- Humana (Indianapolis, IN)
- …of situations or data requires an in-depth evaluation of variable factors. The UM Administration Professional responsibilities include (but not limited to) ... documentation and communication of long-term supports and services (LTSS) and/or benefit administration determinations. The UM Professional work assignments… more
- Kepro (AR)
- …deliverables and provide day-to-day oversight to manage multiple areas of the UM program and oversee the implementation of clinical contract requirements and ... Medicaid rules and regulations. Job Responsibilities: + Responsible for UM reviews such as: Inpatient (Under 21) and Outpatient Behavioral Health, Pediatric… more
- Elevance Health (Miami, FL)
- …our Elevance Health locations.** The Medical Director is responsible for the administration of physical and/or behavioral health medical services, to ensure the ... a State agency. For URAC accredited areas, the following professional competencies apply: + Associates in this role are...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
- USAA (MD)
- …attorney. This includes but is not limited to research, contract administration , document preparation, and trial preparation. The legal work performed differs ... from a diverse group of clients, attorneys and staff; provide reports with professional courtesy and tact. + Strong ability to focus on details, demonstrate… more
- Humana (Indianapolis, IN)
- …and communication of long-term supports and services and/or benefit administration determinations. The Utilization Management Occupational Therapy Assistant 1 work ... facilitate optimal care and treatment. Understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions… more
- Conviva (Tallahassee, FL)
- …in their lives, the lives of our patients, and the healthcare industry. The UM Administration Coordinator - Phone Intake contributes to administration of ... to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to...semi-routine assignments. Shift Hours - 8a - 5 The UM Administration Coordinator - Phone Intake provides… more
- University of Michigan (Dearborn, MI)
- Clinical Assistant Professor of Healthcare Administration Apply Now **How to Apply** Applicants should send a cover letter that addresses their teaching interests, ... (CV), and the names and contact information for three professional references through Interfolio at http://apply.interfolio.com/151259. The review of applications… more
- University of Michigan (Dearborn, MI)
- Assistant Professor of Healthcare Administration Apply Now **How to Apply** Applicants should send a cover letter that addresses their teaching and research ... (CV), and the names and contact information for three professional references through Interfolio at: http://apply.interfolio.com/151202 The review of applications… more
- Veterans Affairs, Veterans Health Administration (Johnson City, TN)
- Summary The Utilization Management ( UM ) Nurse is responsible for providing competent, evidence-based practices within the position. Creating and providing education ... 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for… more
- University of Maryland, Baltimore (Baltimore, MD)
- …and Development (ORD)*has an opportunity for a*Senior Contracts & Grants Specialist*with the UM -BILD REACH 3.0 Hub, a four-year, $4 million program sponsored by the ... based in UMB's Office of Technology Transfer and report to the Program Manager of UM -BILD. UM -BILD's key initiative is the Pilot Project Grant program, in which… more
- Stanford Health Care (Palo Alto, CA)
- …| Stanford Health Care (SHC)? Here is your opportunity to mentor and support the UM professionals. Here is your opportunity to put your UM experience and ... an onsite Stanford Health Care job.** **A Brief Overview** The Dir-Utilization Management ( UM ) leads and shapes the UM Strategy, while providing management… more
- CVS Health (Columbus, OH)
- …as a teammate (eg, RNs, PharmDs, etc.). * Master's Degree in Public Health Administration or MBA preferred, UM /QA certification desired * Internal Medicine or ... Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior authorization and appeals) and responds to prescriber inquiries… more
- The Boeing Company (Oklahoma City, OK)
- …Member (E- UM ) under The Boeing Company's Organization Delegation Authorization. The E- UM will manage various Federal Aviation Administration (FAA) and ODA ... teammate that's welcoming, respectful and inclusive, with great opportunity for professional growth. Find your future with us. The Boeing Electrical Engineering… more
- University of Miami (Miami, FL)
- …Learning, Research, and Clinical Information Services (LRCIS) The University of Miami ( UM ) Libraries seeks nominations and applications for a creative, innovative ... professional to serve as the Instructional and Information Services...of Learning, Research, and Clinical Information Services (LRCIS) on UM 's Medical Campus. Under the direction of the Department… more
- University of Miami (Coral Gables, FL)
- …of Miami Libraries seeks applications for a collaborative, innovative, service-oriented professional to serve as Research Data Management Librarian. Reporting to the ... data-oriented pedagogical and support services for students, faculty and staff across UM 's campuses. The person in this role will provide guidance for research… more
- The Mount Sinai Health System (New York, NY)
- …and testing. 2. Work in conjunction with internal matrix partners (PFS, Appeals, UM /CM) to identify, categorize and track issues related to payer contracts. This ... efficiencies and market share. 5. Collaborates cross- functionally with PFS, Appeals, UM /CM and other internal stakeholders on more complex issues to ensure facility… more
- University of Michigan (Ann Arbor, MI)
- …Time** Full-Time **Regular/Temporary** Regular **FLSA Status** Exempt **Organizational Group** Um Hospital **Department** MM Pharmacy Administration **Posting ... with the pharmacy care provided in the regional health system portfolio (Sparrow, UM Health West, future expansions) serving as a corporate and centralized suite of… more
- University of Miami (Miami, FL)
- …and service. Position Scope The Division Chief reports to the Chair and the administration of the University of Miami ( UM ) Department of Medicine (DOM). The ... involve outreach, contracts with other organizations, or collaboration with or other UM affiliated entities. + Provide supervision of medical services and ensure… more
- University of Michigan (Ann Arbor, MI)
- Advanced Practice Professional (Nurse Practitioner) Division of Hospital Medicine Apply Now **How to Apply** This is an Advanced Practice Professional (APP) job ... A total of (1) one, 1.0 FTE, Advanced Practice Professional (either NP or PA) will be hired to...bone marrow biopsy and lumbar puncture for intrathecal chemotherapy administration , as appropriate. 5. Safely coordinate and oversee patient… more
- University of Miami (Coral Gables, FL)
- …level. For both positions we seek colleagues with scholarly expertise in Professional and Technical Writing. Candidates with interest and/or experience in writing ... program administration are also encouraged to apply. The Department of...the first-year writing program, the department offers courses in professional writing, leadership and innovation, science writing, legal writing,… more