• Registered Nurse - Case Management

    ERP International (Luke AFB, AZ)
    …results of interventions, treatment delivery and timeliness of care; and utilization of resources. Monitors and evaluates the facility's case management program ... Case Management Society of America (CMSA); American Accreditation Healthcare Commission/ Utilization Review Accreditation Commission (URAC); CAMH; (AAAHC); Health Services… more
    ERP International (11/25/25)
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  • Fee Basis Physician (Primary Care)

    Veterans Affairs, Veterans Health Administration (Miami, FL)
    …systems of health care by participating in programs, following policies, improving utilization of resources and suggesting process changes for clinical programs in ... the Primary Care Section. NOTE: The utilization of the Fee Basis appointments are focused on...Is aware and accountable to the fiscal measures and utilization review Pay: Based on approved pay rates per… more
    Veterans Affairs, Veterans Health Administration (11/24/25)
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  • Care Review Clinician (RN)

    Molina Healthcare (North Las Vegas, NV)
    …with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At least 2 ... emergency room. Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. **WORK… more
    Molina Healthcare (11/23/25)
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  • Organizational Development Specialist

    City of New York (New York, NY)
    …will: * Analyze business structures, classification procedures and processes, and the utilization of resources. * Design and implement a variety of developmental ... department's Talent Management (formerly Recruitment Strategies) to guide the utilization , development, or hiring of personnel. * Lead business optimization… more
    City of New York (11/23/25)
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  • Clinical Nurse-Wound Care-WOCN-Mount Sinai…

    Mount Sinai Health System (New York, NY)
    …by: 1) Assisting clinical nurses and other health care professionals in the utilization of the nursing problem solving process in current clinical situations. 2) ... clinical nurses and other health care professionals in the utilization of the nursing problem solving process in current...research in clinical practice. + Participates in development and utilization of nursing research designs and serves as a… more
    Mount Sinai Health System (11/22/25)
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  • Manager, Medical Economics (New York Health Plan)

    Molina Healthcare (Spokane, WA)
    …and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Analyzes data and dashboard ... information from data sources. + Knowledge of healthcare operations ( utilization management, disease management, HEDIS quality measures, claims processing, etc.)… more
    Molina Healthcare (11/21/25)
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  • Case Management Supervisor - Full Time - Days

    Mohawk Valley Health System (Utica, NY)
    …responsible for the oversight of the case management staff's authorization/coordination/ utilization and provision of member services. Duties include the supervision ... Provides direct oversight of the case manager's daily operations of utilization review practice, process and procedures ensuring accurate member care needs… more
    Mohawk Valley Health System (11/21/25)
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  • Strategic Growth Associate - East Division

    Access Dubuque (Dubuque, IA)
    …for strategic growth, access & physician relationships focused on increasing utilization , retaining & growing volume for selected service lines / programs ... strategic outreach to targeted providers with the goal of increasing utilization of Trinity Health services. Research, collect, analyze & synthesize information… more
    Access Dubuque (11/21/25)
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  • Account Executive Home Health and Hospice

    PruittHealth (Norcross, GA)
    …Development, Account Executive will be responsible for promoting the utilization of community-based healthcare services-including **home health, hospice, and private ... service adoption. + Identify and pursue opportunities to expand service utilization within assigned communities. + Collaborate with internal service line leaders… more
    PruittHealth (11/21/25)
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  • Performance Improvement Manager ER and Throughput

    HCA Healthcare (Salt Lake City, UT)
    …that impact ED and facility throughput 4. Supply, medication, and resource utilization 5. Appropriate assignment of patients being admitted to the facility and ... department. 7. On call physician panel reviews and proper utilization . + Supply chain optimization and contract buying for...by facility by floor to identify opportunities + Assesses utilization of Bed Management technology for optimal use +… more
    HCA Healthcare (11/21/25)
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