- 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
- Mallinckrodt Pharmaceuticals (Cleveland, OH)
- Job Title Immunology Sales Specialist - Nephrology (Cleveland) Requisition JR000015411 Immunology Sales Specialist - Nephrology (Cleveland) (Open) Location ... ability to drive results across large and complex territories. This specialist will overlay existing field teams, collaborating closely with portfolio… more
- Mallinckrodt Pharmaceuticals (Cleveland, OH)
- Job Title Immunology Sales Specialist - Ophthalmology (Cleveland/Pittsburgh) Requisition JR000015416 Immunology Sales Specialist - Ophthalmology ... ability to drive results across large and complex territories. This specialist will overlay existing field teams, collaborating closely with portfolio… more
- Eaton Corporation (Beachwood, OH)
- …and KPIs such as schedule adherence, lead time reduction, and resource utilization . - Define and communicate goals for product increments and releases, ensuring ... optimization, including finite capacity scheduling, multi-site planning, and real-time constraint management . - Define and improve product processes such as release… more
- Molina Healthcare (Cleveland, OH)
- …system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. This role is a multi facet internal ... training to ensure smooth project delivery, successful adoption and effective utilization of implemented solutions + Generates and prepares provider-related data and… more
- Molina Healthcare (Cleveland, OH)
- …chief medical officer on denial decisions. * Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. * ... as may be required. * Serves as a clinical resource for utilization management , chief medical officer, physicians, and member/provider inquiries/appeals. *… more
- Danaher Corporation (Cleveland, OH)
- …includes some of the following: infection detection/control, sepsis care, decision support, utilization management , case management , ED patient workflow, ... leaders from nursing, emergency medicine, pharmacy, quality, patient safety, risk management , IT, infection control, laboratory, and administration is required. This… more
- Molina Healthcare (Cleveland, OH)
- …reports submitted to the Eastern US Quality Improvement Collaborative (EQIC) and/or utilization management committees. + Participates as needed in joint ... proficient, self-directed, autonomous and experience working from home. Care Management & Waiver Service Auditing experience is highly preferred. Work… more
- 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
- 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