- SAM LLC (Atlanta, GA)
- …Manager . A Phase Manager also serves as the backup to their Project Manager , assisting with billing review , and proposal writing and review . + Execute ... responsible for oversight and reporting on spending and budget, utilization of resources, tracking deliverables, handling of field and... also serves as the backup to their Project Manager , assisting with billing review , and proposal… more
- Community Health Systems (Naples, FL)
- …for the planning, coordination, and oversight of care management services, including utilization review , discharge planning, and transitions of care. The role ... efficiently, effectively, and in compliance with organizational standards. + Oversees utilization review and discharge planning processes to ensure… more
- CenterWell (Marietta, GA)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... community and help us put health first** The Clinical Manager , Home Health Nursing enables patients to stay in...requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking… more
- Northwell Health (New Hyde Park, NY)
- …the development, implementation, and maintenance of drug formularies, clinical utilization management (UM) criteria, and evidence-based drug therapy guidelines, and ... Responsibility** + Develops and monitors the hospital's policies/procedures regarding utilization of medications in collaboration with the medical staff, Pharmacy,… more
- University of Southern California (Arcadia, CA)
- …and accurate information to payers. The role integrates and coordinates utilization management, care facilitation, and discharge planning functions. The Case ... meet patient needs, manage the length of stay, and promote efficient utilization of resources. Specific functions within this role include: facilitation of… more
- Commonwealth Care Alliance (Boston, MA)
- …Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships with behavioral ... mission and supporting high-quality, coordinated care for members. In this role, the Program Manager acts as an account manager , relationship manager , and… more
- J&J Family of Companies (Rochester, NY)
- …States **Job Description:** We are searching for the best talent for Account Manager to be in Rochester/Syracuse, NY. **About Surgery** Fueled by innovation at the ... their journey to wellness. Learn more at https://www.jnj.com/medtech As a Field Sales Account Manager , this individual will serve as the point person for end to end… more
- Highmark Health (Jefferson Hills, PA)
- …including but not limited to: appropriateness of care, documentation requirements, utilization review principles and criteria, insurance benefits and ... outcomes, engages patients/caregivers in their healthcare, and supports effective resource utilization . Serves as key team members in the management of readmissions,… more
- Washington Metropolitan Area Transit Authority (New Carrollton, MD)
- Manager , Interior Design & Space Planning Job ID: 251067 Location: MD-Metro Bldg New Carrollton Full/Part Time: Full-Time Posting Open-Close 12/01/2025 - 12/22/2025 ... of Facilities is looking for a mission-driven and goal-oriented Manager who will lead the Interior Design and Space...and interior design and addresses space needs by conducting utilization analysis and programming. The incumbent will lead the… more
- Banner Health (Phoenix, AZ)
- …and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the completion of a ... Our Care Management staff is seeking an RN Case Manager to work closely with members seeking transplant. We...of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through… more