- HUB International (West Hartford, CT)
- …or industry vertical. + Ensures that HUB Marketing Workflows are captured through utilization of agency management system in accordance with HUB policies and ... what matters most by providing a broad array of insurance, retirement, and wealth management products and services. But we don't stop there - we also invest deeply… more
- V2X (Washington, DC)
- …and coordinate customers' global space requirements agency wide to ensure maximum utilization and efficient management of Defense Information Agency's (DIA's) ... respect, responsibility, and professionalism. V2X is seeking Program and Project Management professionals to provide Facilities and Technical support to our… more
- Insight Global (Fort Myers, FL)
- …University by driving operational excellence and maximizing value through effective resource utilization , people management , and strategic planning We are a ... Description The Director of Infrastructure and Operations oversees the delivery and management of all IT infrastructure and operations that support the University's… more
- Kiewit (Ingleside, TX)
- …management practices + Trains new team members and hiring managers on proper utilization and management of requisitions within ATS and CRM + Maintains ... knowledge of current and upcoming construction projects + Continuous improvement and management of Talent Acquisition systems and processes + Coaches hiring managers… more
- HCA Healthcare (Richmond, VA)
- …of social work experience in an acute care setting preferred. + Previous case management or utilization review experience preferred. Chippenham Hospital has ... risk patients with discharge planning or psychosocial needs. + Review of patient notes identifying and addressing any conflict...addressing any conflict in medical orders or lack of management plan. + Build a rapport by providing continuity… more
- Elevance Health (Indianapolis, IN)
- …communication documents to convey the determination. + Responsibilities exclude conducting any utilization or medical management review activities which ... of written response in clear, understandable language. + Utilizes guidelines and review tools to conduct extensive research and analyze the grievance and appeal… more
- Veterans Affairs, Veterans Health Administration (Fargo, ND)
- …forms. Evaluate resources and trends to support continuous improvement of resource utilization and management of Community Care expenditures. Serve as point ... Care Nurse Coordinator include, but are not limited to: Coordinate the review and disposition of VA Community Care consults, including Provider Agreement, Patient… more
- HCA Healthcare (San Antonio, TX)
- …experience, preferably experienced in Oncology + Prefer at least one year experience in utilization review , resource management , discharge planning or case ... care. **Your responsibilities will include:** + Assesses by interview and charts review discharge needs of all high-risk patients (and others referred). Identifies… more
- Baylor Scott & White Health (Plano, TX)
- …ROLE** Works with providers, departmental administration, making decisions to maximize provider utilization , and other management staff to create and/or revise ... role is the central point of communication for the utilization of all providers (greater than 40) within the...and/or clinical support ideas. Communicates with scheduling staff and management teams in a clear and professional manner any… more
- CareFirst (Baltimore, MD)
- …DSNP. **Knowledge, Skills and Abilities (KSAs)** + Knowledge of NCQA requirements of utilization review , Case Management standards and guidelines, appeal ... **Resp & Qualifications** **PURPOSE:** We are looking for a Director, Medical Review & Appeals for our Government Programs lines of business. The incumbent will… more
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