• Harbor Health Services, Inc. (Mattapan, MA)
    …for more than 580 participants. We are currently seeking a Director of Utilization Management & Quality Programs. Harbor Health offers an excellent, ... the Senior Director of Health Plan Operations, the Director of Utilization Management and Quality Programs is responsible for the day-to-day support, direction… more
    job goal (12/20/25)
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  • University of New Mexico - Hospitals (Albuquerque, NM)
    …limited to experience, education, and other business and organizational considerations. Department: Utilization Management - UH Apply fast, check the full ... patient outcomes are achieved within established time frames and with efficient utilization of resources. Conduct initial and ongoing assessments, initiate disease … more
    JobLookup XML (12/22/25)
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  • NewYork-Presbyterian (Brooklyn, NY)
    …years. The Case Manager is responsible for all aspects of discharge planning and utilization management /review for an assigned group of patients to determine the ... care case manager/discharge planning, certified home health care (CHHA), Case Management experience, utilization experience, or managed care organization… more
    JobLookup XML (12/22/25)
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  • University of New Mexico - Hospitals (Albuquerque, NM)
    …to experience, education, and other business and organizational considerations. Department: Utilization Management - UH Considering making an application for ... appropriate patients within designated specialty area requiring patient case management interventions by utilizing established procedures including census review,… more
    JobLookup XML (12/22/25)
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  • University of New Mexico - Hospitals (Rio Rancho, NM)
    …promote and facilitate communication, problem solving, decision-making, crisis intervention, resource utilization , and conflict management * PATIENT SAFETY - ... delivery of optimal and safe patient care which includes fiscal management , standards compliance, clinical practice, staff development, oversight and active… more
    JobLookup XML (12/22/25)
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  • Bayer (Filer, ID)
    …Provides coaching and mentoring support to GH staff on the effective plant health management , data management and utilization of capacities, resources and ... Wheat R&D pipeline; Continuously evaluates and improves processes, systems, resource utilization to ensure that the operations meet the production requirements.… more
    HireLifeScience (12/16/25)
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  • University of New Mexico - Hospitals (Albuquerque, NM)
    …experience, education, and other business and organizational considerations. Department: Utilization Management - UHFTE: 1.00Full TimeShift: DaysPosition ... appropriate patients within designated specialty area requiring patient case management interventions by utilizing established procedures including census review,… more
    job goal (12/23/25)
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  • VitalCore Health Strategies (Hopkinton, MA)
    …supervisory services are rendered. Must satisfy all credentialing requirements of VitalCore. Utilization Management experience. Must have minimum of 5 years ... quality indicators, patient safety chart and site audits. Adherence to Utilization Management (UM) programs specific to the contract requirements and corporate's… more
    job goal (12/23/25)
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  • University Health (Seguin, TX)
    …minimum three years of clinical nursing experience is required. Data entry, referral management , utilization management experience is required. Case ... Management experience preferred. Experience in a similar setting and working with OB patients preferred. Experience working with EPIC EMR desirable. xrbllit LICENSURE/CERTIFICATION Current licensure in the State of Texas as an RN or LVN is required. more
    JobLookup XML (12/15/25)
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  • UTMB Health (Webster, TX)
    …system data entry of information such as referral requests, drug utilization management information, prepacking information, drug purchasing information, or ... specialty medications Participates in the operations of medication therapy management Initiates medication reconciliation Assists with screening, documentation, and… more
    job goal (12/19/25)
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