• City of Danville (Durham, NC)
    …opportunities, preparing detailed proposals, and overseeing the allocation, reporting, and utilization of awarded funds. Manages accreditation process which ... staffing levels year-round. A significant function of the role is emergency management including support and leadership to the 911 emergency communications center;… more
    Upward (08/11/25)
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  • Senior Registered Nurse - Hospital…

    Ventura County (Ventura, CA)
    Senior Registered Nurse - Hospital Management Utilization Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5061650) Apply  Senior ... the interdisciplinary approach to providing continuity of care, including Utilization management , Transfer coordination, discharge planning, & obtaining… more
    Ventura County (09/21/25)
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  • System VP Utilization Management

    CommonSpirit Health (Phoenix, AZ)
    …the senior leadership team, the System Vice President of Utilization management will contribute to high-level organizational decision-making, working closely ... **Job Summary and Responsibilities** The System Vice President of Utilization Management is a key member of the healthcare organization's leadership team and is… more
    CommonSpirit Health (09/05/25)
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  • Supervisor, Behavioral Health Utilization

    Centene Corporation (Madison, WI)
    …best practices related to BH utilization management + Works with BH utilization management team and senior management to identify opportunities ... care for members and supervises day-to-day activities of BH utilization management team. + Monitors behavioral health...team, members, and providers + Works with the BH senior management to develop and implement UM… more
    Centene Corporation (10/30/25)
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  • Supervisor, Utilization Management

    Centene Corporation (Sacramento, CA)
    …knowledge of regulations, accreditation standards, and industry best practices related to utilization management + Works with utilization management ... ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks...applicable guidelines, policies, and procedures + Works with the senior management to develop and implement UM… more
    Centene Corporation (10/15/25)
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  • Director, Utilization Management BH

    Commonwealth Care Alliance (Boston, MA)
    … Mgmt * Directs, coordinates and evaluates efficiency and productivity of utilization management functions for physical health services and long term ... a high quality team.collaboration with the broader clinical organization. * Ensures that utilization management processes are integrated with care management more
    Commonwealth Care Alliance (10/02/25)
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  • Senior Director Case Management

    Houston Methodist (Houston, TX)
    …improvements as needed. + Collaborates with HMCPA on care transition and utilization management initiatives. + Provides strategic vision and execution for ... for providing executive leadership and strategic oversight for all hospital-based Case Management Directors and the Central Utilization Review Director across… more
    Houston Methodist (10/16/25)
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  • Senior Medical Director - Sharp Health Plan…

    Sharp HealthCare (San Diego, CA)
    …to accrediting and regulatory agency feedback. + Supports pre-admission review, utilization management , and concurrent and retrospective review Process. Performs ... risk management reviews. + Assists in pharmacy utilization management , catastrophic case review, outreach programs,...CMO CPTAC and Peer Review Committees. + Partners with Senior Management including CMO and COO to… more
    Sharp HealthCare (10/18/25)
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  • Senior Mental Health Nurse

    Ventura County (Ventura, CA)
    …Inpatient Psychiatric unit of the Ventura County Medical Center including utilization management , transfer coordination, discharge planning, and securing ... Senior Mental Health Nurse Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5061656) Apply ...and review; + Performs daily clinical reviews to support utilization and quality management , ensuring compliance with… more
    Ventura County (09/26/25)
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  • Senior Manager Operations- Central…

    Houston Methodist (Houston, TX)
    …/regulatory/ government regulations. **PEOPLE ESSENTIAL FUNCTIONS** + Performs management responsibilities of selection, scheduling, supervision, retention, and ... those projects to bigger picture system ideas.** At Houston Methodist, the Senior Manager Operations position is responsible for the strategic and ongoing… more
    Houston Methodist (10/07/25)
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  • Systems Engineer Senior

