- Abbott (Dallas, TX)
- …This includes influencing stakeholders within the hospital, driving product utilization , support on contracting, relationship development, relationship management ... Secondary responsibility is to support clinical selling activity and some procedure case service. This includes selling on clinical differentiation in the procedure,… more
- Huntington Ingalls Industries (Beaufort, NC)
- Requisition Number: 25353 Required Travel : 0 - 10% Employment Type: Full Time/Salaried/Exempt Anticipated Salary Range: $67,898.00 - $96,997.00 Security Clearance: ... of readiness. HII supports the Department of Energy's national security mission through the management and operation of its sites, as well as the safe cleanup of… more
- Elevance Health (Washington, DC)
- …and acuity. + Provides direct oversight and is responsible for Utilization Management execution/decision making for managed member populations. Primary ... UM + Assists and provides back up coverage to Case Management team **Minimum Requirements:** + BA/BS...management experience with direct reports. + Managed Care Utilization Management experience, preferably in the District.… more
- Envista Holdings Corporation (San Diego, CA)
- …+ Ability to effectively manage assigned accounts in terms of driving utilization , customer relationship management , problem resolution, and business and ... + Ability to effectively manage assigned accounts in terms of driving utilization , customer relationship management , problem resolution, and business and… more
- MyFlorida (Pensacola, FL)
- …of responsibilities. Travel is required. Responsible for providing intense case management /care coordination and outreach activities to a large high-risk ... position exercising independent judgment when providing health education, support, and case management /care coordination to improve pregnancy outcomes, child… more
- Highmark Health (Buffalo, NY)
- …the requested authorization. **ESSENTIAL RESPONSIBILITIES** + Obtain call task from Utilization Management platform, perform verbal outbound call task ... all Prior Authorization outbound call tasks and/or inbound triage case creations. In compliance with regulatory guidelines (eg, NCQA,...result within the platform. + Obtain triage task from Utilization Management platform and follow a detailed… more
- Veterans Affairs, Veterans Health Administration (Battle Creek, MI)
- …other champions to improve processes to meet the performance measure goals and improve utilization management ; serving as a liaison to outside facilities when to ... Serves as a Mental Health leader for quality improvement initiatives and utilization management related to Psychiatry Service. Plans, coordinates and ensures… more
- City of Durham (Durham, NC)
- …appointments that may occur earlier or later in the day. Occasional light travel outside of Durham may be required for conferences, correctional facility visits, ... work. Work Environment: + Hybrid office and field-based environment. + Frequent travel throughout Durham County. + Regular interaction with individuals in crisis or… more
- Molina Healthcare (Everett, WA)
- …Plan. We are seeking a candidate with a WA state LPN licensure. Candidates with case management , Utilization Management (UM), and direct managed care ... 3-5 years clinical practice with managed care, hospital nursing or utilization management experience. **Preferred License, Certification, Association** Active,… more
- Gilead Sciences, Inc. (Boston, MA)
- …to the Kite Konnect Case Managers who will lead individual patient case management and process support. **Examples include:** + Educate on patient ... comfort with CAR T process to avoid barriers in utilization . + Provide clinical instruction to clinical staff (eg,...+ Provide clinical instruction to clinical staff (eg, AE Management Guide, Product Insert [PI]). + Help Key Account… more