- 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
- Unknown (Austin, TX)
- …regulations. This executive role involves leading a range of teams, including utilization management , concurrent review, case management , social work, ... a Chief Medical Officer (CMO) to serve as the senior clinical leader for its health plans. The CMO...plan environment. The role requires an in-depth knowledge of utilization management , case management , concurrent… more
- BPA Health Inc (Boise, ID)
- …& development, quality, adequacy Leading, managing, & holding people accountable Utilization management Clinical service delivery Benefit plan management ... as a key company leader and member of the Senior Leadership Team of BPA Health, collaborating with the...market, trends and related issues preferred Experience with quality management programs, accreditation programs, and/or quality … more
- 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
- 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
- Albany Medical Center (Albany, NY)
- …regulatory, analytical and supervisory operations of the Albany Medical Center Quality Management and Accreditation department. This will be through the ... with the Associate Medical Director of Quality represents Quality Management in senior leadership forums, work groups...work assignment, daily supervision and annual review of the Accreditation and Quality Management staff + Directs… more
- 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
- Centene Corporation (Phoenix, AZ)
- …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 (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
- 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
- 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
- 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
- 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
- Veterans Affairs, Veterans Health Administration (Dallas, TX)
- Summary The MCC Senior Social Worker is responsible and accountable for all elements of the MCC process when providing direct patient care. Assesses, plans, ... for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Follows procedures… more
- 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
- 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
- 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
- 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
- The Boeing Company (Huntsville, AL)
- …USA, ABET accreditation is the preferred, although not required, accreditation standard. ** Senior (Level 5)** Education/experience typically acquired through ... **Boeing Defense, Space & Security (BDS)** , Command and Control, Battle Management , and Communications (C2BMC) National Team Program is seeking motivated and… more
- 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