    Amentum (Washington, DC)
    …at the logical level working with communication protocols. The Systems Engineer ( Senior ) will perform systems management and integration functions. You will ... are searching for a Top Secret cleared Systems Engineer ( Senior ) to join our team in Washington, DC. You...hardware and operating systems including the evaluation of system utilization , monitoring response time and primary support for detection… more
    Amentum (10/31/25)
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  • Senior Social Worker (Icmhr-Range) - Edrp,…

    Veterans Affairs, Veterans Health Administration (Mcallen, TX)
    …Community Mental Health Recovery-Rural Access Network for Growth Enhancement (ICMHR-RANGE) Senior Social Worker is directly responsible to the Recovery Services ... primary outpatient mental health providers for the Veterans they serve. The ICMHR Senior Social Worker: May be assigned direct clinical program management more
    Veterans Affairs, Veterans Health Administration (10/25/25)
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  • Senior Strategic Sourcing Manager

    UPMC (Pittsburgh, PA)
    …with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Senior Strategic Sourcing Manager (Sr. SSM) will ... to grow in your career at UPMC UPMC is looking for a full-time Senior Strategic Sourcing Manager. This position works Monday- Friday, standard daylight hours. This… more
    UPMC (10/23/25)
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  • Senior Director, Ambulatory Pharmacy…

    University of Rochester (Rochester, NY)
    management , clinical services, pharmacy data analytics, and pharmacy procurement/inventory management . The Senior Director, Ambulatory Pharmacy Services in ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE: The Senior Director, Ambulatory Pharmacy Services is responsible for the… more
    University of Rochester (08/07/25)
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  • Senior Social Worker (Caregiver Support…

    Veterans Affairs, Veterans Health Administration (San Antonio, TX)
    …similar role or with population served Clinical supervision certification Quality or utilization management experience Former VA Trainee Reference: For more ... Summary The Senior Social Worker supports caregivers, Veterans, and their...collecting and analyzing local data for reports to local management , the VISN Caregiver Support Program Lead, and the… more
    Veterans Affairs, Veterans Health Administration (10/30/25)
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  • Senior Electronic Systems Design…

    The Boeing Company (Berkeley, MO)
    …with us. The Boeing Company has an exciting opportunity for an Experienced/ Senior Electronic Systems Design and Analysis Engineer for current and emerging fixed ... overall system functionality. + Experience with requirements development and management , including technical performance specification and statement of work… more
    The Boeing Company (09/17/25)
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  • Senior Compliance Professional

    Humana (Denver, CO)
    …responsible for developing and maintaining letter templates for Medicare and D-SNP utilization management business areas. Letter templates are created in ... + Creates, maintains, and updates member letter templates for Medicare and D-SNP Utilization Management decisions + Tracks changes to state and federal… more
    Humana (10/29/25)
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  • Senior Administrator, Department…

    Emory Healthcare/Emory University (Atlanta, GA)
    …our academic community. **Description** We are seeking an experienced and visionary Senior Administrator to lead the Department of Ophthalmology through a period of ... success in a competitive, rapidly evolving healthcare landscape. The Senior Administrator for Ophthalmology oversees and manages the operational, financial,… more
    Emory Healthcare/Emory University (10/18/25)
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  • Senior Manager of Epilepsy Services…

    Mount Sinai Health System (New York, NY)
    …compliance with accreditation requirements and standards. + Data Storage and Management : + Establishing protocols for analysis of EEG Data by Persyst, protocols ... **Job Description** The Senior Manager of Epilepsy Services is critical in...critical to the success of the epilepsy care and management system-wide. This position requires strong leadership, strategic vision,… more
    Mount Sinai Health System (09/25/25)
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  • Senior Vice President Ambulatory Care

    Dana-Farber Cancer Institute (Boston, MA)
    …staff, facilitating training opportunities and supporting career growth. + Work with senior management and Human Resources to address performance issues, as ... must be comfortable with ongoing change and have outstanding change management skills. The SVP Ambulatory Care must demonstrate their data-driven decision-making… more
    Dana-Farber Cancer Institute (08/23/25)
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