- CareFirst (Baltimore, MD)
- …role will focus specifically on optimizing end-to-end business processes within Utilization Management . **ESSENTIAL FUNCTIONS:** + Provide deep subject matter ... expertise in all areas of Utilization Management (UM), including pre-service, concurrent review,...of initiatives. Serve as the subject matter expert and representative for the clinical products team across corporate initiatives… more
- Wolters Kluwer (St. Cloud, MN)
- …within a multi-functional team to drive account success and meaningful product utilization of the Clinical Decision Support & Provider Solutions (CDSP) at our ... provider health system partners. They are responsible for utilization optimization and value-driving actions. They develop and execute on the account strategy,… more
- Truist (Charlotte, NC)
- …This job is on-site 4 days per/week ** Maintain complex capacity utilization standards across Truist's infrastructure. **For this opportunity:** Truist will not ... Monitoring & Analysis - Continuously monitor network, server, and storage utilization to identify potential bottlenecks, performance issues, and resource shortages.… more
- Army Installation Management Command (Redstone Arsenal, AL)
- …analysis of operating programs, ensuring conformance with policy and resource utilization . Assists higher graded employees with analysis of incoming reports ... complete a paper application. To get started, contact servicing NAF Human Resources representative or office listed in the Agency Contact Information section (at the… more
- Texas Health Resources (Plano, TX)
- …also providing quality medical care. 5. Support effective patient throughput, utilization management , and compliant documentation. MEDICAL STAFF GOVERNANCE: 1. ... medical education programs. b. Assist the Medical Staff Office in the management of visiting medical students, Residents, Fellows, and observers. 3. Work with… more
- Ellis Medicine (Schenectady, NY)
- …Services discharge planning guidelines and departmental/organizational policies and processes + Utilization Management : + Ensures order in chart/EMR coincides ... services provided by the Case Manager include, but are not limited to, utilization review, case management , care transition, collaboration with physicians and… more
- Pfizer (Sacramento, CA)
- …operations of the District to include hiring, live coaching, virtual coaching, representative development, performance management , and the assignment of key ... business potential of the District and the RBU + Ensuring effective utilization of promotional material, making valuable contribution to the formulation of marketing… more
- Ochsner Health (New Orleans, LA)
- …Preferred - 3 years of hospital-based experience in discharge planning, case management or utilization review. **Certifications** Required - Current registered ... a patient's hospitalization, which includes a review of the appropriate utilization of resources, balanced with the patient's right to self-determination. Reviews… more
- Ochsner Health (Lafayette, LA)
- …(CCM), Certified Professional Utilization Review (CPUR), Certified Professional in Utilization Management (CPUM) or Certified Professional in Healthcare ... in the delivery of patient care. Preferred - Experience in case management or utilization review. **Certifications** Required - Current Registered Nurse… more
- Magellan Health Services (Newtown, PA)
- …Strong organization, time management and communication skills. Knowledge of utilization management procedures, mental health and substance abuse community ... other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided...the treatment process. The job duties listed above are representative and not intended to be all-inclusive of what… more
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