- Kaiser (Arlington, VA)
- …environmental factors, and response to treatment so as to decrease inappropriate utilization of medical services.In close collaboration with the nurse case ... manager and other members of the health care team,...and timely manner.Ensures consistent and reliable documentation of case management activities in compliance with all organization and department… more
- Elevance Health (Washington, DC)
- …office 4 days each week. The office is located at 609 H. Street NE.** The ** Utilization Management ** ** Manager ll** is responsible for managing a team of ... and acuity. + Provides direct oversight and is responsible for Utilization Management execution/decision making for managed member populations. Primary… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... net required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN II is primarily responsible for receiving/reviewing… more
- Elevance Health (Cerritos, CA)
- ** Utilization Management Representative II ** **Location:** Virtual: This role enables associates to work virtually full-time in **CALIFORNIA** , with the ... shift between 8 am - 5 pm PST. The ** Utilization Management Representative II ** is...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Mason, OH)
- ** Utilization Management Representative II ** **Schedule: Monday-Friday 8am-5pm Eastern Time** **Must be located in the state of Ohio** **Virtual** : This ... eligibility information. + May act as liaison between Medical Management and internal departments. + Responds to telephone and...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …III (in addition to Level II Qualifications) + Must have been in a utilization management position or similar subject matter expert for at least 5 years. + ... customer and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough...and required. + Performs other functions as assigned by management . Level II (in addition to Level… more
- The County of Los Angeles (Los Angeles, CA)
- MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4659662) Apply ... MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Salary...of practice. Participates in the development, negotiation, implementation, and management of the budget for the Countywide program support… more
- Parsons Corporation (San Antonio, TX)
- …efficiency, and maintaining research documents. Additionally, the Program Manager II will assist with space utilization , financial tracking, and business ... We've got what you're looking for. **Job Description:** Parsons is seeking a **Program Manager II ** to support Naval Medical Research Unit - San Antonio… more
- Ryder System (Rock Tavern, NY)
- …Transportation, Fleet Maintenance and Supply Chain Services in the World! **Summary** The Operations Manager II (SM II ) manages the operations and personnel ... to support the needs of assigned location. The Operations Manager II must be able to accomplish...and business metrics. This position is responsible for the management of the location(s) performance against metrics to meet… more
- TEKsystems (Hanover, MD)
- …opportunity supported through our TGS Talent Acquisition Team requires: Position Overview The Engagement Manager II (EM II ) is a delivery leadership position ... one or more engagements or engagement teams at a time. The EM II is responsible for managing customer experience through regular check-ins and timely updates… more
- BayCare Health System (Safety Harbor, FL)
- …and clinical excellence. BayCare is currently in search of our newest **Site Manager II ** who is passionate about providing outstanding customer service to ... (may vary) + **Days:** Monday - Friday The **Site Manager II ** is responsible for: + In...for: + In a minimally complex practice, oversees the utilization management and daily business operations of… more
- BayCare Health System (St. Petersburg, FL)
- …and clinical excellence. **BayCare is currently in search of our newest** **Site Manager II ** **who is passionate about providing outstanding customer service to ... PM (may vary)** **Days:** **Monday -** **Friday** **The** **Site Manager II ** **is responsible for:** + **In...for:** + **In a minimally complex practice, oversees the utilization management and daily business operations of… more
- Rochester Regional Health (Rochester, NY)
- …is expected and required. + Performs other job-related duties as assigned by management . LEVEL II : + Offers process improvement suggestions and participates in ... Job Title: Registered Nurse Case Manager IIDepartment: Home Care Location: West Monroe Hours...to perform the essential responsibilities of the job. Level II Understands when to escalate to management .… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Process Improvement Manager II --Health System Operations -Corporate-Full-Time Days-Hybrid** The Health Systems and Process Improvement ... (HSPI) Manager II leads improvement initiatives coordinated by...plans, manages and executes complex improvement initiatives and performance management forums and evaluates the impact of improvement efforts… more
- LA Care Health Plan (Los Angeles, CA)
- Technical Applications Manager II Job Category: Information Technology Department: IT Solutions Delivery Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Technical Application Manager II reports to the Senior ...of HEDIS, HIE, Health Analytics required. Functional knowledge of Utilization Management , Care Management , Clinical… more
- Crane Aerospace & Electronics (Burbank, CA)
- …III) will be determined based on the candidate's experience and qualifications** . + **_Program Manager II - $130,600 to $161,900_** + **_Program Manager III ... may be eligible for participation in performance-based bonus programs. **Salary Range for Program Manager Level II and III. The level of the position (Level … more
- Elevance Health (Grand Prairie, TX)
- …Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II ** is responsible for care management within the scope of licensure ... **Telephonic Nurse Case Manager II ** **$3000 Sign-On Bonus** **Location:...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- Elevance Health (Houston, TX)
- …hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II ** is responsible for care management within the scope of licensure for ... **Telephonic Nurse Case Manager II ** **Location: This role enables...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- AmeriHealth Caritas (Rock Hill, SC)
- **Role Overview;** The Care Manager II is responsible for managing and coordinating care, services, and social determinants of health for Members with acute, ... gaps in care and barriers to care. The Care Manager II develops a plan of care...accurate documentation of Member interactions in ACFC electronic care management platforms where applicable + Monitor appropriate utilization… more
- Mount Sinai Health System (New York, NY)
- …these external parties to ensure the success of the business. Business Relationship Manager II 's advance the BRM capability by nurturing relationships both ... days onsite / 2 days remote.** A Business Relationship Manager (BRM) II acts as a liaison...Management Professional (BRMP(R)) preferred. + Certified Business Relationship Manager (CBRM(R)) with Certificates of Experience preferred. , 270… more
