- Valley Health System Consolidated Services (Las Vegas, NV)
- …outcomes by establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is ... years experience in varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant… more
- Desert View Hospital (Pahrump, NV)
- …outcomes by establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is ... years experience in varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant… more
- Jazz Pharmaceuticals (Las Vegas, NV)
- …www.jazzpharmaceuticals.com for more information. Brief Description: The Regional Sales Manager -Market Development is responsible for the Jazz Pharmaceuticals' Sleep ... sales force within the Sales Region. The Regional Sales Manager is responsible, through his/her regional sales force, for the compliant promotion of Jazz… more
- Valley Health Physician Alliance (Henderson, NV)
- …and regulations. Practices effective cost control measures through economic utilization of staff, materials, and equipment. Oversees supply inventory, ordering, ... conveys professionalism and strong motivation to achieve optimum results. Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the… more
- Red River (Carson City, NV)
- **Position Summary:** The Manager , Residency Services reports to Director of Professional Services. Responsibilities include: Identifying new Residency Services ... further our Corporate Mission, Values and Objectives. Red River's Residency Services Manager will be responsible for our residents' growth and operational … more
- FREEMAN (Las Vegas, NV)
- … utilization (goals, deliverables, schedule, budget, resources). ? Oversee management of program production and budget profitability by adhering to statements ... action, and build trust-all around the world. **Summary** The Experiential Exhibits Sr Manager is responsible for managing Expo Programs and leading a team of… more
- Parexel (Carson City, NV)
- …of quality worldwide meeting venues . Working knowledge of virtual meeting management and platforms . Experience working with Cvent platform a plus **Client ... relationship management ** . Proactively manages Client expectations and ensures delivery...Completes/approves project related expense claims **Metrics for success** . Utilization /billability target . Contribution to achievement of project, team,… more
- Intermountain Health (Las Vegas, NV)
- …including social work and complex care planning, transitions of care, and utilization management . The position ensures compliance with state, national, and ... 5:30 pm Holiday and weekend coverage when needed. The Manager of Care Management I leads and... Management I leads and collaborates with care management operations across utilization review, acute and… more
- Molina Healthcare (Las Vegas, NV)
- …Active, unrestricted Certified Case Manager (CCM) Some experience with Utilization Management processes is also desirable (InterQual, MCG guidelines) To ... care or medical or behavioral health settings. Prior experience in Utilization Management and discharge planning. **Preferred License, Certification,… more
- Banner Health (NV)
- …staff relations, and the charging/billing is required. A working knowledge of utilization management and patient services is required. A working knowledge ... to make Banner Health the best place to work and receive care. As an Associate Manager of RN Denials Management , you will be an integral part of leadership… more
- HCA Healthcare (Las Vegas, NV)
- …candidate is hired below midpoint of the range. **Introduction** We are seeking a Manager of Case Management with Southern Hills Hospital and Medical Center to ... benefits may vary by location._** We are seeking a Manager of Case Management for our team...supporting a balance of optimal care and appropriate resource utilization ** What qualifications you will need: + Associate Degree… more
- Highmark Health (Carson City, NV)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... depending on where clinical care is being provided. **Preferred** + Certification in utilization management or a related field **SKILLS** + Working knowledge of… more
- Dignity Health (Las Vegas, NV)
- …and experience + Minimum of 3 years of clinical care coordination experience, ( Utilization Management , Denial Management , Care Coordination) or 3 years ... **Job Summary and Responsibilities** **Position Summary:** The Manager of Care Coordination (CC) facilitates and supports the implementation, evaluation and… more
- Centene Corporation (Carson City, NV)
- …or medical group experience, provider relations, quality improvement, claims, contracting utilization management , or clinical operations. + Project management ... align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in… more
- CVS Health (Carson City, NV)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... training.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health....position consists of working intensely as a telephonic case manager with patients and their care team for fully… more
- The Hertz Corporation (Carson City, NV)
- The Manager Maintenance Support Services role is to oversee the team contained within the maintenance support services facility. It is their responsibility to ensure ... out of service rates, and maintaining high-vehicle quality across the division. The Manager will be familiar with vehicle mechanical repairs as well as minor body… more
- Ross Stores, Inc. (Las Vegas, NV)
- …and development for our teams\. **GENERAL PURPOSE:** The Senior Area Loss Prevention Manager \(Sr\. ALPM\) is responsible for protecting the assets of Ross Stores, ... addition, Sr\. ALPMs manage theft processes within the region including the management of external theft resource allocation \(i\.e\. undercover\) and internal theft… more
- St. George Tanaq Corporation (Carson City, NV)
- HTRW Program Manager Fully Remote Job Type Full-time Description **Overview** Tanaq Environmental, LLC. (TEL) delivers environmental engineering, investigation, ... **About the Role** We are seeking an **HTRW Program Manager ** to independently manage the execution of our HTRW...in response to client requests for proposals (RFPs), supports management team throughout negotiations of new contracts and/or task… more
- CVS Health (Carson City, NV)
- …day. The Medical Economics team is looking to add a Application development manager ! This team plays a critical role in driving data-informed decision-making across ... initiatives. In this role, you will: + Analyze healthcare cost and utilization data to identify trends, evaluate program performance, and support decision-making… more
- Elevance Health (Las Vegas, NV)
- …states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope ... **Telephonic Nurse Case Manager II** **Sign on Bonus: $2000.** **Location: Virtual:...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
