- Immigration and Customs Enforcement (Washington, DC)
- …chain of command. Perform other duties and responsibilities as assigned. 16. Utilization review / management for inpatient behavioral health hospitalization ... include and are not limited to the following: case coordination/ management , monitoring high risk individuals, independent behavioral health reviews, behavioral… more
- Penn Medicine (Philadelphia, PA)
- …of environment and work practices. Ensures deficiencies noted are corrected. **Fiscal Management (15% of Operations weight)** + Review and approve payroll. ... processes, and have the necessary skills to meet service expectations + Review Press Ganey reports and identify patient satisfaction trends and opportunities for… more
- Commonwealth Care Alliance (Boston, MA)
- …claims adjudication, clinical coding reviews for claims, settlement, claims auditing and/or utilization review required + 7+ years experience with Optum Claims ... **Position Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare...regulations. The role will also be responsible for timely review and research, as necessary on all new and… more
- University of Utah (Salt Lake City, UT)
- …Recruitment** External Posting **Pay Rate Range** 58,292-133,730 **Close Date** 12/26/2025 **Priority Review Date (Note - Posting may close at any time)** **Job ... and deploy highly available Kubernetes clusters, optimized for GPU utilization and AI/ML training/inference. + **Cloud-Native Automation:** Architect and implement… more
- Nuvance Health (Danbury, CT)
- …identified strategic growth targets. * Assumes responsibility for effective fiscal management of department/departments to ensure proper utilization of financial ... failure treatment * Healthgrades - One of America's 50 Best Hospitals * Surgical Review Corporation (SRC) - Robotic Center of Excellence * Joint Commission - Gold… more
- Nuvance Health (Newtown, CT)
- …to the delivery of medical care and clinical services such as cost management , utilization review , quality assurance, and medical protocol development ... to our population of patients as well as Medical Director Responsibilities. This includes not only caring for acute...culture of support for all our employees: * Daily Management Systems to ensure collaboration and problem solving occurs… more
- Houston Methodist (The Woodlands, TX)
- …dissemination of nursing research activities. This position works closely with the Director and Manager for Nursing Science to strategically plan, and outline ... in practice: evidence-based practice, the conduct of research, research utilization , and research dissemination. Collaborates and develops innovative programs to… more
- Guidehouse (Birmingham, AL)
- …Scheduling and Same Day Surgery. This position will work closely with the Director of Patient Access and Business Office to apply new and emerging approaches ... that is reflective of the philosophy, vision, and values of Healthcare Management Solutions. Integrates these values throughout all initiatives and efforts. + Uses… more
- Nuvance Health (Danbury, CT)
- …identified strategic growth targets. 6. Assumes responsibility for effective fiscal management of department/departments to ensure proper utilization of ... failure treatment * Healthgrades - One of America's 50 Best Hospitals * Surgical Review Corporation (SRC) - Robotic Center of Excellence * Joint Commission - Gold… more
- United Therapeutics (Silver Spring, MD)
- …locations. The Manager plays a key role in maturing CMMS utilization , strengthening data quality, supporting RCM-focused process improvements, and advancing ... coordination needs. Prepare procurement, inventory, CMMS, and operational reporting for Director visibility. Manage the portion of the departmental budget assigned… more