- CHRISTUS Health (San Antonio, TX)
- …and 24/7 accountability for effective implementation of nursing practice and operations for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse ... manager affects departmental outcomes through interpretation, implementation, and evaluation...patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the… more
- Legend Biotech USA, Inc. (Raritan, NJ)
- …seeking Senior Project Manager , Site PMO as part of the Technical Operations team based in Raritan, NJ. Role OverviewThis position will be responsible for ... operations in the biopharmaceutical industry.Excellent knowledge of project management discipline and its application to drug development required to deliver… more
- Legend Biotech USA, Inc. (Raritan, NJ)
- …including but not limited to Operations , MSAT, Facilities, C&Q, Project Management , and Quality.Work closely with Sr. Manager , Strategic Initiatives to ... seeking Manufacturing Engineer, Strategic Initiatives as part of the Technical Operations team based in Raritan, NJ. Role OverviewThe Manufacturing Engineer,… more
- Walt Disney Company (New York, NY)
- …execution of comprehensive programs focusing on security, profit protection, incident management , and compliance. The Asset Protection Manager utilizes advanced ... risks.A Day in the Life of an Asset Protection Manager Lead daily operations of the Asset...effectiveness. Work closely with Home Base Personnel and retail operations partners to ensure proper utilization and… more
- State of Indiana (Indianapolis, IN)
- Utilization Management Manager Date Posted: Sep 26, 2025 Requisition ID: 462259 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling ... care and their communities. Role Overview: The role of Utilization Management Manager oversees the...strategies, KPIs, and actions to achieve them. + Analyze operations to evaluate performance of the specific program or… more
- Centene Corporation (Phoenix, AZ)
- … management issues related to member care, provider interactions, and facilitates operations within utilization management . + Oversees the behavioral ... guidelines + Reviews and analyzes BH utilization management (UM) activities, over/under utilization , operations , costs, and forecasted data to identify… more
- Humana (Augusta, ME)
- **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management ... communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works...and oversight of the physical health utilization management (UM) staff in daily operations . +… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …functions. Oversees daily operations , which include supervising staff performing utilization management activities. The goal is to achieve clinical, ... *_SUMMARY:_* We are currently seeking a* Utilization Review Manager * to join ourTransitional...financial, and utilization goals through effective management , communication, and… more
- Elevance Health (Washington, DC)
- …office 4 days each week. The office is located at 609 H. Street NE.** The ** Utilization Management ** ** Manager ll** is responsible for managing a team of ... and acuity. + Provides direct oversight and is responsible for Utilization Management execution/decision making for managed member populations. Primary… more
- Amazon (Seattle, WA)
- …software, hardware, and network engineers, supply chain specialists, security experts, operations managers, and other vital roles. You'll collaborate with people ... the AWS cloud. We're seeking an experienced Technical Infrastructure Program Manager to oversee data center electrical infrastructure optimization projects. The… more
- New York State Civil Service (New York, NY)
- NY HELP No Agency Empire State Development, NYS Title Project Manager , Utilization - MWBE Occupational Category Other Professional Careers Salary Grade NS ... the direct supervision of the Director of Contract Participation, the Project Manager , Utilization , will lead the planning, execution, and monitoring of… more
- Sharp HealthCare (San Diego, CA)
- …will track and maintain this certification.For Sr Spec ICM assigned to Utilization Management , Train-the-Trainer certification may substitute for ACM or CCM. ... will track and maintain this certification.For Sr Spec ICM assigned to Utilization Management , Train-the-Trainer certification may substitute for ACM or CCM.… more
- AmeriHealth Caritas (Philadelphia, PA)
- **Role Overview:** The Medical Director, Utilization Management , provides organizational leadership in the operational areas of appeals, utilization review, ... policy and practice initiatives in collaboration with the Corporate Medical Directors, Utilization Management and the Vice President, Medical Affairs. ; **Work… more
- Molina Healthcare (Los Angeles, CA)
- …services professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term ... * Assists in implementing health management , care management , utilization management , behavioral health...unrestricted in the state of California. * Certified Case Manager (CCM), Certified Professional in Health Care Management… more
- Texas Health Resources (Arlington, TX)
- …department leader for system services for wholly owned and Partner hospitals for utilization management . Job Duties OPERATIONS : Plans, organizes and ... Director Utilization Management -Clinical Review _Are you looking...of Texas required upon hire ACM - Accredited Case Manager or CCM, CPHM or Milliman certification preferred upon… more
- Elevance Health (Wallingford, CT)
- ** Utilization Management Medical Director- NC Medicaid** Location: This role enables associates to work virtually full-time, with the exception of required ... Alternate locations may be considered. The **Medical Director** will be responsible for utilization review case management for North Carolina Medicaid. May be… 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
- Mount Sinai Health System (New York, NY)
- …Excel and Word + Strong Communication skills Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West **Responsibilities** **A. ... **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW** To maintain front... Mgmt FT Days EOW** To maintain front end operations of the Case Management Department by… more
- Nuvance Health (Danbury, CT)
- …experience required with at least 2 years relevant experience in denials, case or utilization management required. * 5 years management experience preferred ... *Description* *Summary:* The Manager , Denials Prevention & Appeals Operations ... is responsible for the direct oversight of daily operations of clinical denial prevention and Utilization … more
- Walmart (Bentonville, AR)
- …in Business, Human Resources, or related field and 4 years' experience in project management , compliance, operations management , or related area OR 6 years' ... ** Walmart Marketplace is seeking a senior level project manager for its seller events, communication and marketing team....experience in project management , compliance, operations management , or… more
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