- Highmark Health (Harrisburg, PA)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... and DOL regulations at all times. In addition to utilization review , the incumbent participates as the...member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… more
- Molina Healthcare (AZ)
- …**Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental ... management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization management and case management ...all LOBs * Responds to BH-related RFP sections and review BH portions of state contracts * Assist the… more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 10/03/2025 **Requisition Number** PRN43256B **Job Title** Director , Student Activities & Advising **Working Title** Senior Director for ... **Career Progression Track** F **Track Level** M7 - Senior Director **FLSA Code** Executive **Patient Sensitive Job Code?** No...Rate Range** $106,000 - $125,000 **Close Date** 01/03/2026 **Priority Review Date (Note - Posting may close at any… more
- HCA Healthcare (Sun City Center, FL)
- …Healthcare Quality) OR CHCQM (Diploma in American Board of Quality Assurance and Utilization Review Physicians). _Individuals without CPHQ or_ CHCQM _will be ... today!** **Job Summary and Qualifications** We are seeking a Director of Quality Management . As our ...a healthcare environment + Previous experience in accreditation, quality, utilization management , or risk management … more
- San Jose State University (San Jose, CA)
- …grounds, automotive, recycling, and moving services + Oversee and ensure full utilization of the computerized maintenance management system to plan, schedule, ... Senior Director of Maintenance and Operations Apply now (https://secure.dc4.pageuppeople.com/apply/873/gateway/default.aspx?c=apply&lJobID=552369&lJobSourceTypeID=837&sLanguage=en-us)… more
- Molina Healthcare (Green Bay, WI)
- …learn new programs. Preferred Qualifications * Experience with utilization /quality program management . * Managed care experience. * Peer review experience. * ... of health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies… more
- Johns Hopkins University (Baltimore, MD)
- …plant production, control systems, and distribution systems for all campus utilities. The Director is also responsible for the management , use, and payment of ... fuel and electric contract purchases, etc.). From time to time, where the utilization of internal resources is merited, the Director will undertake and… more
- Presbyterian Homes and Services (Roseville, MN)
- …of the MDS process. + Experience with MDS completion, reimbursement, clinical resource utilization and/or case management . + Ability to work flexible work hours ... Overview PHS Management division is seeking a full time Lead RAI Director to join its team. This position is responsible for the coordination of the Resident… more
- Cardinal Health (Tewksbury, MA)
- …DCOA as an objective tool to work with specific Medical Staff Departments or Utilization Management Teams to improve medication utilization + Ensures ... the Health System Director of Pharmacy (HSD), Director of Pharmacy Operations and Account Management ,...initiatives, updates to the Policy and Procedure manual, annual review of order sets and protocols, black box warning,… more
- HCA Healthcare (Coral Springs, FL)
- …to include but not limited to: Clinical initiatives that impact drug utilization , clinical education and staff development, management of appropriate drug ... plan that ensures positive patient outcomes and appropriate drug utilization + Analyze drug spend trends to identify areas...growth, we encourage you to apply for our Division Director Clinical Pharmacy Services opening. We promptly review… more