- Commonwealth Care Alliance (Boston, MA)
- …services, procedures, and facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and ... of service decisions and organizational determinations. Essential Duties & Responsibilities: The Manager , Utilization Management reports to the Director of… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) ... authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role...accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy + Works… more
- CHRISTUS Health (San Antonio, TX)
- …for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation of ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- Insmed Incorporated (NJ)
- …for the future of science, we're in. Are you?About the Role:The Manager , Finance Applications, is responsible for end-to-end solution design, implementation and ... Cloud Finance applications.Challenges existing methods, processes and tools to optimize utilization and efficiency of the Oracle Fusion ERP Cloud Finance… more
- Legend Biotech USA, Inc. (Raritan, NJ)
- …immunotherapy in the treatment of multiple myeloma.Legend Biotech is seeking Senior Project Manager , Site PMO as part of the Technical Operations team based in ... OverviewThis position will be responsible for providing operational excellence project management support to the cGMP Clinical and Commercial Cell Therapy… more
- Amherst College (Amherst, MA)
- Office Manager for Care and AccountabilityAmherst CampusFull TimeJR6460Amherst has taken a leadership role among highly selective liberal arts colleges and ... administration and staff.Job Description:Amherst College invites applications for the Office Manager for Care and Accountability position. The Office Manager … more
- Legend Biotech USA, Inc. (Raritan, NJ)
- …stakeholders including but not limited to Operations, MSAT, Facilities, C&Q, Project Management , and Quality.Work closely with Sr. Manager , Strategic Initiatives ... of site operational models to better understand and assess resource utilization , equipment utilization , change impact, etc.Support assessment of facility… more
- Daiichi Sankyo, Inc. (Chesapeake, VA)
- …strong, long-term relationships with clinical personnelEnsures appropriate and compliant utilization of product and disease state education as it relates ... customer needs.Monitor, collect, and communicate to the Director, Clinical Nurse Manager on customer insights regarding their need for information regarding disease… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- **Overview** BroadPath is seeking a highly motivated and results-oriented ** Utilization Management (UM) Nurse** . Our ideal **UM Nurse** will ensure timely ... to regulatory guidelines, meeting performance standards, and keeping the UM Manager informed of member and provider issues **Compensation Highlights** + Base… more
- Nevada System of Higher Education (Las Vegas, NV)
- …individual serves as a confidential representative and liaison with senior management , faculty, system-wide administration officials, and the public. The Assistant ... conferences, travel, and standing meetings. Exercise good judgment for optimum utilization of the Vice Chancellor's time.Plan and organize special meetings and… more
- Home Depot (Atlanta, GA)
- **Position Purpose:** The Product Management Sr. Manager is responsible for attracting, retaining, and developing top talent focused on assessing market needs ... System (CMS), and the roadmap for new content creation products. The Product Management Sr. Manager focuses on guiding and executing the delivery of business… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …from home opportunity! Please note this position aligns to PST business hours.** The ** Manager , Case Management ** Team is a Supervisor for Case Managers. This ... of professional paraprofessional, and administrative team members. + Lead Care Management teams in effective performance of job functions, which may include… more
- Commonwealth Care Alliance (Boston, MA)
- …Work collaboratively with internal departments-including Clinical Operations, Contracting, Network Management , Utilization Management , and Business ... and improvement efforts. Through reporting, data analysis, and partnership management , the LTSS Program Manager ensures that...& Language (nice to have):** + Familiarity with care management and utilization management systems… more
- Commonwealth Care Alliance (Boston, MA)
- …member experience. - Address provider inquiries related to care coordination, utilization management , and program participation, collaborating with internal ... does not have direct reports. Essential Duties & Responsibilities: Provider Relationship Management - Serve as the primary relationship manager and point… more
- Commonwealth Care Alliance (Boston, MA)
- …delegated partnerships programs, working with clinical community partners responsible for care management and utilization management across CCA's One Care ... Knowledge, Skills, Abilities & Language (nice to have): - Familiarity with care management and utilization management systems and workflows. - Experience… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …years nursing experience with advanced level pediatric clinical experience and utilization management and/or discharge planning experience. Thorough knowledge of ... That Matters.** **Overview** **Purpose Statement/Position Summary:** The Nurse Care Manager performs complex discharge planning for patients of different...managed care, utilization management , discharges planning, and continuous quality… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- … Manager \!** In this role, you will complete medical reviews for utilization management within the BlueCare member population\. You'll have the opportunity ... to collaborate with the BlueCare Utilization Management team, Case Managers, and other...compressed work schedule\. - For example, the Clinical Review Manager may work five 8\-hour shifts or four 10\-hour… more
- Home Depot (Richmond, VA)
- …+ Organized Retail Crime elements and law enforcement partnerships + Utilization / management of physical security and investigations systems (CCTV, Alarm, ... **Position Purpose:** The District Asset Protection Manager (DAPM) is responsible for teaching, coaching, and...Perform timely entry of internal cases into the case management system in accordance with AP Policy; to include… more
- Crane Payment Innovations (Orlando, FL)
- **Service Manager ** Location **FL, Orlando** Department **Field Support** Employment Type **Full Time** Have you ever used a self-checkout in at the grocer you ... of payments moving with smart validation devices and business management software. Headquartered in Malvern, PA, CPI is supported...service branches. **WHAT YOU'LL BE DOING** As the Service Manager at CPI, you will play a pivotal role… more
- RWE Clean Energy (Tampa, FL)
- …start as soon as possible, full time, permanent** **Functional area:** Project Management **Remuneration:** Exempt The **Senior Manager , Project and Construction ... responsibilities of RWE while developing or executing a major project. In addition, this Manager may function as the lead project manager on some key projects… more
