- Molina Healthcare (Henderson, NV)
- …Active, unrestricted Certified Case Manager (CCM) Some experience with Utilization Management processes is also desirable (InterQual, MCG guidelines) To ... care or medical or behavioral health settings. Prior experience in Utilization Management and discharge planning. **Preferred License, Certification,… more
- University of Virginia (Charlottesville, VA)
- …the systems. The Manager will have primary oversight and responsibility for management of Team Leads and Analysts, and will be responsible for coordinating on an ... input, oversight, and validation of the system design, the Manager must maintain strong operational knowledge and...programs, and system changes adhering to Health IT change management standard work. Develops staff utilization plans… more
- AdventHealth (Tampa, FL)
- …RN Care Manager is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of post-hospital ... patient satisfaction, patient safety, readmission prevention and length of stay management .The RN Care Manager communicates daily with the interdisciplinary… more
- Allied Universal (Sandy Springs, GA)
- …can develop and implement training programs that empower users and improve system utilization . Additionally, the manager will be instrumental in the deployment ... his/her own, but may execute such actions at the specific direction of Account Manager with prior approval from Branch/Corporate HR management ) + Responds to… more
- Baystate Health (Springfield, MA)
- …experience strongly preferred **Skills and Competencies:** + Requires a working knowledge of community resources and Utilization /Quality Review standards and ... + **Per Diem Hospital Case Manager ** The **RN Hospital Case Manager **...for transitions + Leads the team to ensure appropriate utilization of patient resources and directs care to other… more
- Millerbernd Manufacturing Co. (Sauk Rapids, MN)
- NOW HIRING: Millerbernd Manufacturing is hiring a Circular Products Manufacturing Manager to join our team in Sauk Rapids, MN! The Circular Products Manufacturing ... Manager is responsible for providing leadership for multi-department areas...reduction of safety related incidents in department + Use knowledge of Lean Manufacturing tools, methods, and practices as… more
- Savers | Value Village (Bellevue, WA)
- **Description** Job Title: Operations Manager - Central Processing Center (CPC) Who we are: As one of the largest for-profit thrift operators in the United States, ... peace of mind + Programs to stop smoking, diabetes management coaching, and on demand care options. + A...led by Area Managers and Area Supervisors. The Operations Manager , Central Processing Center is guided by the Savers… more
- UPMC (Pittsburgh, PA)
- …in a human services field. + Three years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or case management ... as appropriate. Identifies provider issues and recommendations for improvement. Demonstrates knowledge of clinical treatment, case management and community… more
- HCA Healthcare (Nashville, TN)
- …Review and evaluate changes in formulary strategy including exclusions, tier changes, and utilization management updates + Working knowledge of employee ... required + PharmD or RPh designation + Minimum 3+ years of strategic account management experience with a pharmacy benefit manager and/or a large employee… more
- MTA (New York, NY)
- Manager - MWBE/SDVOB Contract Compliance Job ID: 13197 Business Unit: MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular Department: ... Date Posted: Sep 29, 2025 Description JOB TITLE: Manager , MWDBE Contract Compliance DEPT/DIV: Department of Diversity &...to be presented to the MTA Board. + Strong knowledge of Federal and State regulations governing MW/DBE &… more