- Butterball (Mount Olive, NC)
- …seat at the table to contribute to our successJob Summary: The Sanitation Operations Manager is responsible for overseeing the Sanitation department and managing ... in audits, facility inspections and coordinate pre-operational inspection with QA Management . Set clear development plan, training and performance targets for… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …calls. As part of the managed care insurance process the Manager of Utilization Management Operations is responsible for oversight of teams that process ... JOB SUMMARY: Under the supervision of the Director, UM Operations , the Manager , UM Operations oversees and coordinates operations across multiple health… more
- VNS Health (Manhattan, NY)
- …regarding interventions and outcomes. + Monitors and ensures that utilization management processes are followed by the service operations staff, ... OverviewManages the utilization management team to ensure that standards for service delivery and team/staff performance levels are met or exceeded. This… more
- Dignity Health (Phoenix, AZ)
- …Arizona unrestricted RN license.** The Utilization Management (UM) Manager is responsible for managing day-to-day UM operations within the markets, ... determinations; processes appeals and reconsiderations. Act as a working manager within Utilization Management , performing...+ Oversee daily operations to ensure effective utilization reviews, strict adherence to denial management … more
- VNS Health (Manhattan, NY)
- …and updates through on-going training, coaching and educational materials. + For Utilization Management Only: + Issues Determinations, Notices of Action, and ... communications required by state or federal regulations are saved in the Utilization Management System. + Reviews, evaluates and determines the appropriateness… more
- Elevance Health (Washington, DC)
- Manager ll HCMS - Utilization and Case Management (JR142403) **Location:** This position requires travel to our Washington, DC office 4 days each week. The ... with varying degrees of medical complexity and acuity. + Participates in Case Management **and** Utilization Management execution/decision making for managed… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Utilization Review Manager for the Selikoff Centers for Occupational Health is responsible for the management of program ... records, and internal and external regulatory and survey requirements. + The Utilization Review Manager collaborates with multiple professionals to support and… more
- Sharp HealthCare (San Diego, CA)
- …Functions** + Collaboration and teamwork Provides consultation and direction for Case Manager Utilization Management , and non-clinical support team members ... team. This position supervises, provides oversight and coordination of the day-to-day operations of utilization management . Coordinates the daily… more
- McLaren Health Care (Detroit, MI)
- **Position Summary:** Responsible for providing assistance to the Utilization Manager (UM) RN in the coordination of patient admission and continued stay ... observation) based on medical necessity. 2. Performs concurrent and retrospective utilization management -related activities and functions to ensure that… more
- Hackensack Meridian Health (Hackensack, NJ)
- …a. Provides direction and support regarding CMS & NJDOH regulations governing Utilization Management & Clinical documentation. b. Oversight for accurate patient ... vs. Inpatient c. Liaison to the Medical Staff supporting Utilization Management Committee processes d. Hospital Based...documentation e. Target DRGs Reviews f. Use of case manager as a resource + Uses guidelines to evaluate… more
- Hackensack Meridian Health (Hackensack, NJ)
- …a. Provides direction and support regarding CMS & NJDOH regulations governing Utilization Management & Clinical documentation. b. Oversight for accurate patient ... vs. Inpatient c. Liaison to the Medical Staff supporting Utilization Management Committee processes d. Hospital Based...documentation iv. Target DRGs Reviews v. Use of case manager as a resource 4. Uses guidelines to evaluate… more
- Amazon (Nashville, TN)
- …creative and efficient product/program managers to help Amazon achieve best-in-class fleet utilization and capacity in the United States and Canada. This individual ... will be natural self-starters who have prior experience in program management partnering with cross-functional teams. This individual will operate autonomously to… more
- Behavioral Center of Michigan (Warren, MI)
- …all state mandated regulations. Maintains compliancy with regulation changes affecting utilization management . Reviews patient recrods and evaluates patient ... programs and advises physicians and other departments of regulations affecting utilization management . Consults with Social Services Department regarding the… more
- Ochsner Health (Lafayette, LA)
- …manages the daily operations of all assigned divisions within the case management department in collaboration with the case management and social services ... demonstrate good judgement in performing duties. + Knowledge of business management principles including operations , finance, audit, authorizations, referrals,… more
- Dignity Health (Rancho Cordova, CA)
- …to collaborate with members of NSSA Regional Health Services Research (HSR), Utilization Management , Quality Management and various other departments, ... experience and education may be accepted at the hiring manager 's discretion + Proficiency with establishing and maintaining relational databasesProficiency… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: The Supervisor of Utilization Management has an important role in a high-profile group tasked with implementing system-wide improvements and ... utilization review strategies. Under minimal supervision from the Manager the Supervisor is responsible for monitoring productivity and...with at least one year of experience in project management , revenue cycle, and /or clinical operations … more
- UCLA Health (Los Angeles, CA)
- …effective case management and behavioral health support. Under the supervision of the Utilization Management Operations Manager and the RN Assistant ... Description We are seeking for a detail-oriented Intensive Case Management (ICM) Behavioral Coordinator dedicated to improving patient outcomes through… more
- Regeneron Pharmaceuticals (Armonk, NY)
- We are seeking a highly motivated **Senior Manager , Business Operations Cost Management ** , who will be responsible for cost management activities ... running clinical trials. The Senior Manager , Business Operations Cost Management , will work at the...study teams, Procurement and Finance. Help support new cost management processes and ensure process utilization . +… more
- CACI International (Norfolk, VA)
- Operations Manager Job Category: Project and Program Management Time Type: Full time Minimum Clearance Required to Start: Secret Employee Type: Regular ... program supporting NAVSEA 03D3 Digital Program Office as an Operations Manager supporting the Navy Maintenance and...expectations) + At least 10 years of experience in operations management within DoD/Navy programs + At… more
- Axis (Alpharetta, GA)
- …individual. **KEY SKILLS & ABILITIES:** + 5-7 years of P&C Commercial Insurance Operations Management , preferably with a Claims focus. + Experience managing ... request for candidates taking part in the selection process. ** Manager , North America BPO Governance & Claim Operations...utilization of technology. + Primary responsibility for the management of AXIS offshore partner in their performance of… more
