- Highmark Health (Buffalo, NY)
- …:** **JOB SUMMARY** This job captures all inbound inquires for utilization management review from providers and pharmacies. The incumbent assesses the request, ... member, and then creates the case (data entry) in Highmark's Utilization Management system for Prior Authorization clinical review. Ensures all accurate information… more
- Quality Consulting Group (Juncos, PR)
- QUALITY CONSULTING GROUP, a leader in the pharmaceutical, biotech, medical devices, and manufacturing industry, is looking for a talented, highly motivated and ... Puerto Rico & USA. Responsibilities: + Oversee the planning, coordination, and management of spare parts inventory and logistics to support efficient operations and… more
- Guidehouse (San Antonio, TX)
- …day-to-day functions of Office Services (OS) focusing on individual and overall department services quality and execution + Assist with the management of the OS ... standard meeting the expectations of the request from a quality and schedule perspective + Operate and maintain office...to Real Estate + Submit work orders to Building Management and schedule maintenance/repairs as needed with Building … more
- WSP USA (Newark, NJ)
- …reports, plans, and models reflect survey data and meet industry standards for quality and accuracy. **Key Responsibilities** + Create accurate 3D models of MEP ... systems in Bentley software per project specs. + Coordinate...to align models with requirements. + Ensure deliverables meet quality standards and the BIM Execution Plan. + Conduct… more
- Veterans Affairs, Veterans Health Administration (Glendale, CO)
- …the effectiveness of the Veteran's care. Serves to support delivery of high quality , timely care to the Veteran receiving services in the community. This is ... the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care regulations, and… more
- Humana (Boca Raton, FL)
- …need. The Care Coach 1 role involves meeting members in their location, spending quality time assessing their needs and barriers and then connecting our members with ... quality services to promote their ultimate well-being and drive...+ Coordinating services, and monitoring and evaluating the case management plan against the member's personal goals + Guides… more
- BrightSpring Health Services (Hurt, VA)
- …needs of our clients across various lines of business. If your passion is to ensure quality care to help our clients live their best life we encourage you to apply ... interactions with peers, superiors, and subordinates + Is aware of quality indicators and achieves results + Monitors/implements/supervises delivery of service plans… more
- Cardinal Health (Greenwood, SC)
- …and skills and an evaluation of internal pay equity. **_What Inventory Management contributes to Cardinal Health_** Operations is responsible for materials handling ... Includes warehousing and fulfillment of materials and products, transportation, inventory management as well as demand, supply and manufacturing planning. Inventory … more
- HCA Healthcare (Wichita, KS)
- …physicians and staff. + Participates in, and enforces hospital life -safety, quality , and risk management policies, procedures, and standards of regulatory ... patients in the unit. Responsibilities include fiscal, human resource, risk management , and operational functions. The Assistant Nurse Manager contributes to… more
- UNC Health Care (Chapel Hill, NC)
- …patient needs. The overall goal of the position is to enhance the quality of inter-hospital transfer management and satisfaction and to promote continuity ... through the integrating and functions of point of entry case management , utilization review, and effective patient flow activities. Responsibilities: 1. Capacity… more