- Raytheon (Tucson, AZ)
- …safer, more secure world. Raytheon is seeking an Industrial Engineer Section Manager to support the Effectors portfolio of factories to maximize throughput, improve ... Manpower Planning, Factory Layouts, Factory Simulations, Strategic Planning, Project Management , Continuous Improvement, and more. Industrial Engineer Section Managers… more
- 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
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** RN Case Manager - Utilization Management **Employment Type:** Full Time ... **Shift:** Day **Location** : Holy Cross Hospital **Position Purpose:** As a Case Manager in Utilization Management , you will be the key to ensuring patients… more
- Children's Hospital Boston (Boston, MA)
- 80451BRJob Posting Title:Per Diem RN Case Manager , Utilization Management /ReviewDepartment:Patient Services-Patient Care ... Experience as a Case Manager (Discharge Planning and or Utilization Management ) preferred. Office/Site Location:BostonRegular, Temporary, Per Diem:Per Diem… more
- HCA Healthcare (Richmond, VA)
- …Do you want to join an organization that invests in you as a(an) Case Manager Behavioral Utilization Management ? At Chippenham Hospital, you come first. HCA ... the opportunity to make a difference. We are looking for a dedicated Case Manager Behavioral Utilization Management like you to be a part of our team. **Job… more
- Tufts Medicine (Burlington, MA)
- …with the coordination of the Utilization Management Committee. The Utilization Management Operations Manager follows the system's Utilization ... to Utilization Review departments and UM vendor management . The UM Operations Manager is responsible...the Utilization Management Plan and assisting… more
- Beth Israel Lahey Health (Plymouth, MA)
- …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who ... of Experts and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you will:** + Directs staff performance regarding… more
- Beth Israel Lahey Health (Burlington, MA)
- …taking a job, you're making a difference in people's lives.** Manages the Utilization Management (UM) team, maintaining effective and efficient processes for ... compliance reviews as needed. + Continuously monitors regulatory requirements for Utilization Management . + Attends Mandatory Education programs required by… more
- Healthfirst (IA)
- **Duties/Responsibilities:** + Oversees utilization management functions which include timely authorizations related to pre-certification, concurrent review, ... and reviews medical charts to obtain additional information required for appropriate utilization management and to solve complex clinical problems + Allocate,… more
- Prime Healthcare (Weslaco, TX)
- …Criteria preferred. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/210205/registered-nurse-case- manager utilization - management ... Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities Responsible for the quality and resource management of all patients that are admitted to the… 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
- Prime Healthcare (Montclair, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/208989/case- manager -%28rn%29 utilization - management ... https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities Responsible for the quality and resource management of all patients that are admitted to… more
- Alameda Health System (Oakland, CA)
- …requirements. 16. Participate in orientation of fresh staff as requested by the Manager of Utilization Management . 17. Maintains knowledge of current ... System Utilization Management SUM Utilization ...in the State of California Preferred Licenses/Certifications: Certified Case Manager (CCM) or Accredited Case Manager (ACM)… more
- Amazon (Seattle, WA)
- …Business Intelligence, and more in support of developing and improving DC supply management software and tooling. You will use your strong analytic and quantitative ... by others, this job is for you! Key job responsibilities - Optimize utilization of electrical distribution systems across AWS data center fleet - Partner with… more
- Amazon (Seattle, WA)
- …Engineering, and more in support of developing and improving DC supply management software and tooling. The successful candidate will be a strong communicator ... professional. Basic Qualifications - 5+ years of technical product or program management experience - 7+ years of working directly with engineering teams experience… more
- Pacific Medical Centers (Seattle, WA)
- …cost effective, appropriate utilization of health care resource. UM Nurse Case Manager perform utilization management of services and coordinates the ... Washington Registered Nurse License. + 5 years Clinical experience. + Utilization review/case management . **Preferred Qualifications:** + Bachelor's Degree in… more
- Trinity Health (Chelsea, MI)
- …Part time **Shift:** Rotating Shift **Description:** **Registered Nurse** **Case Manager ** **Department:** Utilization Management **Location:** Chelsea, ... **Position Purpose:** Exceptional opportunity for a Registered Nurse Case Manager to support our vision and serve with us...use of care plans, critical pathways, managed care, and utilization review processes and collaboration with all members of… more
- Elevance Health (Miami, FL)
- **JR153784 Behavioral Health Care Manager II** The Behavioral Health Care Manager II is a utilization management role and is responsible for ... utilization management review for Behavior Analysis services. **Location** : Virtual:...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …transform healthcare? Bring your true colors to blue. The Role:The Medical Clinical Program Manager will focus on utilization management compliance and audit ... 's (HMM) and delegate's compliance with the applicable NCQA utilization management standards and state and federal...of HMM Quality and Compliance team, the Clinical Program Manager works through the influence as an individual contributor… more
- Children's Hospital Boston (Boston, MA)
- …+ Experience as a Case Manager (Discharge Planning and or Utilization Management ) preferred. Licensure/ Certifications: + Current Massachusetts license as a ... the concurrent review process for acute psychiatric care + Possessing experience in Utilization Management / Utilization Review + Demonstrating the ability to… more
