- Integra Partners (Troy, MI)
- …( Senior MD) serves as the clinical and strategic leader for Integra's Utilization Management (UM) and Credentialing programs. This is a full-time, 40+ hour ... quality and inter-rater reliability, overseeing audit readiness, and chairing Integra's Utilization Management Committee and Credentialing Committee. This role… more
- Fallon Health (Worcester, MA)
- …strategic leadership and oversight responsibility for the clinical and operational utilization management activities for all inpatient and outpatient care, ... and staff across all product lines. **Responsibilities** ** Utilization Management :** + Oversees all administrative, operational and clinical functions related to… more
- CommonSpirit Health (Phoenix, AZ)
- …the senior leadership team, the System Vice President of Utilization management will contribute to high-level organizational decision-making, working closely ... **Job Summary and Responsibilities** The System Vice President of Utilization Management is a key member of the healthcare organization's leadership team and is… more
- Centene Corporation (Sacramento, CA)
- …knowledge of regulations, accreditation standards, and industry best practices related to utilization management + Works with utilization management ... ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks...applicable guidelines, policies, and procedures + Works with the senior management to develop and implement UM… more
- Houston Methodist (Houston, TX)
- …improvements as needed. + Collaborates with HMCPA on care transition and utilization management initiatives. + Provides strategic vision and execution for ... for providing executive leadership and strategic oversight for all hospital-based Case Management Directors and the Central Utilization Review Director across… more
- University of Michigan (Ann Arbor, MI)
- …Senior Director leads interdisciplinary teams in advancing care coordination, utilization management , discharge planning, psychosocial care, and innovative ... SENIOR DIRECTOR (Care Management and Social...(5) years progressive leadership experience in acute care, case management , social work, utilization review, or discharge… more
- Centene Corporation (Jefferson City, MO)
- …Clinical review quality oversight and management . + Utilization Management experience and knowledge of quality accreditation standards preferred. + ... Purpose:** Lead a team of medical directors and supervise MD's responsible for utilization management and appeals functions to ensure members receive medically… more
- Ventura County (Ventura, CA)
- …Inpatient Psychiatric unit of the Ventura County Medical Center including utilization management , transfer coordination, discharge planning, and securing ... Senior Mental Health Nurse Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5061656) Apply ...and review; + Performs daily clinical reviews to support utilization and quality management , ensuring compliance with… more
- UPMC (Pittsburgh, PA)
- …with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Senior Strategic Sourcing Manager (Sr. SSM) will ... to grow in your career at UPMC UPMC is looking for a full-time Senior Strategic Sourcing Manager. This position works Monday- Friday, standard daylight hours. This… more
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- …individual, couple/family, and group psychotherapies; psycho-educational groups; and case management . Consultation resource for other Medical Center staff regarding ... of recovery-oriented services, specific case conceptualization, treatment planning, and utilization of evidenced-based treatments and clinical practice guidelines. Adheres… more
- University of Rochester (Rochester, NY)
- …management , clinical services, pharmacy data analytics, and pharmacy procurement/inventory management . The Senior Director, Ambulatory Pharmacy Services in ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE: The Senior Director, Ambulatory Pharmacy Services is responsible for the… more
- The Cigna Group (Bloomfield, CT)
- …to Health Services, Care Management , and Health / Wellness programs (eg, utilization management , case management , demand management , medical review, ... acquisition strategy and data product support within the Enterprise Quality & Accreditation organization. The data being acquired will be used to measure clinical… more
- The Boeing Company (Berkeley, MO)
- …with us. The Boeing Company has an exciting opportunity for an Experienced/ Senior Electronic Systems Design and Analysis Engineer for current and emerging fixed ... overall system functionality. + Experience with requirements development and management , including technical performance specification and statement of work… more
- Amentum (Hanover, MD)
- …& Intel space? If so, look no further. Amentum is seeking a **Linux Administrator, Senior ** to join our team of passionate individuals in **Hanover, MD** . In this ... continuously trying to stay ahead of the next challenge. **Responsibilities:** This Senior Linux administrator position will provide candidates with a chance to work… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …our academic community. **Description** We are seeking an experienced and visionary Senior Administrator to lead the Department of Ophthalmology through a period of ... success in a competitive, rapidly evolving healthcare landscape. The Senior Administrator for Ophthalmology oversees and manages the operational, financial,… more
- Immigration and Customs Enforcement (Washington, DC)
- …health facility surveyors and in collaboration with the IHSC Medical Quality Management Unit. SUPERVISORY CONTROLS: The Clinical Senior Nurse Specialist, Medical ... affecting nursing services, IHSC Clinical Nursing Guidelines, and national accreditation standards. b. Thorough knowledge of/ability to access/utilize/mentor staff… more
- Mount Sinai Health System (New York, NY)
- …compliance with accreditation requirements and standards. + Data Storage and Management : + Establishing protocols for analysis of EEG Data by Persyst, protocols ... **Job Description** The Senior Manager of Epilepsy Services is critical in...critical to the success of the epilepsy care and management system-wide. This position requires strong leadership, strategic vision,… more
- Houston Methodist (Sugar Land, TX)
- …/regulatory/ government regulations. **PEOPLE ESSENTIAL FUNCTIONS** + Performs management responsibilities of selection, scheduling, supervision, retention, and ... At Houston Methodist, the Senior Practice Manager position is responsible for independently managing and/or coordinating complex delivery of care within a large,… more
- Veterans Affairs, Veterans Health Administration (Augusta, GA)
- …and administrative functions are integrated in order to provide optimum utilization of resources. Incumbent participates in management discussions, policy ... directs all Mental Health activities, to include budget and fiscal management , human resource management , strategic planning, clinical end administrative… more
- City of New York (New York, NY)
- …to fill one (1) Management Auditor II Auditor to function as a Senior Account Auditor who will: - Perform both Annual and Final closeout audits for CAMFR, ... - Review newly registered contracts to assure the accurate utilization when allocating allowable costs to its various funding...of Education and by the Council for Higher Education Accreditation (CHEA) in management , computer science, public… more