- Wellpath (Franklin, TN)
- …a difference** The Regional Care Manager (RCM) is responsible for utilization review , care coordination, and daily care management across multiple sites and ... Care Management Certification + RN preferred EXPERIENCE + Previous utilization review and/or case management and pre-certification experience + Knowledge… more
- UNC Health Care (Rocky Mount, NC)
- …Summary: Facilitates effective and cost-efficient care of patients through such case management functions as utilization review and discharge planning. ... reviews for private insurance companies, Medicare and Medicaid, in accordance with utilization review guidelines. Tactfully and effectively informs Manager of… more
- PNY Technologies, Inc. (Parsippany, NJ)
- …planning process with suppliers and contract manufacturing sites to balance asset utilization + Purchase Order Management , including but not limited to ... reduced costs. Assume responsibility for planning requirements and supply chain management to ensure timely deliveries of goods. Perform all operational activities… more
- PruittHealth (Atlanta, GA)
- …Minimum three years industry experience in a managed care setting focused on experience in utilization review /case management and at least two years case ... **JOB PURPOSE:** Responsible for the oversight of clinical care management of community based long-term care population for PruittHealth Premier Dual Eligible… more
- CareFirst (Baltimore, MD)
- …related experience working in Care Management , Discharge Coordination, Home Health, Utilization Review , Disease Management or other direct patient care ... determinant of health needs. Engage members and providers to review and clarify treatment plans ensuring alignment with medical...CCM/ACM or other RN Board Certified certification in case management . Incumbents not certified at the time of hire… more
- Applied Technical Services, Inc. (Marietta, GA)
- …hybrid management and delivery role with targeted 40-50% billable utilization through project management , client onboarding, and high-value service delivery ... The position requires a unique blend of technical depth, operational management expertise, and client relationship skills. The successful candidate will transform… more
- Citigroup (Irving, TX)
- …business and regulatory requirements. Our focus spans from procurement through utilization , covering cost management , capacity planning, resource allocation, and ... **FinOps at Citi** is dedicated to the strategic financial management , planning, procurement, and optimization of Citi's global technology infrastructure. We ensure… more
- Billings Clinic (Roundup, MT)
- …departments. Responsibilities also include other services as assigned (eg, Pharmacy), utilization review /case management , discharge planning, orientation and ... and objectives; fiscal control; physician and interdepartmental/intradepartmental relations; personnel management , customer relations, pharmacy, infection control, nursing education, case… more
- Stanford Health Care (Palo Alto, CA)
- …with minimal directions. + Understand and respond to multiple personalities and work/ management styles. + Resource management / utilization knowledge in ... The ORNP works with the PIs on the assessment, management , and coordination of research patient care across the...site visits and study close-outs; and collaborates on the review of documentation during protocol audits. + Develops protocol… more
- MyFlorida (Jacksonville, FL)
- …aspects of their work performance, including planning workloads, workflows, time management / utilization and work objectives. Responsible for the regulation, ... for the performance of all field staff under their supervision. Position will review all inspection records and supporting documents generated by the staff under… more