- 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) ... accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy + Works...assigned work in a timely and accurate manner + Knowledge of the Utilization management … more
- Stanford Health Care (Palo Alto, CA)
- …to patients, interrelationships of the care components, and their effective integration + Knowledge of the models of case management , including the principles ... delivery and quality of patient care. A hospital-based case management system has as its primary goal to ensure...and practices of discharge planning, utilization review, and quality assurance/improvement + Knowledge … more
- Xcel Energy (Minneapolis, MN)
- …cost tracking, project control techniques, and reconciliation processes. + Resource Utilization : Responsible for effective, efficient and competitive management ... **Position Summary** Provides strategic leadership while directing program and project management activities for selected, highly complex projects, which may impact… 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
- Providence Little Company of Mary Medical Center - San Pedro (San Pedro, CA)
- …End Date 12/08/2025 Duration 13 Week(s) Job Description Job Title: Case Manager Profession: Registered Nurse Specialty: Case Management Duration: 13 weeks ... Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 33531206 Job Title Registered Nurse -...Company of Mary Medical Center San Pedro - Case Management Weekly Pay $2440.0 Shift Details Shift Day -… more
- Integra LifeSciences (Princeton, NJ)
- …pathways to advance patient outcomes and set new standards of care. The Manager , Contracts and Vendor Management , is responsible for overseeing the Information ... cost savings, operational efficiency and mitigation of risk. The Manager , Contracts and Software Assets, is a recognized Subject...software asset management , procurement, or IT vendor management . + Strong knowledge of contract law,… 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
- Merck & Co. (Rahway, NJ)
- …skills to ensure alignment and collaboration in the supply planning process. Project Management Skills: strong knowledge of the principles of project ... and inventory management systems. Proven record in project / portfolio management . Knowledge of Good Manufacturing Practices (GMP) and Good Clinical… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- … and supplier performance measurement skills required- Procurement process knowledge , contract management , financial analysis, market analysis, supplier ... bid analysis and complex negotiations for efficiencies. Harnesses enterprise wide knowledge and perspective coupled with in-depth functional knowledge to… 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
- First Insight, Inc. (Pittsburgh, PA)
- …an opportunity to help drive our business as a Customer Success Manager . This high-visibility, customer-facing position provides the opportunity to both engage ... with customer success in SaaS based software along with customer/project management experience is required. RESPONSIBILITIES & DUTIES The Customer Success … 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 ... and performance monitoring initiatives or relevant position - Working knowledge of project/program management practices - Ability...& Language (nice to have): - Familiarity with care management and utilization management systems… more
- Stanford Health Care (Palo Alto, CA)
- …Risk Management . **Licenses and Certifications** + CPM - Certified Purchasing Manager (Certification By The Institute For Supply Management ) preferred or + ... LPCH, PCHA, UHA, SBC and new activations as appropriate). The Category Manager is responsible for driving category specific contract coverage and compliance. Areas… more
- Stanford Health Care (Palo Alto, CA)
- …employees. **This is a Stanford Health Care job.** **A Brief Overview** The Social Work Manager is a part of and engages with the service line leadership team. The ... Manager has the responsibility to collaborate with the service...evaluation of social work staff. + Ensures quality program management through compliance with federal, state, and local regulations… more
- Ultimate Staffing (Long Beach, CA)
- … Manager plays a key role in ensuring timely and accurate completion of Utilization Management (UM) and Case Management (CM) reports in accordance with ... Plan audits, and for collaborating closely with the UM Manager to maintain compliance across all functions. A critical...key role in ensuring timely and accurate completion of Utilization Management (UM) and Case Management… more
- SMBC (Charlotte, NC)
- … Knowledge of Apptio application and TCO methodology advanctageous - Formal project management expertise and knowledge of project management methodology / ... **Role Description** Role Description The Senior Director of IT Business and Project Manager will report to the Americas Division Technology Head of Business &… more
- Stony Brook University (Stony Brook, NY)
- …skills while adhering to our high standard of excellence. **Duties of a RN Case Manager in the Care Management Department may include the following but are not ... RN Case Manager **Position Summary** At Stony Brook Medicine, a...limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity… more
- Arrowroot Capital (Lincoln, NE)
- …and services revenue within all existing customer accounts. Responsibilities: The Account Manager is responsible for site engagement, platform utilization , and ... Job Description: The Account Manager is a key customer-facing strategy and sales...for the IronConnect team. This position requires exceptional relationship management skills, strategic planning ability, effective time management… more
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