- Burns & McDonnell (Newton, MA)
- **Description** The Transmission Department Manager is responsible for the managerial direction and leadership of the Northeast Region (NER) Transmission Department ... the following, with other duties as assigned by senior management . Fostering Culture + Drive a culture focused on...practice, regional and company objectives. + Regularly review team utilization of staff to make sure employees have a… more
- Baystate Health (Springfield, MA)
- …**RN, ACO Nurse Care Manager , Community Health Center** The **ACO Nurse Care Manager i** s responsible for the management of care for a defined group ... care management application is required and is vital. Care management program metrics including, emergency room utilization , and hospital… more
- MVP Health Care (Rochester, NY)
- …every interaction **Your key responsibilities:** + Utilize the essentials of an integrated utilization management and case management model that includes ... accreditation standards (eg, NCQA), including documentation and reporting. + Cost Management : Monitor service utilization to maintain cost-effectiveness and… more
- Elevance Health (Costa Mesa, CA)
- …+ Conduct ongoing and ad hoc reviews focused on specialty tiers, utilization management , STARS performance, and high-cost/high-trend drugs. **Market Monitoring & ... **Medicare Formulary Strategy Manager ** **Hybrid 1:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity,… more
- SAM LLC (Greenwood Village, CO)
- …Survey Project Manager is responsible for driving project success, the utilization of resources, and financial responsibility of projects. This role is the ... Survey Project Manager is responsible for driving project success, the utilization of resources, and financial responsibility of projects. This role is the… more
- Veterans Affairs, Veterans Health Administration (Kings County, NY)
- …New York Harbor VA has an opening for a Clinical Psychologist - Program Manager . The position is based at the Brooklyn VAMC campus. Psychologists - Program Managers ... have broad program management responsibilities for a specific program or programs that...provided to Veterans. This position is for a Program Manager for the PCMHI Program. Major Duties and Responsibilities:… more
- State of Massachusetts (Boston, MA)
- …and dynamic individual for the position of Human Services Coordinator II (CYF Case Manager Supervisor) to join our Metro Boston Child, Youth, and Family team. The ... to DMH clients. The HSC-II has the responsibility of monitoring performance and utilization of assigned Area-based CYF contracts and serving as a Service Integration… more
- Banner Health (Phoenix, AZ)
- …networks, and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the ... want to hear from you. As the RN Case Manager in Care Coordination, you will have the opportunity...pertinent, timely information to payers and others to fulfill utilization and regulatory requirements. 6. Educates internal members of… more
- Banner Health (Mesa, AZ)
- …networks, and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the ... this could be the opportunity you've been waiting for. As an RN Case Manager , you will contribute your expertise and enthusiasm for healthcare to our Care… more
- Elevance Health (Fort Wayne, IN)
- …responsiveness to client needs, and direct, hands-on engagement. The **RN Case Manager ** is responsible for overall management of member's case within ... **RN Case Manager (LTSS Service Coordinator- RN Clinician)** Location: Seeking...face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health,… more
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