- Samaritan Ministry (Washington, DC)
- …(PC); creates new partnerships and expands others in collaboration with the management team; and increases participant service utilization . The PD supervises ... proud to have had a diverse team comprised of full -time paid staff and part-time volunteers who are as...PD exclusively supervises the STRIVE team (STRIVE Trainer, Employer Specialist , SWC Caseworker), and Adult Basic Education (ABE) team… more
- CLevelCrossing (Scotts Valley, CA)
- … utilization of information technology.Ensures the availability and optimized utilization of analytics.LEADERSHIP OFThe CIO provides executive management and ... transactions are HIPAA compliant, accurate and secure.The CIO:Provides executive management and leadership of the Alliance Information Technology Services Division,… more
- Kelsey-Seybold Clinic (Pearland, TX)
- … Specialist (LVN)** **Location: Pearland Administrative Office, Main Campus** **Department:** ** Utilization Management ** **Job Type: Full Time** **Salary ... **Responsibilities** The Utilization Review Specialist (LVN) is responsible for conducting medical reviews, benefit verification, and applying criteria to… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... Type: Full Time Requisition ID: 11587 Salary Range: $88,854.00 (Min.)...net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN… more
- Veterans Affairs, Veterans Health Administration (Tulsa, OK)
- …the VA Healthcare System and supported catchment area. Responsibilities As the Acquisition Utilization Specialist you will serve as the medical center liaison ... Virtual: This is not a virtual position. Position Description/PD#: Acquisition Utilization Specialist Financial Disclosure: Yes. Financial Statements Required.… more
- LifePoint Health (Athens, TN)
- …to fill the position of Intake Nurse and Utilization Specialist for ourGeroPsychDepartment.This job is permanent, full -time. Core competencies include, but ... Minimum Work ExperienceMinimum 1 year experience in Inpatient Psychiatric Facility Utilization Management and/or intake/admissions in a psychiatric setting:X… more
- Mount Sinai Health System (New York, NY)
- …report generation of providers as well as regulatory agencies, as needed for Utilization Management activities Demonstrates the knowledge and skills necessary to ... process for all Psychiatric or Chemical Dependency Inpatient Units (subject to assignment by management ) and for all aspects of the initial review on an as needed… more
- HonorHealth (Scottsdale, AZ)
- …communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors utilization ... want to make an impact. HonorHealth offers a diverse benefits portfolio for our full -time and part-time team members designed to help you and your family live your… more
- Hawaii Pacific Health (Honolulu, HI)
- …Services, which provides Hawai'i Pacific Health and its affiliates essential population utilization and financial management support, analyses and modeling. The ... referral management , patient steerage, and claims auditing. As the Specialist , you will be responsible for providing comprehensive managed care information… more
- Henry Ford Health System (Wyandotte, MI)
- GENERAL SUMMARY The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and ... + Organization: Henry Ford Wyandotte Hospital + Department: Case Management WHMC + Shift: Day Job + Union Code:...across Michigan and around the world. We offer a full continuum of services - from primary and preventative… more
- AdventHealth (Altamonte Springs, FL)
- …contribute:** The Senior Manager of Utilization will oversee ED, Inpatient, and Specialist utilization , and manage care management outcomes. The Senior ... will provide support, training and guidance to the RN on care management duties/assignments. The Senior Manager of Utilization will be responsible for… more
- Katmai (Usaf Academy, CO)
- …+ Minimum of two (2) years of prior experience in Utilization Management . + Must possess a current, active, full , and unrestricted Registered Nurses ... background checks. **DESIRED QUALIFICATIONS &** **SKILLS** + Certification by a Utilization Management -specific program such as Certified Professional in… more
- VISTRADA (Washington, DC)
- Job Posting: Capacity Management Specialist Vistrada is seeking highly skilled and motivated Capacity Management Specialists to join our dynamic team. As a ... Capacity Management Specialist , you will play a crucial...in determining current levels of system and application resource utilization and performance. + Support analytical modeling to describe… more
- Hackensack Meridian Health (Hackensack, NJ)
- …healthcare and serve as a leader of positive change. The Integrated Case Management Specialist performs selected services and functions related to insurance ... A day in the life of an Integrated Case Management Specialist at Hackensack Meridian _Health_ includes:...inclusive of free text fields, to support the case management , utilization review process. + Retrieves information… more
- St. Luke's University Health Network (Lehighton, PA)
- …partners with participants to facilitate their recovery and community integration through utilization of the Specialist 's personal life experience and first-hand ... ability to pay for health care. The Certified Peer Specialist (CPS) has the lived experience of a mental...utilization . + Identify barriers (internal and external) to full participation in community resources and develop strategies, with… more
- LA Care Health Plan (Los Angeles, CA)
- …the coordination of member care with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed Long Term Services and ... Enhanced Care Management Clinical Specialist II Job Category:... Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer:… more
- Henry Ford Health System (Bingham Farms, MI)
- …quality of care provided by the primary care team. He/she works with utilization management reports, corporate data stores, and information services to optimize ... their population. + Monitors, assesses, and improves regional drug use using utilization management reports. + Works collaboratively with leadership to provide… more
- DAI (Bethesda, MD)
- …fora related to public financial management . This is a full -time position. **Responsibilities** The Senior Lead Specialist will undertake responsibilities ... **Senior Lead Specialist , Public Financial Management ** City/Country Location...helping to achieve targets for new business and direct utilization , ensuring technical excellence and adhering to DAI principles… more
- Veterans Affairs, Veterans Health Administration (Durham, NC)
- …to management on an annual basis, as requested. Review utilization reports to ensure adequate appointment availability, clinic capacity, appointment slot ... Summary The program applications specialist works closely with Administrative Leaders (ALs), Clinical...cancellation and clinic profile requests, clinic set up, maintenance, utilization , or special projects as directed by management… more
- Green Cell Consulting (Quantico, VA)
- Learning Management Specialist + + Full -time Company Description Green Cell Consulting (GCC), LLC is a Service-Disabled Veteran-Owned Small Business (SDVOSB) ... continued growth. Job Description The role of the Learning Management Specialist at MCCMOS involves managing educational...Specialist will: + Monitor the configuration, performance, and utilization of the Learning Management Systems to… more
