• Keurig Dr Pepper (Tucson, AZ)
    …Bonus: Performance-based eligibility Requirements:Bachelor's degree in Engineering or Operations Management preferredMechanical/Electrical background with PLC ... supporting a team of approximately 12 technicians. Reporting to the Maintenance Manager , this position works closely with Production, EH&S, Quality, HR, Finance, and… more
    JobGet (04/30/25)
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  • Utilization Management

    Tufts Medicine (Burlington, MA)
    …assisting with the coordination of the Utilization Management Committee. The Utilization Management Operations Manager follows the system's ... This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing. In... Utilization Management Plan and… more
    Tufts Medicine (04/25/25)
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  • Manager , Utilization

    Centene Corporation (Olympia, WA)
    management issues related to member care, provider interactions, and facilitates operations within utilization management . + Manages prior authorization, ... compliance with applicable guidelines, policies, and procedures + Reviews and analyzes utilization management activities, operations , costs, and forecasted… more
    Centene Corporation (04/24/25)
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  • Manager , Utilization

    Humana (Frankfort, KY)
    …a part of our caring community and help us put health first** The Manager , Behavioral Health Utilization Management uses clinical knowledge, communication ... department. **_Detailed Responsibilities include:_** Leads Kentucky Medicaid Behavioral Health Utilization Management process and teams responsible for… more
    Humana (04/26/25)
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  • Manager , Utilization

    CoreCivic (Brentwood, TN)
    …position will pay $82,000 - $97,400 with a 10% bonus eligible._ **SUMMARY:** The Manager , Utilization Management /Case Management provides Utilization ... services for select patient populations. Assists with daily hospital case management operations and is accountable for achieving established outcomes… more
    CoreCivic (04/29/25)
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  • Utilization Review Nurse (RN)…

    Ascension Health (Baltimore, MD)
    **Details** + **Department:** Utilization Management + **Schedule:** Hybrid work schedule available. Monday-Friday, 8:00AM-4:30PM. + **Hospital:** Ascension St. ... salary range at the time of the offer._ **Responsibilities** Manage effective utilization review processes, including management of patient statusing processes… more
    Ascension Health (03/26/25)
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  • Case Manager (RN) - PRN Utilization

    Houston Methodist (The Woodlands, TX)
    …state, local and federal programs + Comprehensive knowledge of discharge planning, utilization management , case management , performance improvement and ... At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered...presents areas for innovation, efficiency and improvement in case management or department operations using evidence-based practice… more
    Houston Methodist (02/08/25)
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  • Supervisor, Utilization Management

    LA Care Health Plan (Los Angeles, CA)
    Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for... (UM) RN is responsible for executing the day-to-day operations of the UM department, and monitoring the Care… more
    LA Care Health Plan (04/11/25)
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  • Medical Director, UM - Utilization

    Rady Children's Hospital San Diego (San Diego, CA)
    …knowledge of health plan operations , clinical issues, trends and medical management , utilization management , quality management , contracting, ... nurses working with the Rady Children's Health Network. The Utilization Management Medical Director will collaborate closely...remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool… more
    Rady Children's Hospital San Diego (04/05/25)
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  • Integrated Care Management Assistant…

    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
    McLaren Health Care (04/10/25)
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  • Medical Director Utilization

    AmeriHealth Caritas (Newtown Square, PA)
    …more about us at www.amerihealthcaritas.com. **Responsibilities:** The Medical Director, Utilization Management provides organizational leadership in the ... policy and practice initiatives in collaboration with the Corporate Medical Director(s), Utilization Management and the Vice President, Medical Affairs. ;The… more
    AmeriHealth Caritas (04/11/25)
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  • Utilization Management Specialist

    Cleveland Clinic (Cleveland, OH)
    …with one of the most respected healthcare organizations in the world. As a Utilization Management Specialist, you will perform UM activities, such as admission, ... role is essential in the overall organizational and functional operations , helping advance and enhance the patient experience and...a minimum of 85% on IRR quarterly. + Complete Utilization Management for assigned patients with a… more
    Cleveland Clinic (04/25/25)
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  • Group Utilization Review Director

    Tenet Healthcare (Detroit, MI)
    …Mgt. Leaders relating to Case Management scope of services, including utilization management , transition management promoting appropriate length of stay, ... and safe and timely patient throughput. Will integrate national standards for utilization management supporting medical necessity and denials prevention. … more
    Tenet Healthcare (04/20/25)
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  • Senior Program Manager , Fleet…

    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
    Amazon (03/15/25)
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  • Manager - Utilization Review

    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
    Ochsner Health (04/04/25)
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  • Scrum Master Advisor - Utilization

    Elevance Health (Jacksonville, FL)
    **Scrum Master Advisor - Utilization Management (UM)** **Location:** Atlanta, GA; Jacksonville, FL (preferred). Alternate locations may be considered. This ... make Scrum development/delivery possible. You will be applying your project management knowledge, skills, tools and techniques to project deliverables, processes,… more
    Elevance Health (04/29/25)
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  • Utilization Management

    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
    Dignity Health (03/15/25)
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  • Equipment Management Operations

    HCA Healthcare (Austin, TX)
    …We care like family! Jump-start your career as a(an) Equipment Magement Operations Manager today with HealthTrust Supply Chain. **Benefits** HealthTrust Supply ... benefits may vary by location._** Come join our team as a(an) Equipment Magement Operations Manager . We care for our community! Just last year, HCA Healthcare… more
    HCA Healthcare (04/27/25)
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  • Senior Manager , Business Operations

    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
    Regeneron Pharmaceuticals (04/18/25)
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  • Operations Support Group Manager

    Citigroup (Jersey City, NJ)
    …& optimization. * Act as a key liaison between trading desks, treasury, risk, operations , and senior management . * Present improvement ideas, risk management ... **Organization Overview:** Markets Operations represents the evolution and transformation of ...drive strategy across our industry. **Team/Position Overview:** The Collateral Management team sits in Margin and Collateral function in… more
    Citigroup (03/28/25)
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