- Prime Healthcare (Aurora, IL)
- …hospital management staff. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/177335/ regional - utilization - review - manager ... (UR) and the denial management (DM) process. The Manager functions as an appeal/denial expert and takes an...for regional sites and coordinating with Corporate Utilization review and denial management / Appeals… more
- Hartford HealthCare (Torrington, CT)
- …*your moment*. **Job:** **Professional Clinical* **Organization:** **Charlotte Hungerford Hospital* **Title:** * Utilization Review Social Work Care Manager ... of the Inpatient Nurse Director & Social Work Supervisor, the Inpatient Psychiatric Utilization Review Social Worker will work collaboratively with the IP… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- Utilization Review Nurse Coordinator Office/On-site Recruitment # 241015-5613FP-001 Location East Hartford, CT Date Opened 10/17/2024 12:00:00 AM Salary $86,261 ... Region - is accepting applications for one (1) full-time Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=&R3=) position, located… more
- Billings Clinic (Billings, MT)
- …starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Utilization Review RN Billings Clinic ... - 44.18 Under the direction of department leadership, the Utilization Review / Management RN. This position is...Priority 5: Escalation Refers cases that require second level review to Physician Advisor, Manager , and Director… more
- VNS Health (Manhattan, NY)
- …general supervision. Compensation Range:$98,200.00 - $130,800.00 Annual * Reviews specific utilization issues or requests with Clinical Review team, focusing ... settings. * Manages and evaluates staff in delivery and coordination of utilization management review services in compliance with CMS guidelines and… more
- Humana (Des Moines, IA)
- …a part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills to support the ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific guidelines… more
- Prime Healthcare (Reno, NV)
- …preferred. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/175874/case- manager -rn-union 10hr smrmc- utilization ... and America's Best 250 hospitals by Healthgrades, Saint Mary's Regional Medical Center is a 380-bed acute care hospital...to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,… more
- Cleveland Clinic (Vero Beach, FL)
- …. May design and initiate special projects as supervised by the Team Manager . Utilization Management Specialist Join our team at Cleveland Clinic Indian ... Under the general supervision of the UM Team Manager , this individual performs UM activities which includes...stay or visit. Some of the responsibilities of a Utilization Management Specialist include medical record review ,… more
- Teleflex (Nashville, TN)
- Regional Sales Manager , Trauma and Emergency Medicine - Southeast Region **Date:** Oct 4, 2024 **Location:** Nashville, TN, US **Company:** Teleflex **Expected ... & Emergency Medicine sales team, the focus of the Regional Sales Manager (RSM) (Southeast) is on...an ongoing responsibility and administrative duties include expense report review to assure compliance with company policies and regular… more
- Teleflex (Seattle, WA)
- Regional Sales Manager , Anesthesia - West Region **Date:** Oct 15, 2024 **Location:** Seattle, WA, US **Company:** Teleflex **Expected Travel** : Up to 50% ... a critical member of the Anesthesia sales team, the Regional Sales Manager (RSM) (West) will lead...an ongoing responsibility and administrative duties include expense report review to assure compliance with company policies and regular… more
- BeiGene (San Mateo, CA)
- …on study progress in the region to senior management and Global Clinical Study Manager as required + Represents the regional study team at internal meetings ... team resource needs and establishes contingency plans for key resources + Monitors regional resource utilization over study life cyle and liaises with functional… more
- CSL Behring (King Of Prussia, PA)
- Region: Delaware Valley The Regional Sales Manager is responsible for providing leadership to regional members within an assigned geography. This includes ... leading the sales efforts of the regional team; resulting in the achievement of sales revenue...Affairs and Customer Service. + Responsible to assure field utilization of CRM system to track and monitor sales… more
- Vontier (WA)
- …growth? Look no further! We are excited to announce an opportunity for a Regional Manager , South-East to join our collaborative and energized team at Matco ... Tools. As a Regional Manager , you will play a pivotal...within the region + PSR PD Training + Ops review with Director of Field Operations/Human Resources Manager… more
- AIG (Los Angeles, CA)
- Regional Underwriting Manager Accident and Health Join us as Regional Underwriting Manager Accident and Health to step up to a key team leadership role ... long-term growth of profits for Accident and Health. The Regional Underwriting Manager will be responsible for...Ratios. Underwriting and Technical Integrity + Prepare (where applicable), review and approve case referrals. + Review … more
- Planned Parenthood of Central and Western NY (Buffalo, NY)
- Regional Manager of Credentialing and Auditing Buffalo, NY (http://maps.google.com/maps?q=60+E.+Amherst+Street+Buffalo+NY+USA+14214) * Revenue Cycle Job Type ... Full-time Description Regional Manager of Credentialing and AuditingAffiliate Wide...well as having a clear understanding of laws impacting utilization management of credentialing for government health plans as… more
- WFF Facility Services (Dayton, OH)
- Regional Manager - Dayton, Ohio (Management) Dayton, OH, United States of America $70,000.00 - $80,000.00 Back Apply Now Back Apply Now Overview HES POSITION ... DESCRIPTION REGIONAL MANAGER The Regional ...Achieves a 95% retention rate among existing accounts. 4. Review quarterly reports in person with clients. (twice a… more
- Burns & McDonnell (Minneapolis, MN)
- **Description** The Regional Global Practice Manager will provide the leadership to grow the region's Global Facilities (GFS) practice with a focus in the ... potential. + Recruit, develop, train, and retain staff. + Assign work and review performance to ensure the efficient, cost-effective utilization of staff. +… more
- Zachry Construction Corporation (Katy, TX)
- …We Can Do Great Things(R) This Is More Than a Job(R) Job Summary The Regional Estimating Manager (REM) manages all estimators within their assigned Region by ... of previous Estimating experience with at least 5 of those years as Lead Estimator/ Regional Estimator Manager experience + Bachelor's Degree (BA) from a 4-yr… more
- Kiewit (Boston, MA)
- …the region. They will be expected to have a firm understanding of the regional team's technical capabilities, the needs of major local clients, competitors and key ... to senior leadership. They will help build and execute short-term and long-term regional market strategies to set the best course supporting the Power business line.… more
- Kiewit (Mclean, VA)
- …the region. They will be expected to have a firm understanding of the regional team's technical capabilities, the needs of major local clients, competitors and key ... to senior leadership. They will help build and execute short-term and long-term regional market strategies to set the best course supporting the Power business line.… more