- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) ... authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role...accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy + Works… 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 ... equity. This posting will remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool or until the position is… more
- Stanford Health Care (Palo Alto, CA)
- …at Stanford Medicine | Stanford Health Care (SHC)? Are you a seasoned RN Case Manager ? Here is your opportunity to work with the Timely Discharge Department at its ... You can put your bedside RN experience to great use in case management working in conjunction with the medical teams, third-party companies, and patients with… more
- Christus Health (San Antonio, TX)
- …for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation of ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… 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
- Christus Health (Adkins, TX)
- …for more details, and make sure to apply today. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation of hospital ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- Kaiser Permanente (Salem, OR)
- …Home Health Skilled Nursing Facilities Hospice Long Term Acute Care Inpatient Rehab Utilization Management Education Successful completion of an RN program by ... home health, hospice, and Durable Medical Equipment (DME). Knowledge of utilization management principles and tools. Demonstrated clinical judgment and… 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 ... System's contract lifecycle and software asset management strategy. This role ensures compliance with best practices, legal and regulatory requirements, optimizes… more
- Six Flags Discovery Kingdom (Vallejo, CA)
- Overview: Identify labor needs for the park and ensure the efficient utilization of the workforce to maximize the guest experience while driving profitability. Want ... to apply Read all the information about this position below, then hit the apply button. Responsibilities: This position will create value for the company by forecasting and identifying staffing needs alongside working with the recruiting team. Qualifications:… more
- Curia (Hopkinton, MA)
- Manager , Program Management in Hopkinton, MA Build your future at Curia, where our work has the power to save lives. The Manager , Program Management , is ... the success of complex projects. Leading a team of Program Managers, the manager will identify and mitigate risks, ensure profitability of projects and champion… more
- Stanford Health Care (Palo Alto, CA)
- …include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts for timeliness ... of services as well as appropriate utilization of services; and ensuring optimum use of resources,...delivery and quality of patient care. A hospital-based case management system has as its primary goal to ensure… 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
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …benefit the stakeholders, DSI and DS Group. Develops comprehensive global category management strategies to uncover strategic insights to help influence and inform ... supplier issues, develops action plans to resolution. Leads supplier relationship management to ensure suppliers are meeting expected performance levels and driving… 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
- Washington Metropolitan Area Transit Authority (New Carrollton, MD)
- …as required. + Provides expert advice, guidance, and consultation to WMATA's senior management on space utilization & allocation. + Develops and manages updates ... Manager , Interior Design & Space Planning Job ID:...of experience in interior architectural design, administrative office facilities management , and at least 5 years of experience in… more
- Christus Health (San Antonio, TX)
- Description Summary: Under the direction of the Manager , Director, or other senior personnel, the Project Manager determines user demands, establishes work ... planning. Maintains project issues and reports to Information System management and local steering teams on the progress of...and judgment to plan and accomplish goals. The Project Manager will gather and evaluate information concerning a user's… 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
- Christus Health (East Mountain, TX)
- …Manager will manage pharmacy distributive services, facilitate drug utilization initiatives, integrate clinical pharmacy programs, oversee pharmacy information ... Description Summary: The Manager Pharmacy Services will manage the day-to-day activities...technical experience preferred 2 - 5 years of Leadership/ Management experience preferred Licenses, Registrations, or Certifications RPH License… more
- Christus Health (Hallsville, TX)
- …Manager will manage pharmacy distributive services, facilitate drug utilization initiatives, integrate clinical pharmacy programs, oversee pharmacy information ... Description Summary: The Manager Pharmacy Services will manage the day to...technical experience preferred 2 - 5 years of Leadership/ Management experience preferred Licenses, Registrations, or Certifications RPH License… more
- Christus Health (Irving, TX)
- Description Summary: The Program Manager Clinical Innovations, is responsible for the creation and delivery of strategies focused on improving operations and ... such as remote patient monitoring. This position will partner with Information Management and regional hospital and provider leadership to coordinate strategies for… more
