• Utilization Management

    Cleveland Clinic (Cleveland, OH)
    …career with one of the most respected healthcare organizations in the world. As a Utilization Management Specialist , you will perform UM activities, such as ... discharge plan. + Achieve a minimum of 85% on IRR quarterly. + Complete Utilization Management for assigned patients with a minimum of 25-30 reviews per day. +… more
    Cleveland Clinic (10/18/25)
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  • Software Asset Management Specialist

    CDM Smith (Cleveland, OH)
    …**Business Unit:** COR **Job Description:** CDM Smith is seeking a Senior IT Asset Management Specialist to lead and manage all aspects of the software ... other duties as required. \#LI-LP2 \#LI-HYBRID **Job Title:** Software Asset Management Specialist (Hybrid Work Options) **Group:** COR **Employment Type:**… more
    CDM Smith (09/20/25)
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  • Sr. Consultant, Nuclear Product Sales…

    Cardinal Health (Cleveland, OH)
    Job Description **Senior Consultant, Product Sales Specialist - NPHS** **The territory covers Pennsylvania (Philadelphia, Pittsburgh and Allentown), Maryland ... Washington DC and Northeast Ohio (Cleveland)** The Product Sales Specialist is responsible for developing opportunities, selling, growing and maintaining… more
    Cardinal Health (09/25/25)
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  • SQPE Specialist II

    Cleveland Clinic (Cleveland, OH)
    …organizations in the world. As a Safety, Quality and Patient Experience (SQPE) Specialist II at Lutheran Hospital, you will help drive excellence across a diverse ... ensure compliance with standards and improve performance across safety, quality, utilization and experience metrics. This is an exciting opportunity to advance… more
    Cleveland Clinic (10/10/25)
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  • Clinical Information Systems Specialist

    Molina Healthcare (Cleveland, OH)
    …clinical systems applications/platforms. Responsible for implementation and training delivery for utilization management , care management , long-term services ... in clinical systems analysis, and 1 year experience in a care management , utilization management , behavioral health, medical, or managed care setting, or… more
    Molina Healthcare (10/16/25)
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  • RN Clinical Appeals Nurse

    Molina Healthcare (Cleveland, OH)
    …Chief Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + ... as may be required. + Serves as a clinical resource for Utilization Management , Chief Medical Officer, Physicians, and Member/Provider Inquiries/Appeals. +… more
    Molina Healthcare (10/18/25)
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  • Community Behavioral Health Liaison (Field travel…

    Molina Healthcare (Cleveland, OH)
    …MI_** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental ... substance use services and assists with implementing integrated Behavioral Health care management programs. **Job Duties** * Serves as liaison between plan and… more
    Molina Healthcare (09/25/25)
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  • Program Manager, Healthcare Services - Clinical…

    Molina Healthcare (Cleveland, OH)
    …at least 3 or more years in one or more of the following areas: utilization management , care management , care transitions, behavioral health, or equivalent ... work of external vendors. + Focuses on process improvement, organizational change management , program management and other processes relative to business needs.… more
    Molina Healthcare (10/10/25)
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  • Routing & Siting Project Manager - Environmental…

    Burns & McDonnell (Akron, OH)
    …manage the execution of transmission line projects, be a subject matter specialist , and be a technical lead/author on routing/siting studies, environmental studies ... Practice to perform the following primary duties: + Project management , team leadership, and mentoring of junior staff. +...and the ability to effectively balance direct and indirect utilization rates. + Minimum of 7 years of experience… more
    Burns & McDonnell (08/22/25)
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  • Sepsis Coordinator

    Cleveland Clinic (Warrensville Heights, OH)
    …safety, quality and experience. As a Safety, Quality and Patient Experience (SQPE) Specialist - Sepsis Coordinator, you will play a critical role in advancing our ... compliance with all standards and favorable performance on safety, quality, utilization , and experience metrics. + Participate in engraining the safety, quality,… more
    Cleveland Clinic (10/07/25)
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  • Division Sourcing & Procurement Manager

    Parker Hannifin Corporation (Elyria, OH)
    …Supply Chain Manager. Will interact with all levels of Division management ; including operational, engineering, quality control, marketing and finance. May supervise ... the Sourcing/Commodity Manager, Sourcing Specialist , and Buyer. Key supplier and key customer contact...the company's position. Ensures purchasing strategy reflects the consistent utilization of local suppliers vs. Group strategic suppliers. +… more
    Parker Hannifin Corporation (10/10/25)
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