- Sharp HealthCare (San Diego, CA)
- … management systems to monitor referral source patterns and utilization . Reports activity by referral source; and appropriately/strategically adjusts plans to ... contributes or completes preadmission assessments.Regularly communicates with Rehab Medical Director and other Physicians regarding potential patient admissions. +… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …(ME, NH, VT, MA, RI, CT) Under the general supervision of the Director of Patient Financial Services, the Clinical Appeals Specialist handles advanced clinical ... denial management . This role involves reviewing clinical documentation, crafting persuasive...in an acute care setting and/or experience in insurance-based utilization review, clinical prior authorization review and preparing and… more
- Northrop Grumman (Rocket Center, WV)
- …formulates, or implements production guidelines, performance metrics, information management , materials handling, equipment utilization , facility ... and customers. + Develop and communicate material acquisition and subcontractor management objectives and strategies. + Manage the Make/Buy process + Manage… more
- Northrop Grumman (Palmdale, CA)
- …that projects/designs are completed on schedule and within budget including management of their indirect budget. The selected candidate will ensure tooling/program ... efforts by collaborating with other Aeronautics Systems Sector Tooling Management , which will include the following responsibilities: **Key Responsibilities:** +… more
- Northrop Grumman (Manhattan Beach, CA)
- …current and emerging Industry and DoD trends and technologies in network frameworks, management and analytics and ensure proper utilization where applicable. + ... data initiatives with program goals. + Develop and enable program network risks management process in concurrence with program risk management . + Maintain… more
- Northrop Grumman (Manhattan Beach, CA)
- …current and emerging Industry and DoD trends and technologies in network frameworks, management and analytics and ensure proper utilization where applicable. + ... data initiatives with program goals. + Develop and enable program network risks management process in concurrence with program risk management . + Maintain… more
- Northrop Grumman (Manhattan Beach, CA)
- …of software for various flight/space/ground systems. The **Software Lead** should have management experience and will be responsible for directing a team of ... best practices to right-size the needs of the effort (eg configuration management , unit testing). The Software Lead will guide process improvement, especially in… more
- Sevita (TN)
- …for intake and operations teams related to referrals and intake management **Strategic Growth** + Marketing Content: Implements defined marketing strategies in ... timely communication, credentialing, and issue resolution **Census & Periodic Service Management ** + Referral Pipeline Management : Maintains a large base… more
- MyFlorida (Bradenton, FL)
- …Attains a high proficiency/skill level as demonstrated through the competent utilization of the program's hardware, software, system applications and web pages. ... years of experience in the Child Care Industry (example: Classroom Teacher, Director , Paraprofessional ) + High School Diploma required. Knowledge, Skills, and… more
- Elevance Health (Seattle, WA)
- …equivalent background. **Preferred Skills, Capabilities and Experiences:** + Experience in Utilization Management preferred. + Experience in authorization for ... update procedure manuals and process work flows. + Assist Director /Manager to compare data results and identify data trends....trends. + Develop and produce periodic and ad hoc management reports related to multiple and varied operational metrics… more