- Integrated Resources Inc. (Miami, FL)
- …directly tied to our clients' success. Job Description Under general supervision by management , and in collaboration with Medical Directors and other members of the ... policies and evidence-based medical necessity criteria; collects and analyzes utilization information. Assists with program processes for transitions across levels… more
- Deltadentalin (Okemos, MI)
- …including dental reference web page content.* Directs the hiring process for new professional peer reviewers and utilization management staff to manage ... Director, Government Programs Dental Consulting and Utilization Management page is loaded## Director, Government Programs Dental Consulting and Utilization … more
- Humana Inc (Bismarck, ND)
- …managing utilization for patient care. This position offers a competitive salary, benefits package, and opportunities for professional growth. #J-18808-Ljbffr ... The role requires an MD or DO degree, and 5+ years of clinical experience. Responsibilities include providing medical determinations, collaborating with healthcare professionals, and… more
- Premera (Olympia, WA)
- …member contracts. In addition, they will support clinical programs (disease and case management ), as well as the review and adoption of health plan developed review ... explore care options for members enrolled in clinical programs such as disease management , case management , and care transition management .* Participate in… more
- Molina Healthcare (Albuquerque, NM)
- …services in New Mexico. The role includes determining medical necessity, supporting utilization management programs, and ensuring quality care for members. ... Requires MD or DO licensure, board certification, and significant healthcare experience. The position offers a competitive salary range of $186K to $363K annually based on experience and location, alongside comprehensive benefits. #J-18808-Ljbffr more
- University of New Mexico - Hospitals (Rio Rancho, NM)
- …promote and facilitate communication, problem solving, decision-making, crisis intervention, resource utilization , and conflict management * PATIENT SAFETY - ... delivery of optimal and safe patient care which includes fiscal management , standards compliance, clinical practice, staff development, oversight and active… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …to experience, education, and other business and organizational considerations. Department: Care Management Services Check out the role overview below If you are ... patient outcomes are achieved within established time frames and with efficient utilization of resources. Conduct initial and ongoing assessments, initiate disease … more
- Shannon Health (San Angelo, TX)
- …and consults with the supervisor, manager, or team member when appropriate. Time Management : Works efficiently and manages duties to ensure that tasks are completed ... work policies and procedures. Speed and consistency of output and time utilization of job duties. Computer Knowledge & Electronic Equipment Use: Demonstrates ability… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …to experience, education, and other business and organizational considerations. Department: Utilization Management - UH Considering making an application for ... appropriate patients within designated specialty area requiring patient case management interventions by utilizing established procedures including census review,… more
- Shannon Health (San Angelo, TX)
- …and training in accordance with facility policies, procedures, and professional standards. Individuals will demonstrate clinical competencies to perform Ultrasound ... and consults with the supervisor, manager, or team member when appropriate. Time Management : Works efficiently and manages duties to ensure that tasks are completed… more
- Shannon Health (San Angelo, TX)
- …and consults with the supervisor, manager, or team member when appropriate. Time Management : Works efficiently and manages duties to ensure that tasks are completed ... work policies and procedures. Speed and consistency of output, and time utilization of job duties. Computer Knowledge & Electronic Equipment Use: Demonstrates… more
- Shannon Health (San Angelo, TX)
- …and consults with the supervisor, manager, or team member when appropriate. Time Management : Works efficiently and manages duties to ensure that tasks are completed ... work policies and procedures. Speed and consistency of output and time utilization of job duties. Computer Knowledge & Electronic Equipment Use: Demonstrates ability… more
- Shannon Health (San Angelo, TX)
- …and consults with the supervisor, manager, or team member when appropriate. Time Management : Works efficiently and manages duties to ensure that tasks are completed ... work policies and procedures. Speed and consistency of output and time utilization of job duties. Computer Knowledge & Electronic Equipment Use: Demonstrates ability… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …and facilitate communication, problem solving, decision-making, crisis intervention, resource utilization , and conflict management * SUPERVISION - Develop ... in accordance with Hospitals standards * DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …and facilitate communication, problem solving, decision-making, crisis intervention, resource utilization , and conflict management * ACCOUNTABILITY - Supervise ... Rights; document and communicate clinical findings * DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …promote and facilitate communication, problem solving, decision-making, crisis intervention, resource utilization , and conflict management * MEETINGS - Attend ... Nursing division and departmental policies * DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …experience, education, and other business and organizational considerations. Department: Care Management Services Interested in learning more about this job Scroll ... patient responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent follow-up as necessary * VARIANCES -… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …and facilitate communication, problem solving, decision-making, crisis intervention, resource utilization , and conflict management * SUPERVISION - Develop ... in accordance with Hospitals standards * DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading… more
- Rubrik, Inc. (Palo Alto, CA)
- …Professional Services financial goals, including top‑line revenue targets, utilization rates, and overall profitability across all assigned territories. ... cloud, and SaaS applications, ensuring business continuity. Opportunity: Elevating Professional Services Rubrik is seeking an experienced and visionary Vice… more
- RingCentral (Belmont, CA)
- Sr. FP&A Manager - Professional Services page is loaded## Sr. FP&A Manager - Professional Serviceslocations: Belmont, Californiatime type: Full timeposted on: ... a **Sr. Manager of Financial Planning and Analysis (FP&A)** to help lead our Professional Services business through its next phase of growth and scaling. This role… more
