- Centene Corporation (Phoenix, AZ)
- …Tempe and/or Tucson offices.** **Position Purpose:** Manages the behavioral health (BH) utilization review clinicians to ensure appropriate care to members. ... Oversees and works with senior leadership on utilization management issues related...utilization management. + Oversees the behavioral health (BH) utilization review clinicians and ensures compliance with… more
- Commonwealth Care Alliance (Boston, MA)
- …**Position Summary:** Reporting to the Senior Medical Director of Medical Policy and Utilization Review , the Utilization Review Medical Director will ... our rapidly growing membership. The incumbent will have significant experience with utilization review , ideally experience with public programming, and excellent… more
- MyFlorida (Land O' Lakes, FL)
- SENIOR LICENSED PRACTICAL NURSE - 50000083 1 Date: Sep 2, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 857808 Agency: Veterans Affairs Working Title: SENIOR LICENSED PRACTICAL NURSE - 50000083 1 Pay… more
- Veterans Affairs, Veterans Health Administration (Huntington, WV)
- Summary The Senior Licensed Professional Mental Health Counselor - Substance Use Disorders serves as Team Leader, Substance Abuse Treatment Program for the ... track service activities including visits, referrals, patient demographics, equipment utilization and patient satisfaction. Develop, implement, and evaluate clinical… more
- Veterans Affairs, Veterans Health Administration (Dayton, OH)
- …as a condition of employment in the occupation. Grade Determinations: Senior Licensed Professional Mental Health Counselor, GS-13 Experience, Education, ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- Houston Methodist (Sugar Land, TX)
- … Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical denial management and ... Seven years clinical nursing/patient care experience which includes three years in utilization review , case management or equivalent revenue cycle clinical role… more
- CenterWell (Atlanta, GA)
- …hospital utilizers to identify ways to extend wellness and decrease utilization . + Ensures patient progression towards desired outcomes by monitoring symptom ... primary care centers, patients, and other staff with suicide risk assessment review , next steps, and guidance. + Assists patients expressing suicidal thoughts as… more
- Veterans Affairs, Veterans Health Administration (Cheyenne, WY)
- …social work degree meets the accreditation standards for a masters of social work. Licensure. Senior social workers must be licensed or certified by a state at ... to other PACT Social Workers, mentor staff to ensure utilization of the PACT model by assessing the social... Senior Social Worker Licensure/Certification. Individuals assigned as Senior Social Workers must be licensed or… more
- City and County of San Francisco (San Francisco, CA)
- …permanent 2932 positions + All City departments with open permanent positions can review your application Under direction, the 2932 Senior Behavioral Health ... Quality Improvement activities such as chart audit and compliance review . + The 2932 Senior Behavioral Health...the California Board of Behavioral Sciences (BBS) for + Licensed Clinical Social Worker (LCSW) OR + Licensed… more
- Immigration and Customs Enforcement (Washington, DC)
- …processes for federal and contract nursing staff to include registered nurses (RNs), licensed vocational nurses (LVNs), licensed practical nurses (LPNs), and ... with oversight of contract nursing staff to include registered nurses, licensed practical/vocational nurses, and certified nurse assistants on daily clinic processes… more
- Centene Corporation (Columbus, OH)
- …Care Quality and Management (CHCQM) by the American Board of Quality Assurance and Utilization Review Providers prior to employment or within six months of the ... Care Quality and Management (CHCQM) by the American Board of Quality Assurance and Utilization Review Providers prior to employment or within six months of the… more
- Pfizer (Lake Forest, IL)
- **ROLE SUMMARY** The Contract Senior Manager supports Pfizer by executing against contract strategies for the customer base which includes but is not limited to the ... agreements to support Pfizer Business Unit Sales and Portfolio strategies. The Contract Senior Manager will be accountable for having a general working knowledge of… more
- State of Indiana (Greenfield, IN)
- Senior Scoping Engineer Date Posted: Sep 9, 2025 Requisition ID: 464882 Location: Greenfield, IN, US, 46140 Work for Indiana Begin a fulfilling career with the State ... INDOT has exciting and challenging opportunities for you. Role Overview: The Senior Scoping Engineer is responsible for preparing district led scopes (engineering… more
- Grant Thornton (Cleveland, OH)
- As the Corporate Tax Senior Manager, you'll be a member of our corporate tax practice and work on business income tax planning, corporate compliance, and ASC 740 ... all with the resources, environment, and support to help you excel. Success in the Senior Manager role is the primary pathway to Partner or Managing Director in our… more
- Grant Thornton (New York, NY)
- The Senior Associate will support complex valuation engagements across the alternative credit spectrum, with a primary focus on illiquid private credit investments ... independent valuation of alternative credit investments, including private loans ( senior , Unitranche, mezzanine, second lien) and non-bank lending exposures across… more
- MyFlorida (Orlando, FL)
- SENIOR REGISTERED NURSE SUPV 1 Date: Sep 9, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 857206 Agency: Veterans Affairs Working Title: SENIOR REGISTERED NURSE SUPV 1 Pay Plan: Career Service Position… more
- Colliers Engineering & Design (Syracuse, NY)
- …and communicate effectively with all employees involved in the project to ensure high utilization rates (ie Project team meetings). + Review monthly labor and ... Overview Colliers Engineering & Design is looking for a Senior Project Manager to join our Architecture team in...Business Development. + Hold team meetings ensuring procedures governing review and approval of projects are followed prior to… more
- Grant Thornton (Los Angeles, CA)
- As a Healthcare Process Risk Senior Associate, you will get the opportunity to grow and contribute to our clients' business needs by helping them understand their ... and help you achieve more, confidently. Your day-to-day may include: + Review operational, financial, and administrative processes to assess risk, internal control,… more
- Grant Thornton (Dallas, TX)
- As an IT Risk Senior Manager, you will get the opportunity to grow and contribute to our clients' business needs by helping them understand their business risks and ... vision and help you achieve more, confidently. Your day-to-day may include: + Review business processes across multiple risk domains to provide management with an… more
- PeaceHealth (Eugene, OR)
- **Description** **PeaceHealth is seeking a Clinic Manager Senior - Family Practice for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at ... seniority, etc.** **DETAILS OF THE POSITION:** + Partners with physicians and senior clinic leadership to lead clinic operations to ensure overall success of… more
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