- Alameda Health System (Oakland, CA)
- …plans Role Overview: Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight, strategic ... adapting to ad hoc duties as needed. In essence, they orchestrate efficient utilization management to deliver high-quality patient care. DUTIES & ESSENTIAL JOB… more
- Harbor Health Services, Inc. (Mattapan, MA)
- …for more than 580 participants. We are currently seeking a Director of Utilization Management & Quality Programs. Harbor Health offers an excellent, ... the Senior Director of Health Plan Operations, the Director of Utilization Management and Quality Programs is responsible for the day-to-day support, direction… more
- Buckeye Community Health Plan (Thornville, OH)
- …functions for the business unit. Provides medical leadership of all for utilization management , cost containment, and medical quality improvement activities. ... Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate,… more
- USAA (San Antonio, TX)
- …rules and regulations and use of regulatory reporting platforms ie Axiom, etc Utilization of financial management tools ie Oracle Cloud General Ledger (GL), ... and regulatory reporting requests and requirement updates Interact regularly with management , regulatory agencies, and business partners (ie, internal and external… more
- Interim HealthCare (Greenwood, IN)
- …Nurse (RN) in home health or similar setting; previous case management / utilization review experience preferred. OASIS experience preferred. Practical trach ... implementation and ongoing assessment of the patient's plan of care through the management of home health aides, LPNs, RNs, and other caregivers. Communicate patient… more
- UTMB Health (Galveston, TX)
- …contractors. Experience with BAS software, drafting software, and/or electronic document management and utilization . High containment laboratory knowledge and ... requires a Certified Healthcare Facility Manager (CHFM). Acceptance of other facility management certifications in lieu of CHFM will be at the discretion of… more
- VSolvit LLC (Virginia Beach, VA)
- …Beach, VA Job Summary VSolvit is looking for a Mid-level Knowledge Management /Information Management System (KM/IMS) Specialist to join our Range Systems ... of Naval Surface Warfare Center (NSWC), Corona Division. A Knowledge Management (KM) professional is responsible for creating, organizing, sharing, and maintaining… more
- Christus Health (Wake Village, TX)
- …procedures manual. Participates in medical chart peer review, case records review and utilization review as deemed necessary by management . Performs all other ... duties as assigned. Requirements: Education/Skills Masters level degree in speech language pathology is required. Basic Computer Knowledge Ability to communicate effectively, both verbally and in writing. Experience New graduate entry level or any amount of… more
- Christus Health (Leary, TX)
- …procedures manual. Participates in medical chart peer review, case records review and utilization review as deemed necessary by management . Performs all other ... duties as assigned. Requirements: Education/Skills Masters level degree in Speech Language Pathology is required Basic computer knowledge Ability to communicate effectively, both verbally and written Experience New graduate entry level or any amount of… more
- Christus Health (Red Lick, TX)
- …procedures manual. Participates in medical chart peer review, case records review and utilization review as deemed necessary by management . Performs all other ... duties as assigned. Requirements: Education/Skills Masters level degree in speech language pathology is required. Basic Computer Knowledge Ability to communicate effectively, both verbally and in writing. Experience New graduate entry level or any amount of… more
- Christus Health (Euless, TX)
- …plans. The RN Navigator Senior will manage the length of service, promote efficient utilization of resources, and ensure that a well-organized and safe plan of care ... education and support to patients and their families on disease management , medication adherence, and healthy lifestyle choices. Monitoring and Evaluation: Track… more
- Reed Smith LLP (Pittsburgh, PA)
- …Plans to improve profitability (Client Value Team engagement/matter management , additional staffing/resource levers, client/matter selection, timekeeper ... Life Sciences and Health Industry Group (LSHI) will support the strategic, talent management and operational aspects of the practice and support the Practice Group… more
- Christus Health (San Antonio, TX)
- …and workload planning. Maintains project issues and reports to Information System management and local steering teams on the progress of critical path items. ... Project Steering Committee, and presentation materials, GLRA and Change Management processes. Responsible for establishing critical path milestones and reporting… more
- VSolvit LLC (Virginia Beach, VA)
- …requests and plating through local vehicle support detachments Provide data management support for program data collection, entry and reporting Develop, issue, ... and deliver utilization reports Provide data reports, presentations of performance and...focus area Basic Qualifications 3+ years experience in Project Management or Logistics Management 3+ years experience… more
- USAA (San Antonio, TX)
- …moderately complex to complex work assignments and problem resolution to optimize utilization of USAA's capital and liquidity by managing access to the external ... asset securitization, debt issuance, committed credit facility and bank relationship management . We offer a flexible work environment that requires an individual… more
- Fresenius Medical Care (Albany, OR)
- …staff training, equipment, physician and patient relations, cost containment, supply management , medical records, patient billing, OSHA and all company, state and ... of patient care, as defined by the quality goals, by working with management to ensure that policies and procedures are followed. Assists with implementing… more
- Christus Health (Irving, TX)
- …such as remote patient monitoring. This position will partner with Information Management and regional hospital and provider leadership to coordinate strategies for ... implementation and enhanced technology utilization for consumers, physicians, and other target populations; evaluating, recommending and piloting various… more
- Conifer Revenue Cycle Solutions (Detroit, MI)
- …process quality and accuracy adherence to process standards Relative cost management metrics goals expense, cost, and margin control monthly, quarterly, and ... annual financial goal management ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others...of hospital budgets and ensures and manages human resource utilization at all levels. Analyzes monthly P & L's… more
- Christus Health (East Mountain, TX)
- …Manager will manage pharmacy distributive services, facilitate drug utilization initiatives, integrate clinical pharmacy programs, oversee pharmacy information ... years of technical experience preferred 2 - 5 years of Leadership/ Management experience preferred Licenses, Registrations, or Certifications RPH License in state of… more
- Christus Health (Whitehouse, TX)
- …as well as network transmission. Assists with the development and utilization of operating standards, policies, procedures, and industry best practices related ... with other CHRISTUS ministries. Documents support cases in appropriate IT Service Management (ITSM) for pattern tracking. Performs other duties as assigned. Job… more
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