- Tiffany & Co. (New York, NY)
- **Position Overview** The Organizational Effectiveness and Talent Management (OETM) Master's intern will support the OETM and larger Global Talent teams on special ... presentation for an LVMH-led HR program. + Assist with utilization of data to create compelling stories to drive...to the OETM function under the direction of the Director , OETM. **Required Qualifications:** + **Currently pursuing an MA… more
- Henry Ford Health System (Detroit, MI)
- …Elijah McCoy Campus, Centralized Pharmacy Service Center The Pharmacy Manager reports to Director of Pharmacy and works closely with the managers and staff in other ... and guidelines related to pharmaceutical coding, billing, pricing, charging, denial management , and collections. Ensure compliance with state, federal, and payer… more
- Atlantic Health System (NJ)
- Responsible for serving as an internal consultant to management , staff, and physicians in the areas of systems improvement, operational analysis, work process ... flow of people, activities and materials, employee work methods and utilization , policies and procedures, supervisory structure, equipment and computerized systems.… more
- HCA Healthcare (Ogden, UT)
- … review/ management . + Consults with facility-level staff regarding delegated utilization management and disease management operations under managed ... ongoing in-service programs to facility medical staff regarding clinical resource management , appropriate documents standards, utilization and quality issues,… more
- CommonSpirit Health (Salt Lake City, UT)
- …Leaders at the assigned sites. This position provides support to the facility Utilization Management Committees, medical staff, UM Hub, and care coordination ... manage/prevent denials, manage length of stay, meet licensure, compliance, quality and utilization management requirements to ensure optimal patient outcomes and… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** As a Utilization Management RN, you will be crucial in ensuring accurate and compliant medical necessity decisions. Your ... for physician review. You'll work closely with both Pre-Service and In-Patient Utilization Management teams to ensure appropriate and cost-effective care. Key… more
- Adecco US, Inc. (Tallahassee, FL)
- …its Case Management team. This role focuses on care coordination, utilization management , patient throughput, and discharge planning across the continuum of ... and high-quality patient outcomes. The position reports to the ** Director of Case Management ** and plays a...status for medical necessity using approved criteria + Perform utilization management reviews and communicate findings to… more
- CenterWell (Westbury, NY)
- …of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. + ... objectively, in consultation with the Human Resources Department and the Executive Director / Director of Operations. + Participates in the interviewing, hiring,… more
- ChenMed (Houston, TX)
- …to preferred providers. + Coordinates the integration of social services/case management functions in the pre-acute, ER, acute and post-acute setting. Coordinates ... the patient care, discharge and home planning processes with hospital case management departments, and other healthcare facilities. + In conjunction with the PCP,… more
- Henry Ford Health System (Bingham Farms, MI)
- …patient-centered solutions. This leader will shape HAP's pharmacy benefit design, utilization management , PBM relationships, and formulary strategy to improve ... health plan drug management including strategy development, contracting, rebate management , provider relations, utilization management , data and… more