• Aerojet Rocketdyne (Camden, AR)
    Job Title: Assoc. Manager , Operations Job Code: 11600 Job Location: Camden, AR Job Schedule: 4/10 Work Schedule: Employees work 10 hours per day, 4 days a week. 1st ... direction to subordinate supervisors/assemblers based on general policies and management guidelines. Interprets and executes policies that typically affect… more
    JobGet (07/15/24)
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  • Pathways Vermont (Burlington, VT)
    Soteria House Program Manager - With $2000 Hiring Bonus Available*It is the policy of Pathways Vermont that all employees and applicants shall receive equal ... and offering innovative mental health services. Soteria House Program Manager supports a hospitalization prevention residence for individuals experiencing an… more
    JobGet (07/02/24)
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  • Atrium Health (Concord, NC)
    …Facilitates a lifelong, proactive partnership with patients to enhance and personalize management of health-related needs. The Care Manager assesses needs, ... appropriate care setting. Care Managers focus on five primary areas: 1) population management , 2) patient self- management support, 3) transitions in care, 4)… more
    JobGet (07/15/24)
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  • Pinnacle Home Care Inc. (Oldsmar, FL)
    …quality care to our patients in their homes. POSITION SUMMARY The Clinical Manager is responsible for ensuring that patient care is coordinated and managed ... appropriately. The Clinical Manager is responsible for ensuring that care and services...and Synzi. Promotes Telehealth visits to support appropriate visit utilization . Performs other duties and activities as delegated by… more
    JobGet (07/14/24)
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  • Maria Parham Health (Henderson, NC)
    …appropriateExcellent computer skillsMust possess excellent interpersonal skillsRequires a working knowledge of community resources and Utilization /Quality Review ... Maria Parham Health RN-Case ManagerJob Summary The RN Case Manager is responsible for the coordination of clinical care, quality, and financial outcomes of a… more
    JobGet (07/11/24)
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  • Altru Health (Mekinock, ND)
    …the processes to maintain them.Facilitates, in collaboration with the Supply Chain Manager , Altru's vendor management program.Performs other duties as assigned ... process. Work situations are varied, requiring broad-based clinical expertise, knowledge of medical products, strong leadership skills, including discretion, the… more
    JobGet (07/13/24)
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  • DSV (Allentown, PA)
    …and customer communication activities daily, including labor scheduling, space utilization , equipment and manpower. People management responsibilities include ... performance issues and resolving problems. Under the direction of the Operations Manager or Distribution Center Manager , the Supervisor is responsible for… more
    JobGet (07/15/24)
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  • Pinnacle Home Care Inc. (Fort Myers, FL)
    …portal, physician portal, and Synzi. Promote Telehealth visits to support appropriate visit utilization . Function as the CMS Clinical Manager : Will always be ... written communication skills. Proficient in Computers, Microsoft, EMR, and Technology. Knowledge of business management , governmental regulations, and ACHC… more
    JobGet (07/14/24)
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  • Registered Nurse - Utilization

    Veterans Affairs, Veterans Health Administration (Hines, IL)
    Summary The Utilization Management (UM) Nurse Manager (NM) is a registered professional nurse responsible for the assessment, planning, provision and ... as it relates to the practice of utilization management . Responsibilities The Utilization Management (UM) Nurse Manager (NM) is the co-chair of the… more
    Veterans Affairs, Veterans Health Administration (07/12/24)
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  • RN Utilization Manager - UNCH Care…

    UNC Health Care (Chapel Hill, NC)
    …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... & the Hospitals? Utilization Management Plan. In addition, the Utilization Manager is responsible for revenue protection by reconciling physician orders,… more
    UNC Health Care (07/10/24)
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  • Utilization Management Program…

    LA Care Health Plan (Los Angeles, CA)
    Utilization Management Program Manager II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... Summary Under the general direction of the Director of Utilization Management (UM) the Program Manager...ability to synthesize and analyze qualitative and/or quantitative data. Knowledge of health care operations or health care systems.… more
    LA Care Health Plan (07/03/24)
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  • Utilization Management

    UCLA Health (Los Angeles, CA)
    …the next level. You can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management , you'll provide direct management ... + Thorough knowledge of health care industry, utilization review, utilization management , and...off-site meetings and conferences + ACM - Accredited Case Manager preferred + CCM - Certified Case Manager more
    UCLA Health (05/24/24)
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  • Utilization Review Manager , Case…

    Trinity Health (Fresno, CA)
    …services rendered while supporting the healing mission of Saint Agnes Medical Center. The Manager Utilization Management will ensure the timely delivery of ... , leadership, and coordination of the departments of the Utilization Manager Team to ensure payor reimbursement...utilization review, discharge planning and support case management and the psychosocial services to patients, families, and… more
    Trinity Health (07/11/24)
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  • Appeals and Utilization Management

    Trinity Health (Darby, PA)
    …with the RN Care Coordination Manager , provides support to the utilization management , denials and appeals process for the THMA South hospitals. ... support to the Emergency Department Case Manager , Utilization RNs, and Utilization Management ...Work Queues to ensure timely claims resolution + Working knowledge of Commercial, Managed Medicaid and Managed Medicare Payers… more
    Trinity Health (06/20/24)
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  • UMII Transfer and Admission - Utilization

    Sharp HealthCare (San Diego, CA)
    …System Integrated Care Management (ICM) team the Transfer and Admissions Utilization Manager (UM) partners with the Centralized Patient Placement Center ... Guidelines (MCG). + Experience and understanding of federal and state regulations governing utilization management . + Accredited Case Manager (ACM) -… more
    Sharp HealthCare (06/07/24)
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  • Director Utilization Management

    Virginia Mason Franciscan Health (Bremerton, WA)
    …in program planning, implementation, staff development, and needs assessment + Comprehensive knowledge of utilization management , financial management ... annual bonus eligibility, and more! **Responsibilities** **Job Summary / Purpose** The Utilization Management (UM) Director is responsible for the market(s)… more
    Virginia Mason Franciscan Health (06/25/24)
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  • Case Manager (RN) - Utilization

    Prime Healthcare (Chino, CA)
    …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/166768/case- manager -%28rn%29 utilization - management ... year experience in case management , discharge planning or nursing management , preferred.4. Current BCLS (AHA) certificate, preferred.5. Knowledge of Milliman… more
    Prime Healthcare (07/04/24)
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  • Case Manager (RN) - Utilization

    Prime Healthcare (Montclair, CA)
    …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/166590/case- manager -%28rn%29 utilization - management ... year experience in case management , discharge planning or nursing management , preferred.4. Current BCLS (AHA) certificate, preferred.5. Knowledge of Milliman… more
    Prime Healthcare (07/02/24)
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  • Case Manager - Utilization

    Prime Healthcare (Redding, CA)
    …#casemanager #rn Connect With Us! (https://careers-primehealthcare.icims.com/jobs/166207/case- manager utilization - management ... year experience in case management , discharge planning or nursing management , preferred.4. Current BCLS (AHA) certificate, preferred.5. Knowledge of Milliman… more
    Prime Healthcare (06/27/24)
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  • Remote Case Manager - Utilization

    Healthfirst (NY)
    management , identifying alternative care options, and discharge planning + Certified Case Manager + Interqual and/or Milliman knowledge + Knowledge of ... **Duties/Responsibilities:** + Provides case management services for assigned member caseloads which includes:...with non-partner providers, where applicable. Ensures appropriate access and utilization of a full continuum of network and community… more
    Healthfirst (07/12/24)
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