- Simplot (Boise, ID)
- …**Summary** This role provides Sales and Marketing leadership, direction, and management for locations across an agronomic growing area or within specifically ... Solutions. This role will report directly to the Division Director and work with Division Operations Managers and Market...to the region. It is pivotal in assisting SGS Management in achieving its long-term customer, market and business… more
- Tufts Medicine (Melrose, MA)
- …patients for review, as well as identify outlier practices in certain utilization metrics. 3.Leads and coordinates weekly medical director huddles, ensuring ... in developing and maintaining an infrastructure for the systematic review and management of complex patients. The position will work closely with PHO medical… more
- McKinstry (Seattle, WA)
- …benefits programs. The ideal candidate combines strong analytical and vendor management skills with a people-first mindset, ensuring benefits meet diverse workforce ... programs remain competitive, equitable, and cost-effective. + Work with the Total Rewards Director and HR Ops Director on benefits plan design, wellness… more
- Tufts Medicine (Lowell, MA)
- …with agency policy, State and federal home health regulations. Responsible for the management of cost effective, efficient care to home health and hospice patients ... support to weekend clinical and administrative staff. + Provides the direct management of the Weekend clinical staff, schedulers, intake supervisor and Weekend… more
- Adaptec Solutions (Frisco, TX)
- …2 years leading related technical teams. About This Opportunity: Reporting to the Director of Field Operations, this role is the operational backbone of your ... other Regional Managers to share resources and ensure optimal utilization across the network. Your focus areas include: +...across your team What You'll Do: Leadership & Team Management + Lead day-to-day field operations within your assigned… more
- US Tech Solutions (LA)
- …a hospital setting in a specialty area of the nursing field providing utilization management prior authorization reviews. Build strong direct relationships with ... + Minimum 3 years nursing experience with a minimum of 1 year in utilization management / prior authorization review experience. **Experience** : Utilization … more
- University of Utah (Salt Lake City, UT)
- …State, and Federal guidelines. The incumbent must be highly skilled in time management and possess strong communication skills. The incumbent will work with their ... -P/H, RHIA , or RHIT ). Preferences Knowledge of utilization review and quality assurance procedures as well as...experience with InterQual or Milliman and Robertson and Case Management procedures of medical necessity auditing. This position is… more
- HCA Healthcare (El Paso, TX)
- …needs across the care team + Collaborating closely with the Rehab Program Director , Facility Case Management Director , and interdisciplinary team to ... role or related health care experience. Working knowledge of case management philosophy/process/role, needs assessment, principles of utilization review/quality… more
- Access Dubuque (Dubuque, IA)
- …and is also available remotely. **Key Responsibilities:** + Provide telephonic case management and utilization review for assigned consumers. + Develop, ... higher preferred. + **Experience:** Minimum 2 years of clinical practice. Case management or utilization review experience strongly preferred. + **Skills:**… more
- HCA Healthcare (Dallas, TX)
- …participates in daily multidisciplinary and bedside rounds + Completes drug utilization reviews to promote rational drug therapy and implement improvements ... services such as drug consults, nutrition support, pharmacokinetics, anticoagulant monitoring, pain management , IV to PO, renal dosing and other programs as defined… more