REMOTE UTILIZATION MANAGEMENT

Job Summary: Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. Ensures cost effective and quality patient care by appropriate utilization of resources. Provides direction to staff which may include Outside Utilization, Extended Care, Bed Placement, Discharge Planning, Transportation and others as...

Job Summary: Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. Ensures cost effective and quality patient care by appropriate utilization of resources. Provides direction to staff which may include Outside Utilization, Extended Care, Bed Placement, Discharge Planning, Transportation and others as...

Job Title: Director, Utilization Management Department: Health Services - UM About the Role: Leads and shapes the Utilization Management (UM) Strategy for Astrana Health while providing management oversight in implementing, directing, and monitoring the Utilization Management Department functions, including prior authorizations, concurrent review, medical...

Job Title: Director, Utilization Management Department: Health Services - UM About the Role: Leads and shapes the Utilization Management (UM) Strategy for Astrana Health while providing management oversight in implementing, directing, and monitoring the Utilization Management Department functions, including prior authorizations, concurrent review, medical...

As an NRG employee, we encourage you to think creatively and proactively about your career choices. Our work environment is dynamic and the career opportunities across our businesses offer variety and challenge. Providing career growth to our own employees is critical to our ongoing success--take charge of your career goals and empower your future! Job...

REMOTE Risk Management Security Engineer Post Date Jan 11, 2024 Location Irvine, California ZIP/Postal Code 92618 Job Type Contract-to-perm Category Security Engineering OCC-674251 Pay Rate $48 - $72 (hourly estimate) Job Description An employer for a large retail marketing agency is looking for a REMOTE Risk Management Security Engineer to build a risk...

Quality Assurance Manager (REMOTE) full time The Quality Assurance Manager is responsible for delivering the optimum quality of a company’s services. In addition to maintaining consistent quality, they help to ensure compliance with laws, regulations, and environmental standards, recommending improvements where necessary. Responsibilities: -leading QA...

Quality Assurance Manager (REMOTE) full time The Quality Assurance Manager is responsible for delivering the optimum quality of a company’s services. In addition to maintaining consistent quality, they help to ensure compliance with laws, regulations, and environmental standards, recommending improvements where necessary. Responsibilities: -leading QA...

About Our Client My client are a newer and growing renewable IPP, with projects hitting construction this year. Backed by an experienced private equity that know the industry. Job Description The Renewables - Snr. Manager, Project Development WECC - Remote will be responsible for:Driving project development and value creation in WECC, taking responsibility...

NOW HIRING!!! A-Line Staffing is seeking a Behavioral Health Care Manager to work remotely (as long as you are located in California) to start ASAP! This role monitors inpatient and/or outpatient level of care services related to mental health and substance abuse treatment to ensure medical....

Position Tile: Vice President of Market Access - Consultancy background needed The Vice President of Market Access is a senior leadership role responsible for developing and executing market access strategies to optimize product reimbursement, coverage, and overall market success. This position requires a deep understanding of the healthcare landscape,...

A leader in technology and innovation, Southwire Company, LLC is one of North America's largest wire and cable producers. Southwire and its subsidiaries manufacture building wire and cable, utility products, metal-clad cable, portable and electronic cord products, OEM wire products and engineered products. In addition, Southwire supplies assembled products,...

DescriptionManager Health Information Management *Remote*. Candidates residing in AK, WA, MT, OR, CA or TX are encouraged to apply.This position is accountable for the operations and delivery of a best-practice HIM document-imaging, record analysis, physician suspension, medical transcription service model within Revenue Cycle throughout the Providence...

Apr 19, 2024 - Material Security is hiring a remote Technical Knowledge Manager. Salary: $150,000 to $185,000. Location: Americas. Material Security is looking for a highly skilled, detail oriented, and experienced Technical Knowledge Manager to join our team. You will be a founding member of the Technical Writing team and play a pivotal role in maturing our...

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. The Associate Director of Medical Management Performance , under the direction of the VP of Population Health Management and in...

locations Woodland Hills-21271 Burbank Blvd (10512) Remote-CA time type Full time posted on Posted 3 Days Ago job requisition id 1497517 You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits...

DescriptionProvidence Health Plan caregivers are not simply valued – they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.Providence Health Plan is...

The Utility Engineering team delivers a range of engineering, and analysis services across multiple disciplines. This team plays a crucial role in identifying, diagnosing, and resolving technical issues for various company departments. Additionally, they provide consultative support to internal teams, recommending equipment, materials, and methods that align...

Senior Development Manager II (Remote in San Diego, CA) page is loaded Senior Development Manager II (Remote in San Diego, CA) Apply locations San Diego, California time type Full time posted on Posted 2 Days Ago job requisition id JR571 At the American Cancer Society, we're leading the fight for a world without cancer. Our employees and 1.5 million...

Put your Insurance Experience to work – FROM HOME! At WAHVE, we value significant insurance experience and want to revolutionize the way people think about phasing into retirement by offering qualified candidates the opportunity to continue their career working from home. As we say – retire from the office but not from work. Our unique platform provides...