Job Title Utilization Management Team Leader Job Description The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical necessity, coding accuracy, treatment plans, discharge planning, and compliance requirements while supporting clinical consistency,
Medical Director, Utilization Management The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Medical Director, Utilization Management will
ResCare Community Living, a part of the Sevita family, provides quality services that empower individuals, enhance independence, and help people live well. Since 1974, we’ve supported individuals with intellectual and developmental disabilities to live more independently
RN Acute Case Manager - System Care Management - FT Shift: Monday-Friday, 8:00am-4:30pm, rotating weekends On Call: Every 3-4 weeks for 4 hours (4p to 8p) remotely via TigerConnect Up To $25,000 Sign On Bonus For Qualified
Market Sector Leader - Program Management AECOM is seeking a Market Sector Lead to be based in Los Angeles, CA. AECOMs Program Management (PgM) business line is a global leader providing program, project and construction management services delivering complex,
Job Title Supervisor, Plant Maintenance Job Description Centered in the heart of San Joaquin County, Adventist Health Lodi Memorial has been one of the areas leading healthcare providers since 1952. We are comprised of a 190-bed
Provider Contracting Specialist, Consultant The Network Management team is responsible for the development and maintenance of all provider networks, including vendor and Plan to Plan relationships necessary to provide our members and clients with access to quality,
Care Management Manager The Care Management team is looking for a leader with Care Management experience who can help design and lead our Population Health Management (PHM) Medi-Cal Care Management line of business. The Manager, Care Management will report to the Director
Job RequisitionJR24307 Worker Time TypeFull time Worker Sub-TypeRegular Shift Job Description POSITION PURPOSE: This role accelerates business value by responsibilities for the reliable operation and maintenance of the plant’s manufacturing systems and physical property. Included activities
Job SummaryCase Managers will apply systems, science, incentives, and information to improve healthcare practice and assist patients and their support systems to become engaged in a collaborative process designed to manage medical/social/mental health conditions more effectively.
City/StateWoodbridge, VA Work ShiftFirst (Days) Overview: Sentara Northern Virginia Medical Center is hiring an Inpatient Case Manager - RN Inpatient Case Manager - RN Sentara Northern Virginia Medical Center - Woodbridge, VA ~Full Time & Day
Up to a $15,000.00 Sign on Bonus! Summary: The Wellness Nurse plays a key role in health promotion and illness prevention of patient populations through nursing-patient collaboration and patient education. This nurse performs the Medicare Annual
Are you passionate about improving manufacturing performance through data-driven decision-making, process optimization, and lean methodologies? Do you enjoy identifying inefficiencies, streamlining workflows, and delivering measurable operational improvements? If you answered yes, we should talk! Fleming Baron,
Overview #LI-SB1 FULL TIME & PRN schedules available! When you join Reliant’s therapy team, you join a team that makes a very real impact in the lives of the patients and residents we serve. As a
Mobile Crisis Coordinator Are you a license-eligible clinician with a passion for making a real difference in the lives of people living with mental health challenges and substance use disorders? At Easterseals PORT Health (ESPH), our
Job Description Summary The Team Lead assists in supervising and managing all day-to-day store operations while ensuring that 100% compliance exists with all established Company policies and procedures. Provides leadership, guidance and training to the store
Job Summary The Supply Chain Planner is responsible for optimizing the flow of merchandise through a multi echelon supply chain by balancing cost, capacity, and service level. This position identifies opportunities to improve landed margin, drive
Description Cornerstone Family Healthcare is actively recruiting for a Psychiatrist to join our growing team in Binghamton, NY. RATE OF PAY/SALARY: $300,000 annually WORK LOCATION(S): Binghamton, NY STATUS: Full-time CORNERSTONE’S MISSION: Cornerstone Family Healthcare is a
Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as
RN Care Coordinator PCMH - Strategic Insurance Development - FT Shift: Day, Monday - Friday 8:00am-5:00pm Up To $25,000 Sign On Bonus For Qualified RNs! Position Summary: Care Coordinator in Primary Care will serve as a