Director of Utilization Management

Job SummaryKaiser Permanente is seeking a highly experienced and skilled Regional Utilization Management Director to provide leadership and direction for our regional utilization management program. This individual will be responsible for ensuring that our members receive high-quality healthcare in the most appropriate and cost-effective manner.Key...

Job SummaryAs a Regional Utilization Management Director at Kaiser Permanente, you will provide strategic leadership for joint Health Plan/TSPMG management efforts related to appropriate utilization of hospitals and specialty care. You will monitor transition of care, continuing care/sub-acute care resources, non-core hospital oversight to UM/case...

Overview: The Utilization Management Physician will be responsible for providing thorough and accurate reviews of utilization management cases to ensure the appropriate use of medical resources while continuing to hold high standards of patient care. The position will involve collaborating closely with both the Medical Director, other team members, and...

About the RoleWe are seeking a highly skilled and experienced Director of Utilization Review and Operations to join our team at Ridgeview Institute Smyrna. As a key member of our leadership team, you will be responsible for overseeing the Utilization Review Program and ensuring the provision of effective treatment plans for all patients.Key...

Overview The Utilization Management Physician will be responsible for providing thorough and accurate reviews of utilization management cases to ensure the appropriate use of medical resources while continuing to hold high standards of patient care. The position will involve collaborating closely with both the Medical Director, other team members, and...

Work schedule: M-F 11:30am-8pm Eastern TimeWork location: This is a virtual position, but candidates must reside within 50 miles of an Elevance Health Pulse Point.The Nurse Medical Management II - Utilization Management is responsible to collaborate with healthcare providers and members to promote quality member outcomes, to optimize member benefits, and to...

Job DescriptionJob DescriptionWe seek a Traveling Director / VP of Facilities to join our team! Our property management company owns and develops several MANUFACTURED HOME apartment communities around the country. This position is REMOTE OUT OF Florida. The position is remote, with 25-50% travel to our apartment communities located in 15 states in the...

Description The Utilities Project Manager is responsible for the adjustment of all utilities that are impacted by the Project. This position focuses on the field utility relocation activities for dry utilities such as telecom, fiber, and electrical. Responsibilities Responsible for the management of dry utility relocation coordination, ensuring...

Job SummaryWe are seeking a highly skilled Senior Utility Coordinator to join our team at Luster National. As a key member of our project management team, you will be responsible for coordinating utility services on various transportation projects.Key ResponsibilitiesPerform technical work related to utility existing locations, adjustments, relocations, and...

:The candidate will play a hunter role, responsible for acquiring new clients for Our Client. The candidate will target sales of Our Client's entire portfolio of IT Outsourcing services including Consulting, BPO, ADM, It Infrastructure services, and Engineering Services for targeted firms. The position's primary responsibility is to achieve new sales results...

Director of OperationsAbout the Company:____________________________________________________________________________________________ The Circle of Greatness Academy (COGA) is an online and in-person community created to equip and empower aspiring and new entrepreneurs with resources and connections to help them grow personally and professionally.COGA was...

Director of OperationsAbout the Company:____________________________________________________________________________________________ The Circle of Greatness Academy (COGA) is an online and in-person community created to equip and empower aspiring and new entrepreneurs with resources and connections to help them grow personally and professionally.COGA was...

Director of OperationsAbout the Company:____________________________________________________________________________________________ The Circle of Greatness Academy (COGA) is an online and in-person community created to equip and empower aspiring and new entrepreneurs with resources and connections to help them grow personally and professionally.COGA was...

Job SummaryWe are seeking a highly experienced and skilled National Director to lead our Managed Review operations. As a key member of our team, you will be responsible for developing and implementing our overall managed review sales and operations strategy.Key ResponsibilitiesDevelop and execute sales projections and budgets to drive business...

Description 1898 & Co. is looking for its next leader to manage the project execution teams within the Energy & Utilities Consulting group focused on power generation and system planning. Our Energy & Utilities Consulting team provides a wide range of services to the power industry supporting our clients as they navigate the energy transition from fossil...

Job SummaryWe are seeking a highly experienced and skilled National Director to lead our Managed Review operations. As a key member of our team, you will be responsible for developing and implementing our overall managed review sales and operations strategy.Key ResponsibilitiesStrategic Planning: Set up sales projections and budgets to drive business...

An award-winning academic medical center in the Metro-Atlanta, Georgia, area seeks to add a Med-Surg RN Unit Director to its expanding team!We seek a dynamic and experienced Nurse Director Medical Surgical Telemetry to lead a 60+ bed unit at a prestigious hospital in the Metro-Atlanta area! Reporting to the Senior Director of Inpatient Nursing, the...

Position Summary:The Operations Director, Resource Management is responsible for leading strong resource management across Trade School's clients and projects. They will serve our people and support excellent work by assigning the right teams to the right projects, and will drive our business through high utilization. They will be a connective tissue across...

Medical Director Services PC is looking to hire a Wound Care Nurse Practitioner (NP) / Physician Assistant (PA) to service multiple skilled nursing facilities in the Atlanta, GA. Competitive salary offered commensurate with experience! Excellent opportunity for growth! Duties: Responsible for all open wounds in the facility- including cleaning and...

Job Description:The Clinical Review Specialist role at Sonder Health Plans is to ensure that healthcare services are administered with quality, cost efficiency, and within compliance.By continuously reviewing and auditing member treatment records, the Clinical Review Specialist will ensure members do not receive unnecessary procedures, ineffective treatment,...