• Senior Medical Management Nurse - VCHCP

    Ventura County (Ventura, CA)
    …direction, the Senior Medical Management Nurse is responsible for performing utilization review, case management, and quality improvement functions to ensure that ... may include but are not limited to the following: + Performs utilization review with pre-certification, concurrent, retrospective, out of network and medical… more
    Ventura County (12/07/25)
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  • Acute Care Manager, Complex Care (RN)

    ChenMed (Columbus, OH)
    …patient/family conferences to review treatment goals and optimize resource utilization ; provides family education and identifies post-hospital needs. + Serves ... reports adverse occurrences, and performs staff education related to resource utilization , discharge planning and psychosocial aspects of healthcare delivery. +… more
    ChenMed (12/31/25)
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  • Field Medical Director, Pain Management

    Evolent (Madison, WI)
    …for the mission. Stay for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management, you will be a key member of the ... utilization management team. We can offer you a meaningful...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. Aids and acts… more
    Evolent (12/25/25)
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  • Physican-OB/GYN

    Trinity Health (Silver Spring, MD)
    …years of eligibility and demonstrate a commitment to high-quality care, effective resource utilization , and a high level of patient satisfaction. The physician ... + Demonstrate a high level of patient satisfaction and effective resource utilization . + Collaborate with certified nurse midwives, nurse practitioners, physician more
    Trinity Health (12/08/25)
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  • Business Development Specialist

    Houston Methodist (Baytown, TX)
    …Development Specialist position is responsible for increasing outpatient and inpatient utilization of hospital services by educating and informing stakeholders, to ... include physicians, physician office staff, other health care entities, employers and...Medical Staff, Directors/Managers/Executives and office staff to effectively expand utilization of Houston Methodist services and affiliated physicians. Must… more
    Houston Methodist (01/16/26)
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  • Psychiatrist- Assistant Chief (Education Debt…

    Veterans Affairs, Veterans Health Administration (Battle Creek, MI)
    …to improve processes to meet the performance measure goals and improve utilization management; serving as a liaison to outside facilities when to coordinate ... Serves as a Mental Health leader for quality improvement initiatives and utilization management related to Psychiatry Service. Plans, coordinates and ensures high… more
    Veterans Affairs, Veterans Health Administration (01/06/26)
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  • Sr Specialist | PI - Quality & Safety | Quality…

    Sharp HealthCare (San Diego, CA)
    …improve clinical outcomes including responsibilities relating to leading teams in the utilization of Change Acceleration Process and PI tools and providing feedback ... staff's quality of care and leads improvement projects to decrease variation in physician practice to improve clinical outcomes and reduce cost. Assists the hospital… more
    Sharp HealthCare (12/14/25)
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  • Sales Executive, Strategic Accounts - Boston…

    ZOLL Medical Corporation (Boston, MA)
    …(Cardiologists, Electrophysiologists, Hospitals, CT Surgeons, etc.), Nurse Practitioners, Physician Assistants, nurses, case managers and administrators. Other ... and clinical value of the ZOLL CMS products among targeted hospitals, physicians, and physician practices. + The (SESA) will work across all areas of the ZOLL CMS… more
    ZOLL Medical Corporation (11/15/25)
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  • Director of Provider Relations

    Insight Global (Washington, DC)
    …a dynamic Director of Provider Relations to lead strategic outreach and strengthen physician alliances across key healthcare markets and service areas. This is a ... excellence. * Implement value-added programs and services that enhance patient, physician , and employee satisfaction through effective communication and timely issue… more
    Insight Global (01/17/26)
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  • PA or ACNP, Staff or Senior (Days) - CTICU

    UPMC (Harrisburg, PA)
    UPMC Harrisburg is hiring a Full-Time Physician Assistant or Certified Registered Nurse Practitioner (ACNP) to help support the CTICU - Day Shift. The ideal ... on inpatient care and critical interventions * Procedural Skill Utilization : Central and arterial line cannulation, ventilator management, airway management,… more
    UPMC (01/13/26)
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