- Fallon Health (Worcester, MA)
- …include products, benefits, claims, referral and eligibility verification processes, utilization management guidelines, etc. Activities include conducting both ... policies and procedures for products, benefits, claims, referral, and eligibility and utilization management . + Co-lead internal and external Joint Operations… more
- Community Health Systems (Bullhead City, AZ)
- **Per Diem Day shift** **in Case Management supporting various departments at Western Arizona Regional Medical Center** **What you'll do:** As a Registered Nurse ... administration of the activities of clinical review, discharge planning, resource utilization and utilization review. **Candidates need acute hospital… more
- Medtronic (Oakland, CA)
- …can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down ... sales talents to a leader in medical technology and healthcare solutions. Rooted in our long history of mission-driven...portfolio within the assigned territory. Reports to the Sales Director and works in collaboration with other sales team… more
- Ventura County (Ventura, CA)
- …Ventura County Medical Center and Santa Paula Hospital. Reporting to the Director of Pharmacy, a full-time clinical coordinator will be responsible for developing, ... policies and procedures or clinical practice guidelines to optimize drug utilization and medication safety while meeting accreditation standards and regulations. The… more
- City of New York (New York, NY)
- …Executive Director PREFERRED SKILLS: - Strong organizational and project management skills - Outstanding interpersonal and writing skills - Proficient in ... most impacted NYC communities. CHECW address inequity across community and healthcare systems in partnership with community, faith-based, and environmental and… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …provision of dental services and utilization review; + Periodically review Utilization Management data from the dental vendor and statistical analysis; ... DSS Dental Program Administrator Health Management Administrator Recruitment # 250903-2560MP-001 Location Hartford, CT Date Opened 9/19/2025 2:30:00 PM Salary… more
- Trinity Health (Pontiac, MI)
- …+ Knowledge of federal, state, and local regulations, related to utilization management and quality management in healthcare . + Excellent customer ... in the area of case mgt, discharge planning, community resource utilization **Licensure / Certification** + Current licensure to practice applicable clinical… more
- Access Dubuque (Dubuque, IA)
- …staffing calculations for each department and support the optimization of workforce utilization . + Support recruitment efforts, onboarding, and management of ... and 900 health care professionals lead the way in providing quality healthcare in Northeast Iowa, Southwest Wisconsin and Northwest Illinois. **What You Will… more
- LifePoint Health (Hickory, NC)
- …Practice Manager. *_Minimum Work Experience_* * Six (6) years supervisory and/or management experience within a healthcare environment, medical group office, or ... *_Job Description:_* The Practice Manager III is responsible for the management of 3-4 physician practice locations and/or with (combined) 10-15 providers. This role… more
- RWJBarnabas Health (West Orange, NJ)
- …management of multiple locations + Effective working knowledge of healthcare financial management , medical practice accounting, third-party reimbursement ... Manager-Orthopedics & Sports Medicine (Northern Region)Req #:0000191418 Category:Professional / Management Status:Full-Time Shift:Day Facility:Barnabas Health Medical Group Department:Operations … more