• Customer Solution Center Member Navigator II-…

    LA Care Health Plan (Los Angeles, CA)
    …multi-departmental (Member Services, Product Network Operations (PNO), Claims, Utilization Management (UM), Pharmacy, Medicare Enrollment/Disenrollment, Sales ... translations for members' correspondence into the appropriate languages. As requested review documents submitted by C&L to ensure proper translation and culturally… more
    LA Care Health Plan (12/18/25)
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  • Assistant Manager, Clinical Pharmacy

    Atlantic Health System (Morristown, NJ)
    …including preparing clinical updates and data metrics. + Plans and implements drug utilization management and quality improvement plans. + Liaison with site ... with site and enterprise pharmacy teams to support formulary management and pharmacoeconomic initiatives + Providing drug information to...100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 -… more
    Atlantic Health System (12/12/25)
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  • Clinical Documentation Specialist RN

    Hackensack Meridian Health (Red Bank, NJ)
    …screens ED inpatient admissions and observations as specified by the facility's Utilization Management / Review Committee for documentation completeness and ... with physicians, nursing staff, other patient caregivers, Health Information Management Department coding staff, and Emergency Trauma Department (ETD), to… more
    Hackensack Meridian Health (12/05/25)
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  • Health Insurance & Authorization Specialist I

    Highland Hospital (Rochester, NY)
    …benefits, identifies and resolves coordination of benefits discrepancies, and notifies Utilization Management of additional clinical requests **Salary Range:** ... information is on file and accurately documented. These activities include review diagnosis and history for correct insurance coverage, insurance eligibility and… more
    Highland Hospital (12/02/25)
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  • Unclassified Physician/Psychiatrist

    Louisiana Department of State Civil Service (Houma, LA)
    …issues impacting care in a succinct and timely manner. + Consistently meets Utilization Management and billable services expectations + Maintain knowledge of ... for clients who present with mental health and addictive disorders + Review diagnosis, evaluation and treatment plans in collaboration with clients and/or… more
    Louisiana Department of State Civil Service (11/29/25)
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  • RN Utilization Review /Discharge…

    Sanford Health (Rapid City, SD)
    …community. **Job Summary** Provides expertise and leadership to ensure effective resource management for patient care delivery across the care continuum for assigned ... patient wellness through evidenced based practice, improved care outcomes, efficient utilization of health services, and appropriate level of care for patients… more
    Sanford Health (12/24/25)
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  • RN Care Manager

    Intermountain Health (Las Vegas, NV)
    …institution. + Care Management Certification + Demonstrated experience in case management , utilization review , or discharge planning. + BLS Certified ... The RN Ambulatory Care Manager I delivers comprehensive ambulatory care management services to identified patients. Leveraging clinical expertise, this role involves… more
    Intermountain Health (01/13/26)
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  • RN Care Manger - PRN

    Intermountain Health (Butte, MT)
    …+ Case Management Certification + Demonstrated experience in case management , utilization review , value-based care, and/or discharge planning. ... + Case Management Certification + Demonstrated experience in case management , utilization review , value-based care, and/or discharge planning.… more
    Intermountain Health (01/06/26)
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  • Space Manager

    City of New York (New York, NY)
    …with Facilities Management , Leasing, and Workplace Services teams on space management and utilization initiatives, and review opportunities to optimize ... City of New York and consists of six distinct units: Portfolio Planning and Management (PPM), Leasing, Design & Project Management (D&PM), Strategic Real Estate… more
    City of New York (01/08/26)
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  • Resource and Business Execution Senior Associate…

    Citigroup (Getzville, NY)
    …the Finance function. + **System Optimization:** Drive the optimization and effective utilization of headcount management systems and tools, working with IT ... Tool Utilization :** Leverage subject matter expert in relevant headcount management systems and tools, utilizing them effectively for data entry, reporting, and… more
    Citigroup (12/17/25)
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