- Huron Consulting Group (Chicago, IL)
- …our team as the expert you are now and create your future. The Manager of Utilization Management is responsible for planning, organizing, developing, and ... directing implementation of the Utilization Review Plan and the...results and implementing corrective actions to address deficiencies. + Contract and Resource Management: Understands contract language… more
- Beth Israel Lahey Health (Plymouth, MA)
- …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who We ... and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you...of clinical denials. + Maintains current knowledge of payer contract changes as they pertain to level of care… more
- Ochsner Health (Jefferson, LA)
- …your future today!** This job manages expense management, vendor relationships, contract management, standardization and consolidation processes and utilization ... cost reduction initiatives throughout the organization by serving as a project manager and consultant to the clinical and non-clinical areas; tracks the system… more
- Actalent (Duluth, GA)
- …Nurse will be working on site. Responsibilities will include: Case Manager / Utilization Management (90%) and Discharge Planning. Develop plan/procedures to ... National Call Center Experience Level Intermediate Level Job Type & Location This is a Contract position based out of Duluth, GA. Pay and Benefits The pay range for… more
- Guthrie (Sayre, PA)
- …approaches and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of care in ... Sign On Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for achieving optimal patient, clinical, and… more
- Northwell Health (Bay Shore, NY)
- …up and action. + * Acts as a liaison with patients insurance carrier (case manager , utilization reviewer) to coordinate post hospital services and referrals. + * ... retrospective reviews as required. + * Participates in the maintenance of Utilization Management, Discharge Planning and Case Management statistics as required. + *… more
- City of New York (New York, NY)
- …contracting and fiscal functions within the Office of Community Outreach. The Contract Manager is responsible for the utilization of fiscal and contract ... monitoring and oversight, and program-side responsibilities related to contract administration for NYC Benefits contracts . DSS...(1) Administrative Staff Analyst NM to function as a Contract Manager . Under the direction of the… more
- Vighter Medical Group (Glendale, CO)
- …our team at the Office of Community Care (OCC) in Glendale, Colorado. As a Case Manager / Utilization Review Nurse, you'll play a key role in coordinating and ... setting - no nights, weekends, or on-call required. What You'll Do As a Case Manager / Utilization Review RN, you will: + Conduct clinical reviews of medical… more
- Henkel (Bay Point, CA)
- … (KAM) for assigned customers and support the Global Quality Key + Account Manager . Drive the proper utilization of the global customer requirements and customer ... Quality Assurance Manager **_About_** **_this_** **_Position_** At Henkel, you'll be...quality processes including scorecards, specifications, complaints, portals, questionnaires and contracts . + Coordinate responses to customer requests with key… more
- The County of Los Angeles (Los Angeles, CA)
- … 10, ISD. The Opportunity The Equity in County Contracts Program Manager will serve as a centralized contract authority with specific responsibility for ... EQUITY IN COUNTY CONTRACTS PROGRAM MANAGER (ADMINISTRATIVE MANAGER...contract tiering opportunities in solicitations to divide large contract into multiple smaller contracts as a… more