Manager Utilization Management

Responsibilities Performs technical tax review and approval of all tax returns and governmental tax examinations of any complexity. Serves as a subject matter expert in discipline or industry. Assumes full responsibility for larger tax returns and delegates to the various tax preparers as deemed necessary. Assumes client service responsibility for clients...

Responsibilities Performs technical tax review and approval of all tax returns and governmental tax examinations of any complexity. Serves as a subject matter expert in discipline or industry. Assumes full responsibility for larger tax returns and delegates to the various tax preparers as deemed necessary. Assumes client service responsibility for clients...

Responsibilities Performs technical tax review and approval of all tax returns and governmental tax examinations of any complexity. Serves as a subject matter expert in discipline or industry. Assumes full responsibility for larger tax returns and delegates to the various tax preparers as deemed necessary. Assumes client service responsibility for clients...

The Company The Client is a major structures commercial contractor that does both Design-Build General Contracting and a Structural Concrete.They are a union company, employing 800 tradesmen and 40 office staff.Our exemplar projects are the New Tom Bradly International Terminal, Wilshire-Curson 32 story high-rise residential tower, The Source 2,700 car...

The Company The Client is a major structures commercial contractor that does both Design-Build General Contracting and a Structural Concrete.  They are a union company, employing 800 tradesmen and 40 office staff.  Our exemplar projects are the New Tom Bradly International Terminal, Wilshire-Curson 32 story high-rise residential tower, The Source 2,700...

Montare Behavioral Health is currently looking for a Case Manager for the Mental Health Program! This position is located in the San Fernando Valley. The Case Manager is responsible for providing direct service to clients, conducting process and psycho-educational groups and for facilitating the smooth day-to-day operation of the program. The Case Manager...

**Summary**: Under the direction of the Supervisor, Clinical Operations (COPS), the Specialist, COPS primary responsibility is to support a strategic approach to the development of actionable recommendations that improve the quality, access, and sustainability of MedPOINT’s clients’ network. **Duties and Responsibilities**: - Member of MPM’s COPS...

**Summary**: Under the general direction of the VP of Medical Affairs, the UM Secretary is responsible for scheduling, preparing, and interfacing interdepartmental to coordinate meetings. The UM Secretary must have the ability to deliver quality results with tight deadlines and maintain accurate records and documentation. **Duties and Responsibilities**: -...

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 including a fresh perspective on workplace flexibility. Hours: Monday-Friday 8am-5pm PST; occasional 9am-6pm & 10am-7pm shifts.This is a...

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 including a fresh perspective on workplace flexibility. Monday-Friday - Primarily 8am-5pm PST but will be required to work 9am-6pm &...

Medical Management Specialist II Location : This position will work in a remote model. The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. *Hours: Monday - Friday 8:00 AM - 5:00 PM PST with occasional weekends and/or holidays as needed The Medical Management Specialist II is responsible for providing non-clinical...

Responsibilities Performs technical tax review and approval of all tax returns and governmental tax examinations of any complexity. Serves as a subject matter expert in discipline or industry. Assumes full responsibility for larger tax returns and delegates to the various tax preparers as deemed necessary. Assumes client service responsibility for...

The Company The Client is a major structures commercial contractor that does both Design-Build General Contracting and a Structural Concrete.  They are a union company, employing 800 tradesmen and 40 office staff.  Our exemplar projects are the New Tom Bradly International Terminal, Wilshire-Curson 32 story high-rise residential tower, The Source 2,700...

Your Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager  will report to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures...

The Client is a major structures commercial contractor that does both Design-Build General Contracting and a Structural Concrete.  They are a union company, employing 800 tradesmen and 40 office staff.  Our exemplar projects are the New Tom Bradly International Terminal, Wilshire-Curson 32 story high-rise residential tower, The Source 2,700 car parking...

**Summary**: This position works collaboratively with other members of the Clinical Care Coordination team to ensure that authorization requests, provider and member inquiries are handled appropriately, within established timeframes and utilizing established guidelines. **Duties and Responsibilities**: - Process incoming and outgoing faxes. - Place...

**The Liberty Company** is searching for an experienced **Personal Lines Account Manager** with** High Net Worth** experience to join our team. This is a fully remote role but will have to work PST zone. The Liberty Company has grown exceptionally over the last few years and are seeking exceptional talent to join our every growing team. **Position...

Description: Job Summary:Responsible for the oversight and management of skilled patients and temporary skilled patients in rehabilitation in contracted Skilled Nursing facilities; this includes checking benefits, managing up to discharge and issuing denial letters. With primary care, specialist physicians and healthcare team, coordinates the implementation...

Job DescriptionJob DescriptionPOSITION SCOPE• This candidate will be responsible to provide day to day assistance to the steam plant operations, to help provide a safe and productive operation. • Areas of responsibility include Boilers, Steam Turbine Generation, Lime Kiln, and Water Treatment.• The Utilities Shift Supervisor will have a newly upgraded...

**Company Name: Fassberg.** **Job Title**: Project Manager - Commercial Construction **Job Type**: Full-Time (8:30 am - 5:30 pm) **Salary: $120,000 - $180,000 per year** **Job Summary**: As a Project Manager at Fassberg, you will oversee all phases of construction projects to ensure timely and cost-effective completion. Our Project Managers enjoy working...