- Merck & Co. (Rahway, NJ)
- …these commitments within specified timelines with minimal oversight from the line manager . Ability to proactively develop risk management and mitigation plans ... the individual is responsible to manage/oversee a team of CTCs. As line manager the role is critical to continuously develop future talent by providing training,… more
- Tris Pharma (GA)
- …and team success.We have an immediate opening for a Regional Sales Manager for our Georgia/Florida territory (including Puerto Rico). Qualified candidates must live ... in territory.The Regional Sales Manager (RSM) leads and inspires a highly productive sales team capitalizing on local market potential, customer needs and healthcare… more
- Merck & Co. (Rahway, NJ)
- …& Operations to provide application administration and technology management support to the Intellectual Property (IP) organization.Primary responsibilities ... are to oversee and manage the cloud-based IP management system and cloud-based IP document management ...curiosity for applying emerging technology. This is a people manager role and is responsible for managing two legal… more
- AdventHealth (Altamonte Springs, FL)
- …Monday-Friday **Job Location** : Remote **The role you'll contribute:** The Divisional Manager of Utilization Management (UM) is a registered nurse, who ... for the strategic direction setting, management , continuous improvement, and maintenance Utilization Management team. The Divisional Manager assists the… more
- VNS Health (Manhattan, NY)
- OverviewManages the utilization management team to ensure that standards for service delivery and team/staff performance levels are met or exceeded. This ... quality issues or complaints, and/or approvals requiring next level authorization (eg, utilization management , high cost services, out of network services,… more
- Actalent (Santa Barbara, CA)
- Utilization Management Nurse - REMOTE OPPORTUNITY Non-profit healthcare network is looking for a utilization management registered nurse to join ... 3-month contract + Medi-Cal Experience + Utilization Management WHAT'S IN IT FOR YOU: + Remote...Population Health programs. This position reports to the Program's Manager or their designee of the assigned unit. Depending… more
- AmeriHealth Caritas (Dublin, OH)
- ** Utilization Management Plan Oversight Manager (Ohio Resident)** Location: Dublin, OH Primary Job Function: Medical Management ID**: 37872 **Job Brief** ... Chief Medical Officer for the Ohio Market, this position is representing Utilization Management (UM) in state interactions/audits, validation of regulatory… more
- CVS Health (Carson City, NV)
- …experience working in a high volume clinical call center environment + 1+ year Utilization Management experience + 1+ years Managed Care experience + Remote ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Utilizes clinical experience and skills in… more
- Providence (Kodiak, AK)
- …Qualifications:** + Bachelor's Degree + 1 year experience as an RN in Utilization Management -review, Case Management and/or Discharge-planning + Experience ... patient needs for discharge planning, admission to swing bed and case management including utilization review in accordance with Providence philosophy,… more
- Elevance Health (Louisville, KY)
- ** Utilization Management Nurse (RN)** **$3,000 SIGN ON BONUS OFFERED** **Location** : Remote opportunity. Must reside in the state of Kentucky. The ** ... Utilization Management Nurse (RN)** is responsible to...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Tampa, FL)
- RN Utilization Management Nurse Sr. (Medicaid-InPatient) JR130851 **Location:** Must be within 50 miles / 1 hour commute of Tampa or Miami, FL offices. This is ... primarily a remote position but may be required to go in...Requires minimum of 5 years acute care clinical experience, utilization management or managed care experience; or… more
- Elevance Health (Columbus, OH)
- ** Utilization Management Representative I** **Location** : This is a remote position. Ideal candidates will live within 50 miles of an Elevance Health ... Schedule : Monday - Friday 8am - 5pm The ** Utilization Management Representative I** is responsible for...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Meridian, ID)
- **Title: Utilization Management Representative I** **Location:** This position will work a hybrid model ( remote and office). Ideal candidates will live ... 50 miles of one of our PulsePoint locations. The ** Utilization Management Representative I** will be responsible...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Kepro (IL)
- …reports for clients. + Identify patterns and trends in clinical case and utilization management performance. + Maintain the Department's Quality Management ... solutions in the public sector. Acentra seeks a Quality Manager - RN ( Remote , preferred within Illinois)...+ Master's degree in nursing. + 1+ years of utilization management experience. + Formal training or… more
- Actalent (Redlands, CA)
- Job Title: LVN Case Manager Job Description As a part of the Utilization Management team, the LVN Case Manager is a member of the Care Coordination team. ... review, and discharge planning in conjunction with the case management team. The Case Manager must know...utilization according to policy and procedure. - Attend Utilization Management and/or Quality Management … more
- AssistRx (Orlando, FL)
- …to process improvement initiatives, to pharmacy client implementations. We are looking for an Manager of Project Management to assist the Director of Project ... with updating processes and leading the current project management team. Requirements + Manage and drive implementation methodology...transition to operations + Drive to business outcomes & utilization , not just deadlines + Drives adherence to IT… more
- Magellan Health Services (Honolulu, HI)
- …Strong organization, time management and communication skills. Knowledge of utilization management procedures, mental health and substance abuse community ... other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided...care. General Job Information Title HMSA Intake Precert Care Manager - Remote Hawaii Grade 24 Work… more
- University of Miami (Miami, FL)
- …Department of Utilization Management , has an exciting opportunity for an Utilization Review Case Manager to work remote . The incumbent conducts ... chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal and efficient… more
- Envista Holdings Corporation (Orlando, FL)
- …+ Ability to effectively manage assigned accounts in terms of driving utilization , customer relationship management , problem resolution, and business and ... **Job Description:** **JOB SUMMARY** : The Territory Sales Manager is responsible for leading the business development/acquisition activities to drive sales within… more
- Texas Tool Belt (Philadelphia, PA)
- …in grassroots organizing, electoral engagement, and public education. We are looking for a Remote Organizing Manager who will lead a team of organizers in ... Pennsylvania. This position involves a mix of remote and in-person work. Remote Organizer Manager Qualifications/Requirements + At least one cycle in a staff… more
