- Washington Metropolitan Area Transit Authority (Washington, DC)
- Sr. Manager Administration & Resource Management Job ID: 251037 Location: DC - L'Enfant Plaza Full/Part Time: Full-Time Posting Open-Close 11/17/2025 - 11/21/2025 ... Regular/Temporary: Regular **Job Description** **Senior Manager Administration & Resource Management Marketing Statement:** The Washington Metropolitan Area Transit Authority… more
- Commonwealth Care Alliance (Boston, MA)
- …member experience. - Address provider inquiries related to care coordination, utilization management , and program participation, collaborating with internal ... in behavioral health clinical practice, provider relations, or healthcare management Desired Experience (nice to have): - Experience working with managed care… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …performance of job functions, which may include preauthorization, outpatient and inpatient management , case management , retrospective claim review , and ... Please note this position aligns to PST business hours.** The **Manager, Case Management ** Team is a Supervisor for Case Managers. This position is responsible for… more
- Battelle Memorial Institute (Columbus, OH)
- …program operations and high-quality patient care. **Responsibilities** + Assist with the management and treatment of outpatient behavioral health activities + ... in a dynamic, mission-driven environment. This position supports outpatient behavioral health activities by conducting intake interviews, assisting with patient… more
- Harris Regional Hospital (Sylva, NC)
- …the multidisciplinary team, payors, and community resources; leads discharge planning and utilization review activities. Reports to the Director or Manager of ... barriers and ensure timely care progression. * Accurately documents case management activities, plans, and outcomes. * Participates in performance improvement and… more
- Battelle Memorial Institute (Oceanside, CA)
- …environment. The Licensed Clinical Social Worker position serves as a behavioral health care provider within operational units, delivering evidence-based assessment, ... maintaining detailed medical records, possibly supervising trainees, performing case management , and engaging in military-specific training and activities as… more
- Commonwealth Care Alliance (Springfield, MA)
- …Work collaboratively with internal departments-including Clinical Operations, Contracting, Network Management , Utilization Management , and Business ... Knowledge, Skills, Abilities & Language (nice to have):** + Familiarity with care management and utilization management systems and workflows for populations… more
- Washington Metropolitan Area Transit Authority (Alexandria, VA)
- …of customer service, revenue collection, revenue collection equipment performance and utilization of the Authority's parking facilities and assets, including Parking ... and assets. + Reconciles and analyzes all customer service, daily count, utilization , and revenue collection equipment and transaction data and prepares reports and… more
- Washington Metropolitan Area Transit Authority (Washington, DC)
- …**Certification/Licensure** + Enterprise Resource Planning systems certification + Learning Management Systems certification + Customer Relationship Management ... for all offices of the Authority. Responsibilities include budget/fiscal management , establishing standards, procedures, and controls for database management… more
- Carnegie Mellon University (Pittsburgh, PA)
- …Provide analytical support and financial insight for audits, facilities projects, space utilization , grants management , and special projects. + Coordinate with ... spirit, and collaboration From creative writing to statistics and data science, behavioral economics to social and political history, Dietrich College is home to… more
- Battelle Memorial Institute (Sneads Ferry, NC)
- …validity and significance of collected data, prepare written notes integrating behavioral observations and test results, make recommendations for further action + ... Medical Evaluation Board (MEB), Temporary Disability Retirement List (TDRL) status review , Physical Evaluation Board (PEB), and clinical consultations from various… more
- Monte Nido (Villanova, PA)
- …may substitute leadership experience elsewhere. + Working knowledge of admissions and intake, Utilization Review , and 3rd party or insurance payers. + Previous ... Experience in an Eating Disorder program or other residential behavioral health setting is very helpful. + Knowledge of...Equity and Inclusion practices + Employee selection and performance management experience are a plus. + Must hold a… more
- Monte Nido (Waltham, MA)
- …regulatory agencies. + Conduct psychosocial assessments, participate in treatment planning, utilization review , and discharge planning. + Conduct individual, ... the opportunity for people to realize their healthy selves. **Family Therapist** **Walden Behavioral Care** **Waltham, MA** Walden Behavioral Care is one of the… more
- Monte Nido (Clifton, VA)
- …may substitute leadership experience elsewhere. + Working knowledge of admissions and intake, Utilization Review , and 3rd party or insurance payers. + Previous ... Experience in an Eating Disorder program or other residential behavioral health setting is very helpful. + Knowledge of...Equity and Inclusion practices + Employee selection and performance management experience are a plus. + Must hold a… more
- Katmai (Fort Carson, CO)
- …all levels of health care management to include outside agencies. Performs utilization management activities to optimize cost, quality, and access to care. ... and employ safe work habits. + Utilize available information management systems in daily practice for patient care and...facility staff members to facilitate patient care. + Accurately review and confirm completeness of patient chart and report… more
- National Renewable Energy Laboratory (Golden, CO)
- …certifications (First Aid/AED/CPR), FEMA/NIMS incident command methods and follow emergency management during emergencies. + Respond to life safety alarms via ... Emergency Notification System (ENS) sheets and SOPs. Surveillance & Technology Utilization : + Operate CCTV systems for situational awareness and incident response as… more
- AmeriHealth Caritas (LA)
- …Overview:** Under the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical ... all information necessary to perform a thorough medical necessity review . It is within the BH UM Reviewer...and American Society of Addiction Medicine (ASAM) criterion + Utilization management experience within a managed care… more
- CVS Health (Phoenix, AZ)
- …partial hospitalization and intensive outpatient programs. + At least 1 year of Utilization Management experience in concurrent review or prior ... promote high-quality healthcare for members. **Position Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. In this… more
- Humana (Charleston, WV)
- **Become a part of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills ... of behavioral health services and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work assignments… more
- UPMC (Pittsburgh, PA)
- …Pennsylvania RN license. This role will review requests for authorization for behavioral health services. The Utilization Management (UM) Care Manager is ... telephonic responsibilities. This role is dedicated to driving effective utilization management for behavioral health...responsible for utilization review of health plan services and assessment of member's… more
