- Cleveland Clinic (Cleveland, OH)
- …career with one of the most respected healthcare organizations in the world. As a Utilization Management Specialist , you will perform UM activities, such as ... discharge plan. + Achieve a minimum of 85% on IRR quarterly. + Complete Utilization Management for assigned patients with a minimum of 25-30 reviews per day. +… more
- CDM Smith (Cleveland, OH)
- …**Business Unit:** COR **Job Description:** CDM Smith is seeking a Senior IT Asset Management Specialist to lead and manage all aspects of the software ... other duties as required. \#LI-LP2 \#LI-HYBRID **Job Title:** Software Asset Management Specialist (Hybrid Work Options) **Group:** COR **Employment Type:**… more
- Cardinal Health (Cleveland, OH)
- Job Description **Senior Consultant, Product Sales Specialist - NPHS** **The territory covers Pennsylvania (Philadelphia, Pittsburgh and Allentown), Maryland ... Washington DC and Northeast Ohio (Cleveland)** The Product Sales Specialist is responsible for developing opportunities, selling, growing and maintaining… more
- Cleveland Clinic (Cleveland, OH)
- …organizations in the world. As a Safety, Quality and Patient Experience (SQPE) Specialist II at Lutheran Hospital, you will help drive excellence across a diverse ... ensure compliance with standards and improve performance across safety, quality, utilization and experience metrics. This is an exciting opportunity to advance… more
- Bon Secours Mercy Health (Oberlin, OH)
- …sites and clinicians are recognized for clinical and operational excellence. **_Patient Access Specialist - Mercy Allen Hospital (Oberlin, OH)_** **This is a PRN "As ... of service goals as assigned. Patient Access staff are responsible for the utilization of quality auditing and reporting systems to ensure accounts are corrected.… more
- Molina Healthcare (Cleveland, OH)
- …clinical systems applications/platforms. Responsible for implementation and training delivery for utilization management , care management , long-term services ... in clinical systems analysis, and 1 year experience in a care management , utilization management , behavioral health, medical, or managed care setting, or… more
- Molina Healthcare (Cleveland, OH)
- …system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. This role is a multi facet internal ... training to ensure smooth project delivery, successful adoption and effective utilization of implemented solutions + Generates and prepares provider-related data and… more
- Danaher Corporation (Cleveland, OH)
- …includes some of the following: infection detection/control, sepsis care, decision support, utilization management , case management , ED patient workflow, ... leaders from nursing, emergency medicine, pharmacy, quality, patient safety, risk management , IT, infection control, laboratory, and administration is required. This… more
- Molina Healthcare (Cleveland, OH)
- …of payment decisions. * Serves as a clinical resource for utilization management , chief medical officers, physicians and member/provider inquiries/appeals. ... decisions and recommendations pertinent to clinical experience. * Facilitates document management , clinical reviews, bill audit findings and audit details in the… more
- Molina Healthcare (Cleveland, OH)
- …reports submitted to the Eastern US Quality Improvement Collaborative (EQIC) and/or utilization management committees. + Participates as needed in joint ... proficient, self-directed, autonomous and experience working from home. Care Management & Waiver Service Auditing experience is highly preferred. Work… more
- Molina Healthcare (Cleveland, OH)
- …MI_** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental ... substance use services and assists with implementing integrated Behavioral Health care management programs. **Job Duties** * Serves as liaison between plan and… more
- Molina Healthcare (Cleveland, OH)
- …at least 3 or more years in one or more of the following areas: utilization management , care management , care transitions, behavioral health, or equivalent ... work of external vendors. + Focuses on process improvement, organizational change management , program management and other processes relative to business needs.… more
- Parker Hannifin Corporation (Elyria, OH)
- …Supply Chain Manager. Will interact with all levels of Division management ; including operational, engineering, quality control, marketing and finance. May supervise ... the Sourcing/Commodity Manager, Sourcing Specialist , and Buyer. Key supplier and key customer contact...the company's position. Ensures purchasing strategy reflects the consistent utilization of local suppliers vs. Group strategic suppliers. +… more
- Cleveland Clinic (Garfield Heights, OH)
- …safety, quality and experience. As a Safety, Quality and Patient Experience (SQPE) Specialist - Sepsis Coordinator, you will play a critical role in advancing our ... compliance with all standards and favorable performance on safety, quality, utilization , and experience metrics. + Participate in engraining the safety, quality,… more