- Actalent (Santa Barbara, CA)
- Remote Utilization Management RN Leading healthcare facility that aims to improve the health and wellness of those in need is now looking for a REMOTE Health ... heling hand, alpha resource center, parents helping parents, etc. knowledge of Utilization Management process/ turnaround times. + Familiar with mandated… more
- Washington Metropolitan Area Transit Authority (VA)
- Senior Financial Management Analyst - Payroll Job ID: 250923 Location: VA - Metro Bldg At Eisenhower Full/Part Time: Full-Time Posting Open-Close 10/10/2025 - ... 10/19/2025 Union NRP Regular/Temporary: Regular **Job Description** **Senior Financial Management Analyst ? Payroll Marketing Statement:** The Washington Metropolitan… more
- Highmark Health (Monroeville, PA)
- …to ensure inventory and supply spend accountability is established and monitored. Review inventory utilization data; audit inventory system information systems ... for the strategic implementation of supply chain initiatives and operational management throughout AHN hospitals and surgery centers. The Materials Manager will… more
- State of Massachusetts (Fitchburg, MA)
- …service planning data, and engages in problem solving activities (eg residential utilization review meetings, crisis management meetings, respite meetings, ... professional for the position of Human Services Coordinator II (Adult Case Management Supervisor) in Fitchburg to provide direct supervision to staff who work… more
- HCA Healthcare (Savannah, GA)
- …and personal growth, we encourage you to apply for our Manager Case Management opening. We promptly review all applications. Highly qualified candidates will ... you have the career opportunities as a **Manager Case Management ** you want with your current employer? We have...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
- HCA Healthcare (Inverness, FL)
- …and personal growth, we encourage you to apply for our Manager of Case Management opening. We promptly review all applications. Highly qualified candidates will ... have the career opportunities as a(an) Manager of Case Management you want with your current employer? We have...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
- LA Care Health Plan (Los Angeles, CA)
- …by health risk assessment (HRA), risk stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health ... Care Management Specialist II Job Category: Clinical Department: Care...the most complex cases involving highly acute physical health, behavioral health, complex/catastrophic and/or psychosocial issues to determine and… more
- Bozeman Health (Bozeman, MT)
- …agencies, DNV and the hospital administrative team. Provides oversight of case management , discharge planning and utilization review . Provides leadership, ... Position Summary: The System Manager of Case Management is responsible for assisting with planning, directing, organizing, monitoring and staffing the Case … more
- HCA Healthcare (Campbell, CA)
- …+ Interact daily with all departments within PPMSI, which include Customer Service, Utilization Management , Data Management and Network Management . ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...encourage you to apply for our Managed Care Network Management Coordinator opening. We promptly review all… more
- Molina Healthcare (North Las Vegas, NV)
- …integrated) performing one or more of the following activities: care review / utilization management (prior authorizations, inpatient/outpatient medical ... an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high...years in one or more of the following areas: utilization management , case management , care… more