- Mount Sinai Health System (New York, NY)
- …of Health 5. Review and analysis of all incident reports to identify risk management , quality of care, regulatory and insurance concerns 6. Participates in ... Clinical Risk Manager reports to the Director of Risk Management and Patient Safety and is responsible for reviewing,...Masters or JD preferred. + Current New York State license as a Registered Professional Nurse or other licensed/certified… more
- CVS Health (Austin, TX)
- …Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Pain Management ) that can be remote based, work from home. This role can be remote ... based anywhere in the US. The Medical Director (Pain Management ) will be a Subject Matter Expert (SME) with...Health Care Industry. * Active and current state medical license without encumbrances * MD or DO,Board Certification in… more
- UIC Government Services and the Bowhead Family of Companies (Dahlgren, VA)
- **Overview** Configuration Management Analyst (E30-2025-23833) Bowhead seeksan experiencedConfiguration Management Analystwith a strong background in ... Warfare Center Dahlgren Division (NSWCDD), E Department. **Responsibilities** TheConfiguration Management Analyst willprovide comprehensive configuration management (CM)… more
- CVS Health (Pittsburgh, PA)
- …**Key Responsibilities:** **Regulatory Compliance & Mental Health Parity, Department of Insurance Audits and Market Checks** + Ensure template formularies design and ... application of utilization management (UM) criteria align with MHPAEA and other federal/state...PharmD or equivalent clinical pharmacy degree. + Active pharmacist license in good standing. + Ability and willingness to… more
- Guthrie (Sayre, PA)
- …has the responsibility, accountability, and authority for coordinating the medical management of hospital patients, using outcomes-based approaches. The Acute Case ... of care. The Acute Case Manager also performs Utilization Management throughout the continuum of care in collaboration with...data, including length of stay and DRG profiling. Education, License & Cert: RN Bachelor of Science degree in… more
- Carnival Cruise Line (Miami, FL)
- This role reports to the Senior Manager of Case Management and oversees the daily operations of crew case management . The Manager leads a team of associates and ... annually and employing over 160,000 crew members. **Essential Functions:** + **Case Management Oversight** + Manage and review cases, including those at domicile or… more
- Ventura County (Ventura, CA)
- …California driver license DESIRED + Bachelor's Degree in Health Information Management or related field Knowledge, Skills, and Abilities: Working knowledge of: + ... Certified Coding Supervisor - Health Information Management Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4892159) Apply Certified Coding Supervisor… more
- Centene Corporation (Columbus, OH)
- …degree and 4+ years of related experience. Knowledge of utilization management principles preferred. ** License /Certification:** + RN - Registered Nurse ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
- UKG (Ultimate Kronos Group) (Atlanta, GA)
- …you and your family, from student loan repayment, to childcare, to pet insurance . Our inclusive culture, active and engaged employee resource groups, and caring ... purpose, inspired by you. **About The Team:** The Incident Management Team, being part of the IT Service ...never ask you for a copy of your driver's license , social security card, or passport during a job… more
- Catholic Health Initiatives (Little Rock, AR)
- …The Care Coordination Supervisor is responsible for the supervision of the case management team. As a member of the leadership team, monitors and maintains the ... daily standards of care management . Acts as and represents leadership when the Director...within 2 years of hire A current unencumbered RN license to practice in the State of Arkansas is… more