- 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) ... authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role...accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy + Works… more
- ChristianaCare (Newark, DE)
- …plan. Social Worker - Resolves psycho-social barriers and supports discharge needs. Utilization Management - Reviews patient status for appropriateness and ... RN Case Manager - Day Shift M-F (Hours: 8a-4:30p with...and effective transitions throughout the care continuum. The Care Management Model: Our Care Management Triad Team… 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
- 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
- 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
- Stanford Health Care (Palo Alto, CA)
- …include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts for timeliness ... of services as well as appropriate utilization of services; and ensuring optimum use of resources,...delivery and quality of patient care. A hospital-based case management system has as its primary goal to ensure… 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
- 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 ... System's contract lifecycle and software asset management strategy. This role ensures compliance with best practices, legal and regulatory requirements, optimizes… more
- Swedish Health Services (Tacoma, WA)
- …resource outcomes. Acts as resource and provides oversight for the Case Management Associate for discharge planning and utilization activities *Coordination: ... Description Care Manager RN - Emergency Department @ Swedish First...Department leadership, the Medical Director, or Physician Advisor. *Resource Management ; Assures prudent utilization of all resources… more
- Merck & Co. (Rahway, NJ)
- …the business.- - Working independently, the Protocol Clinical Supplies Project Manager (Protocol CSPM) designs strategic and operational plans for all activities ... and other supply chain areas to address clinical supply and/or change management related topics. Responsible and accountable for establishing the timelines for… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …benefit the stakeholders, DSI and DS Group. Develops comprehensive global category management strategies to uncover strategic insights to help influence and inform ... supplier issues, develops action plans to resolution. Leads supplier relationship management to ensure suppliers are meeting expected performance levels and driving… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …from home opportunity! Please note this position aligns to PST business hours.** The ** Manager , Case Management ** Team is a Supervisor for Case Managers. This ... of professional paraprofessional, and administrative team members. + Lead Care Management teams in effective performance of job functions, which may include… 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)
- …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
- Amherst College (Amherst, MA)
- Office Manager for Care and Accountability Amherst Campus Full Time JR6460 Amherst has taken a leadership role among highly selective liberal arts colleges and ... and staff. Job Description: Amherst College invites applications for the Office Manager for Care and Accountability position. The Office Manager for… more
- Fresenius Medical Care (Waukegan, IL)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… 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
- Fresenius Medical Care (Cadiz, KY)
- About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- Insmed Incorporated (NJ)
- …for the future of science, we're in. Are you?About the Role:The Manager , Finance Applications, is responsible for end-to-end solution design, implementation and ... Cloud Finance applications.Challenges existing methods, processes and tools to optimize utilization and efficiency of the Oracle Fusion ERP Cloud Finance… more
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