• Craft Recruiter - Kiewit Offshore Services (KOS)

    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
    Kiewit (01/10/26)
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  • Trauma Complex Care Social Worker Case Manager

    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
    HCA Healthcare (12/11/25)
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  • Grievance/Appeals Analyst I (Indianapolis, IN)

    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
    Elevance Health (01/10/26)
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  • Registered Nurse - VA Community Care Nurse…

    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
    Veterans Affairs, Veterans Health Administration (12/19/25)
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  • Case Manager RN

    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
    HCA Healthcare (12/30/25)
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  • Clinical Services Coordinator

    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
    Baylor Scott & White Health (12/31/25)
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  • Medical Review & Appeals Director (Hybrid)

    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
    CareFirst (01/06/26)
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  • Case Manager RN

    HCA Healthcare (Largo, FL)
    …satisfaction.** + **You will promote cost effectiveness through the integration of case management , utilization review management and discharge ... we encourage you to apply for our Case Manager RN opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of… more
    HCA Healthcare (12/03/25)
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  • Market CMO, Centerwell Senior Primary Care…

    CenterWell (Phoenix, AZ)
    …providing medical guidance and expertise. + Develop, implement and monitor the outcomes of utilization review and disease management programs to meet the ... care being provided meets appropriate standards and to ensure cost-effective utilization practices. + Oversee the development, revision, and implementation of… more
    CenterWell (10/24/25)
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  • Production Planner

    PDS Tech Commercial (Richardson, TX)
    …daily and weekly reports on schedule adherence, material shortages, and line capacity utilization for management review . **What We're Looking For** + ... a plus. + Associate's or Bachelor's degree in Supply Chain Management , Business, Operations Management , or a related field. + Practical experience working with… more
    PDS Tech Commercial (01/09/26)
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