• RN - Senior Clinical Documentation…

    Sanford Health (Bemidji, MN)
    …minimum of five years of clinical practice. Knowledge and experience in case management , utilization management and/or Coding highly preferred. Currently ... written/verbal communication, critical thinking, creative problem solving, and conflict management skills. Must be proficient in organization and planning. Must… more
    Sanford Health (07/22/25)
    - Related Jobs

  • Utilization Review Medical Director

    Commonwealth Care Alliance (Boston, MA)
    …Director will be responsible for providing leadership and subject matter expertise to our utilization management (UM) group. This role is a key role in helping ... other medical management team members. + Support the development of utilization management policy initiatives. + Support the development and implementation… more
    Commonwealth Care Alliance (06/27/25)
    - Related Jobs

  • Senior Medical Director - Sharp Health Plan…

    Sharp HealthCare (San Diego, CA)
    …to accrediting and regulatory agency feedback. + Supports pre-admission review, utilization management , and concurrent and retrospective review Process. Performs ... risk management reviews. + Assists in pharmacy utilization management , catastrophic case review, outreach programs,...CMO CPTAC and Peer Review Committees. + Partners with Senior Management including CMO and COO to… more
    Sharp HealthCare (07/19/25)
    - Related Jobs

  • Senior Social Worker- Active…

    Veterans Affairs, Veterans Health Administration (Fresno, CA)
    …https://youtube.com/embed/enRhz\_ua\_UU Total Rewards of a Allied Health Professional Duties: -Active Management of Pain Senior Social Worker will practice the ... team members to develop and implement an integrated pain management approach that maximizes the utilization of...of the degree can be made by going to http://www.cswe.org/ Accreditation to verify that the social work degree meets… more
    Veterans Affairs, Veterans Health Administration (08/02/25)
    - Related Jobs

  • Systems Engineer Senior

    Amentum (Washington, DC)
    …at the logical level working with communication protocols. The Systems Engineer ( Senior ) will perform systems management and integration functions. You will ... are searching for a Top Secret cleared Systems Engineer ( Senior ) to join our team in Washington, DC. You...hardware and operating systems including the evaluation of system utilization , monitoring response time and primary support for detection… more
    Amentum (06/06/25)
    - Related Jobs

  • Senior Advisor - Solid Organ Transplant…

    OhioHealth (Columbus, OH)
    …activities. Analyzes patient data for reimbursement, quality of patient care, risk management , utilization management , and research. Implements standard work ... of business strategy, marketing, financial and operational planning and accreditation . Additionally, this role has oversight of patient billing systems,… more
    OhioHealth (07/24/25)
    - Related Jobs

  • Senior Social Worker (HUD/Vash) - Edrp…

    Veterans Affairs, Veterans Health Administration (Abilene, TX)
    …Social Work: vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-Social-Worker-Career-Flyer.pdf The Senior Social Worker: provides clinical ... working knowledge and skill in the use of business productivity software, data management , and computer systems/programs, especially those programs in use by VHA. is… more
    Veterans Affairs, Veterans Health Administration (07/10/25)
    - Related Jobs

  • Senior Director, Ambulatory Pharmacy…

    University of Rochester (Rochester, NY)
    …management , clinical services, pharmacy data analytics, and pharmacy procurement/inventory management . The Senior Director, Ambulatory Pharmacy Services in ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE: The Senior Director, Ambulatory Pharmacy Services is responsible for the… more
    University of Rochester (08/07/25)
    - Related Jobs

  • Senior Child Behavioral Medical Director

    Centene Corporation (New York, NY)
    …VPMA responsibility in absence of VPMA. + Provide medical leadership for all utilization management , pharmacy, case management , disease management , ... Provide medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate,… more
    Centene Corporation (08/08/25)
    - Related Jobs

  • Industrial Engineer (Experienced or Senior…

    The Boeing Company (Berkeley, MO)
    …Defense, Space & Security (BDS)** team is seeking an **Experienced or** ** Senior Industrial Engineer** located in **Berkeley, MO** . **Position Overview:** As an ... improve quality, for large scale systems integration and asset utilization . + Develops and implements plans and programs for...are met. + Supports execution planning by using project management , planning and scheduling and shop load practices. +… more
    The Boeing Company (07/26/25)
    - Related Jobs