- 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
- Trinity Health (Silver Spring, MD)
- …Type:** Full time **Shift:** **Description:** The Interim Manager of Care Management & Utilization Review, under the supervision and in collaboration with ... area. + Extensive knowledge of payer mechanisms and clinical utilization management is required. + Knowledge of...trusted provider of health services within our community. A Manager at Holy Cross Hospital is expected to demonstrate… more
- Amazon (Herndon, VA)
- …software, hardware, and network engineers, supply chain specialists, security experts, operations managers, and other vital roles. You'll collaborate with people ... them to completion. We're seeking an experienced Technical Infrastructure Program Manager to oversee data center electrical infrastructure optimization projects. You… 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
- ERP International (Nellis AFB, NV)
- …No Call, No Weekends, No Holidays! **Job Specific Position Duties:** * Provides Utilization Management activities and functions by using MTF specific Quality ... disciplines to include discharge planning and referrals for case management . * Utilization management duties...Management Director when needed in accordance with TRICARE Operations manual. * Receives and makes patient telephone calls,… more
- Holcim US (Houston, TX)
- Carbon Capture Utilization Storage Integration Manager Requisition ID: 9456 Location: Houston, TX, US, 77547 Pay Type: Salary Travel Requirement: 31-40% **ARE ... Aggregates and Solutions & Products. Description: **ABOUT THE ROLE** The Carbon Capture Utilization and Storage Integration Manager will report to the Senior… more
- Covenant Health (Bangor, ME)
- …of the VP of Accountable Care Operations & Population Health Strategy the Utilization Review Case Manager will work collaboratively with other members of the ... healthcare team. The nurse case manager also acts as an advocate for the patient... conducts medical necessity reviews in accordance with the Utilization Management (UM) plan for patients that… more
- Scottish Rite for Children (Dallas, TX)
- …to giving children back their childhood! Job Posting Title: Director of Case Management and Utilization Management Location: Dallas - Hospital Additional ... Details: Monday - Friday 8:00am to 4:30pm Job Description: Duties/Responsibilities: + Utilization Management supporting medical necessity and denial prevention +… more
- HCA Healthcare (Campbell, CA)
- …midpoint of the range. **Introduction** Do you have the career opportunities as a(an) ** Utilization Management RN** you want with your current employer? We have ... of colleagues. Do you want to work as a(an) Utilization Management RN where your passion for...regulatory guidelines, maintaining performance standards, and keeping the UM Manager informed of member/provider issues. What you will do… 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 iv. Target DRGs Reviews v. Use of case manager as a resource 4. Uses guidelines to evaluate… more
- Hackensack Meridian Health (Hackensack, NJ)
- …- OBS vs. Inpatient** **c. Liaison to the Medical Staff supporting Utilization Management Committee processes** **d. Hospital Based Appeals Management ... Management and Organizational Strategy** **a. Development & implementation of Utilization Management strategies to assure appropriate** **health** **care… 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
- LifeCenter Northwest (Bellevue, WA)
- Organ Utilization Administrative Coordinator Job Details Job Location Bellevue - Bellevue, WA Position Type Full Time Salary Range $23.55 - $34.15 Hourly Description ... and Qualifications The Organ Utilization Administrative Coordinator is responsible...overall functioning. This role provides support to ensure department operations are consistent and the highest level of quality… more
- University of Michigan (Ann Arbor, MI)
- …is seeking a dynamic and detail-oriented individual to join our Resource Planning and Management team as a Space Utilization Planner. This role will be ... action employer. **Job Detail** **Job Opening ID** 256739 **Working Title** Space Utilization Planner **Job Title** Project Senior Manager **Work Location** Ann… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: The Pharmacy Benefits Coordinator facilitates the operations of the Pharmacy Care Management department by organizing, improving, and ... implementing pharmacy benefit management policies and procedures. Major areas of responsibility include...within the organization. Works under the direction of the Manager of Pharmacy Benefits and other delegated pharmacists. PRINCIPAL… 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
- L3Harris (Tempe, AZ)
- Job Title: Operations Manager Job Code: 16615 Job Location: Tempe, Arizona Job Schedule: 9/80: Employees work 9 out of every 14 days - totaling 80 hours worked - ... every other Friday off- 1st shift Job Description: The Operations Manager is responsible for the safety,...KPIs: safety, quality, delivery, cost, etc. + Review Daily Management Boards, lead daily production standups and daily/weekly meetings.… more
- Amgen (Chicago, IL)
- …your best work alongside other innovative, driven professionals in this meaningful role. ** Manager - Fleet Operations ** **Live** **What you will do** **Flexible ... Operations , and Field Systems and Capabilities Transformation. The Manager , Fleet Operations at Amgen will be...This role is essential for ensuring the efficient day-to-day operations and management of our fleet, which… more
- Walmart (Fort Wayne, IN)
- …in a related field (eg, Management , Logistics, Business Administration, Financial Management , Production/ Operations Management ) and 1 year experience in ... employees OR 1 year experience as a Walmart Logistics Area or Operations Manager supervising, evaluating, mentoring, and developing associates; managing… more