- Raytheon (Marlborough, MA)
- …and test, rapid hardware development/builds and configuration and data management documentation.The Rapid Hardware Solutions (RHS) department within Mechanical ... cooling systems mechanical design. We utilize Creo and Common Product Data Management (PDM) with tailored release processes for maximum cross-use and flexibility.RHS… more
- Raytheon (Marlborough, MA)
- …and test, rapid hardware development/builds and configuration and data management documentation. The Rapid Hardware Solutions (RHS) department within Mechanical ... mechanical design. We utilize Creo and Common Product Data Management (PDM) with tailored release processes for maximum cross-use...minimize cycle times and provide best value through the utilization of dynamic and agile processes. RHS has an… more
- Centene Corporation (Olympia, WA)
- …Review Clinical Review team to ensure appropriate care to members. Manages utilization management issues related to member care, provider interactions, and ... facilitates operations within utilization management . + Manages prior authorization, concurrent review, and retrospective clinical review team and ensures… more
- Ochsner Health (New Orleans, LA)
- …at Ochsner Health and discover your future today!** The Physician Advisor (PA- Utilization Management ) serves as the physician leader in matters relating ... Interdisciplinary and Post-Acute teams, Payors, Administration and Revenue Cycle) to improve utilization management , sustain quality goals, and act as a… more
- Centene Corporation (Phoenix, AZ)
- …to ensure appropriate care for members and supervises day-to-day activities of BH utilization management team. + Monitors behavioral health (BH) utilization ... adherence to performance, quality, and efficiency standards + Works with BH utilization management team to resolve complex BH care member issues related to BH… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …depending on customer and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of ... productivity and gain efficiencies for performance improvement opportunities in the Utilization Management Department. + Assists in updating departmental… more
- Tufts Medicine (Burlington, MA)
- … Review and Discharge Planning including implementation and annual review of the Utilization Management Plan and assisting with the coordination of the ... Utilization Management Committee. The Utilization Management Operations Manager follows the system's Utilization Program that integrates the functions… more
- Humana (Louisville, KY)
- …our caring community and help us put health first** The Associate Director, Utilization Management utilizes clinical nursing skills to support the coordination, ... of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing requires a solid understanding of how… more
- Truman Medical Centers (Kansas City, MO)
- …log into myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Utilization Management RN Hourly (PRN) - Care Continuity - ... Schedule** 7:00AM - 3:30PM **Hours Per Week** 4 **Job Description** ** Utilization Management Nurse (UM RN)** _Optimize Care. Improve Outcomes. Elevate the… more
- Intermountain Health (Las Vegas, NV)
- … Director is responsible for providing leadership and administrative direction for Utilization Management and Review for the Enterprise. The individual works ... care, and attainment of financial goals. Reporting to the Sr. Director/AVP/VP Utilization Management , the role of the Director for Utilization Management… more
- Alameda Health System (Oakland, CA)
- System Utilization Management SUM Utilization Review RN + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + ... Nursing + Req #:41907-31045 + FTE:1 + Posted:Today **Summary** **SUMMARY:** The System Utilization Management [SUM] Utilization Review RN is responsible for… more
- Intermountain Health (Murray, UT)
- …service lines of business(s). The position requires an understanding of utilization management industry benchmarks, best practices and regulatory environment ... programs to impact trends. + Uses a data-driven approach to assess utilization management and care management operations and make program recommendations. +… more
- Humana (Frankfort, KY)
- …community and help us put health first** The Manager, Behavioral Health Utilization Management uses clinical knowledge, communication skills, and independent ... department. **_Detailed Responsibilities include:_** Leads Kentucky Medicaid Behavioral Health Utilization Management process and teams responsible for… more
- Crouse Hospital (Syracuse, NY)
- …education and outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse (RN) to track and manage data and ... it relates to the utilization of services. Pay Range: $80,000.00/year+ Utilization Management RNs are eligible for up to a $20,000 Sign-On Bonus! Available… more
- Ascension Health (Nashville, TN)
- **Details** + **Department:** Utilization Management + **Schedule:** Monday - Friday. 40 hours a week. + **Hospital:** Ascension Saint Thomas + **Location:** ... with in the TN market. We're looking for an experienced Director of Utilization Management to join our team! In this pivotal role, you'll lead clinical… more
- 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 ... net required to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations of the… more
- UPMC (Pittsburgh, PA)
- The Medical Director, Utilization Management is responsible for assuring physician commitment and delivery of comprehensive high-quality health care to UPMC ... Changing Medicine happen. **Responsibilities:** + Actively participates in the daily utilization management and quality improvement review processes, including… more
- Centene Corporation (Tallahassee, FL)
- …complex and often conflicting requirements. + Oversee the operations of utilization management , reconciliation coordination, concurrent review (telephonic and ... compliance with National Committee for Quality Assurance (NCQA) standards for utilization management functions, prior authorization and concurrent review units… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically… more
- Stanford Health Care (Palo Alto, CA)
- …practice. Here, your leadership, coaching, and mentoring would further develop our robust, Utilization Management team. Are you driven by health care innovation, ... years of experience as an RN - 3+ years of experience in case management / utilization review Why work at Stanford Medicine | Stanford Health Care (SHC)? -… more
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