- NTT DATA North America (Plano, TX)
- …and forward-thinking organization, apply now. We are currently seeking a Delivery Senior Manager to join our team. NTT DATA is seeking to hire a **Medicare ... and implement corrective actions + Collaborate with health plans, clinical teams, utilization management, and other departments to address complex cases and identify… more
- Govini (Arlington, VA)
- …value of those solutions both internally and externally. In a typical week, a product manager could expect to: - Spend several days on site with users, seeking to ... the value proposition canvas/business model canvas, build a comprehensive business case , and communicate and defend the prioritization internally + Partner with… more
- NBC Universal (Universal City, CA)
- …The spin-off is expected to be completed during 2025. NBCUniversal is seeking a Manager of Transportation to join the Studio Operations team in Universal City, CA. ... Maintain production fleet, including ongoing fleet analysis to maximize utilization of owned, leased, and rented vehicle fleet to...are an MS Office whiz and can take on case management software with ease What You Must Have:… more
- Ventura County (Ventura, CA)
- …Management and/or Quality Assurance in a Managed Health Care Plan. + Experience working as a case manager in a health plan case managing complex cases. + ... general direction, the Senior Medical Management Nurse is responsible for performing utilization review, case management, and quality improvement functions to… more
- ABM Industries (Washington, DC)
- …materials to create detailed, customized, innovative, and lively proposals. + Utilization of ABM's customer resourcing technologies to research a customer's existing ... application, please call ###. We will provide you with assistance and make a determination on your request for reasonable accommodation on a case -by- case basis. more
- Providence (Brea, CA)
- …Rehab, Pediatrics, Transplant, or Wound Care + 3 years experience in utilization management or case management. **Why Join Providence?** Our best-in-class ... in Nursing, or + Master's Degree in a related field. + Upon hire: Certification in Case Management (CCM, ACM) + Upon hire: Specialty Certification in Oncology,… more
- Global Foundries (Malta, NY)
- …and your contact information. Requests for accommodation will be considered on a case -by- case basis. Please note that only inquiries concerning a request for ... processes which pertain to employees including recruitment, selection, training, utilization , promotion, compensation, benefits, extracurricular programs, and termination are… more
- Virtua Health (Mount Holly, NC)
- …to meet patient needs, monitors the length of stay and promotes efficient utilization of resources. Acts as a clinical expert and maintains ongoing knowledge of ... documentation of individual plan of care in EMR and case management documentation system.* Metrics - Accountable to job...State of New Jersey as a MSW or Registered Nurse. Case Management Certification (requirement within one year of hire… more
- Beth Israel Lahey Health (Plymouth, MA)
- …+ CCM, ACM, or other case management certification preferred or in progress ** Manager - Utilization Review & Denials Management** This role is ideal for a ... strategies * Integrate clinical and reimbursement knowledge for optimal outcomes **RN Case Manager - Emergency Department UR & Discharge Planning** This… more
- Sharp HealthCare (San Diego, CA)
- …and retrospective rev1ew process. + Participates in risk management, pharmacy utilization management, catastrophic case review, outreach programs, HEDIS ... and oversees the health care needs of the membership. Serves as a medical manager and policy advisor to SHP and its Chief Medical Officer. Is accountable for… more