- Merck & Co. (Rahway, NJ)
- …the business.- - Working independently, the Protocol Clinical Supplies Project Manager (Protocol CSPM) designs strategic and operational plans for all activities ... supply chain deliverables and prepares, analyses, and/or develops mitigation strategies for review with clinical partners and senior leaders. Works directly in the… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …involves working with suppliers and internal stakeholders to define scope and review of work orders and agreements, Mitigates supplier issues, develops action plans ... intelligence and trends, to help inform Business budgeting and supplier utilization decisions- Partners with senior business stakeholders across functions to… more
- CoxHealth (Lake Spring, MO)
- …feedback for the following Committees: 1) Coding and Documentation Committee 2) Utilization Review Committee 3)SOI Scorecard Committee 4) Educational sessions ... Educator will be responsible for working closely with the CDI Manager , CDI Supervisor, CDI Team Lead, CDI Specialists, Medical Director-Coding/CDI, Inpatient… more
- HealthCare Support (Houston, TX)
- Utilization Review RN HealthCare Support is actively seeking a Utilization Review RN to fill an opening with a Prestigious HealthCare Company in Remote ... Houston TX . Daily Responsibilities for Utilization Review RN: WIll need to use...Communicates concerns that arise in these discussions to the Manager and/or Medical Director. 4. Maintains knowledge of the… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …strong collaborator across MAPA and NNI, a self-starter who is self led and keeps their manager up to date on progress and ensures no surprises, and is seen as a ... their placement in the treatment continuum as well as appropriate utilization and treatment guidelines Proactively leverages detailed knowledge of all applicable… more
- Commonwealth Care Alliance (Boston, MA)
- …Knowledge, Skills & Abilities (must have): - Expertise in managing utilization review processes including prior authorization, concurrent and retrospective ... facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing...for overseeing and managing the daily operation of the Utilization Management Review Nurse and Specialist staff… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer ... review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring...accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy + Works… more
- Bethesda Health (Alton, IL)
- …Supervisory and other personnel. Is Chairperson of: Supervisory Meetings and Nurse Manager Meetings. As Department Manager , conducts meetings with administrative ... to improve the quality of care and plan better utilization of staff time and activities. Oversees the quality...process and participate in the facility's annual facility assessment review process. Review and/or revise the facility's… more
- Providence Little Company of Mary Medical Center San Pedro-… (San Pedro, CA)
- …BLS - AHA Must-Have: Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans ... Center San Pedro- Case Management Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 33531148 Job Title RN - Case Manager Weekly Pay… more
- Providence Little Company of Mary Medical Center - San Pedro (San Pedro, CA)
- …to perform discharge planning and utilize interqual criteria - Experience in utilization review and concurrent reviews Description: This position requires ... Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 33531206 Job Title Registered Nurse -...Job ID 33531206 Job Title Registered Nurse - Case Manager @ Providence Little Company of Mary Medical Center… more
- Plante Moran (Southfield, MI)
- …/ waste reduction Throughput improvement Make vs. Buy analysis Equipment utilization Manufacturing footprint analysis Plant floor layout Automation and Industry 4.0 ... 50% - 75% overnight travel Would consider hiring a Manager or Senior Manager based on experience...located in the state of CO or IL. Please review the position location for the applicable geographic location.… more
- Jobleads-US (Atlanta, GA)
- …mission that matters. Your Impact Axon is looking for an experienced Senior Manager of Equity Compensation to manage the day‑to‑day administration of the company's ... and has experience with international considerations and tax implications. The Senior Manager reports directly to the VP of Financial Reporting and Strategic… more
- Jobleads-US (San Diego, CA)
- …carriers on behalf of clients. Lead client meetings regarding renewal and utilization results. Regular client contact and in-person attendance at client meetings. ... enrollment procedures, miscellaneous benefit changes and/or clarifications. Participate in peer review as both a participant and a reviewer of standards client… more
- Stanford Health Care (Palo Alto, CA)
- …responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient ... other interdisciplinary team members; arranges follow up care as appropriate. + Utilization Review -- Reviews prospectively, concurrently and retrospectively all… more
- Stony Brook University (Stony Brook, NY)
- …Department may include the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity includes UR ... RN Case Manager **Position Summary** At Stony Brook Medicine, a...cases for authorization for in patient stay. + Staff review short stay, long stay and complex cases to… more
- Jobleads-US (Seattle, WA)
- …carriers on behalf of clients. Lead client meetings regarding renewal and utilization results. Regular client contact and in-person attendance at client meetings. ... changes, enrollment procedures, benefit changes, and clarifications. Participate in peer review as both a participant and reviewer of client deliverables. Develop… more
- Commonwealth Care Alliance (Boston, MA)
- 011150 CCA-Network Contracting **Position Summary:** The LTSS Program Manager is responsible for overseeing relationships and performance with community-based ... alignment with CCA's model of care and strategic objectives. The Manager fosters effective clinical and programmatic collaboration with provider partners,… more
- Commonwealth Care Alliance (Boston, MA)
- …Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships with behavioral ... mission and supporting high-quality, coordinated care for members. In this role, the Program Manager acts as an account manager , relationship manager , and… more
- Red River (Hartford, CT)
- **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 management… more
- Laurel Pointe Senor Living (Reading, PA)
- …office staff, hospital staff including social workers, discharge planners, utilization review , volunteer coordinators, rehabilitation director, chaplain service, ... pastors, senior services including senior centers, board and care homes, adult day care centers, home health and other community-based referral sources which result in referrals to the community Participate in local organizations, identified as bringing value,… more
