy Senior Operations Manager and BOSI manager on project budget...and stays current on status (through BOSI coordination and knowledge of related PO's, vendor relationships). + Working … more
- Cupertino Electric (San Jose, CA)
- …IT Project Manager **Reports To:** Director of Technology Program Management **Location:** San Jose, California | Remote **Salary Range:** $105,000 to $145,000 ... maximum system utilization and tasks assigned to correct work unit. ** Knowledge :** A seasoned, experienced professional with a full understanding of area of… more
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