Care Management and Utilization Leader

Join Our TeamAnkura Consulting Group, LLC is seeking a highly skilled Physician Medical Director - Utilization Management to join our team. As a critical member of our healthcare operations group, you will be responsible for leading utilization management efforts and providing expertise in medical necessity and clinical documentation.This role is an...

Company Overview">Heartland Human Care Services is a leading provider of education and career pathways for individuals seeking to improve their lives. Our organization is dedicated to making a meaningful impact in the community, and we are seeking an experienced Project Manager Leader to join our team.">Job Summary">We are seeking a highly skilled Project...

Company Overview:Nexxen is a global leader in the advertising industry, empowering advertisers, agencies, publishers, and broadcasters to utilize data and advanced TV in meaningful ways. Our unified technology stack comprises a demand-side platform (DSP) and supply-side platform (SSP), with the Nexxen Data Platform at its core.We foster a culture of...

About Elevance Health: We are a healthcare company dedicated to improving lives and communities through innovative solutions and compassionate care. Our mission is to make healthcare simpler and more accessible to our members and the communities we serve.">Job Summary: We are seeking a skilled Clinical Reviewer I-5 to join our team and conduct...

About UsCarolina Therapeutic Services is a community mental health services center that specializes in a holistic approach to health and wellness for children, parents, and adults facing various mental challenges.Our MissionWe strive to provide high-quality, person-centered services that empower individuals to navigate life within their communities at their...

Streamlining Healthcare OperationsAs an ED Utilization Review/Case Manager at Insight Hospital and Medical Center, you will play a crucial role in optimizing patient flow and resource utilization.This position requires a deep understanding of healthcare operations and the ability to communicate effectively with various stakeholders, including healthcare...

About the RoleThe Utilization Management Coordinator will play a critical role in ensuring the effective implementation of Utilization Management (UM) plans for Medical Groups/IPAs in the HMO networks. This position requires strong analytical and communication skills, as well as a deep understanding of managed care principles and UM/QR processes.Key...

Utilization Management SpecialistAbout the Role:This position involves working closely with medical groups and IPAs to ensure compliance with utilization management and quality review functions. The ideal candidate will have strong analytical and communication skills, as well as experience in utilization review, quality assurance, or statistical research.

Job DescriptionThe Clinical Nurse Leader serves as a micro-system outcomes manager for a specified group of patients. This role involves collaborating with other healthcare disciplines, research, and administration teams to manage clinical, functional, cost, and satisfaction outcomes.Duties and ResponsibilitiesCollects physiological, psychosocial, and...

About the RoleThis is a full-time opportunity based in our Wicker Park office in Chicago, IL. As a Primary Care Physician Leader, you'll be responsible for managing a patient panel with diverse needs, conducting a mix of acute, chronic, and well visits, and utilizing your clinical training to perform procedures.You'll work closely with our in-office team,...

Job ResponsibilitiesLeadership: Plans, directs, and coordinates operations to support organizational growth; demonstrates leadership, mentoring, and guidance; establishes vision and strategy for the department; promotes innovation and fosters a child- and family-friendly environment.Utilization Management: Works with admitting and case management staff to...

Job SummaryWe are seeking a Senior Development Engineer to join our team and contribute to the development of new renewable energy projects. The ideal candidate will have expertise in utility scale project development, including experience with grid connected applications and system level requirements.ResponsibilitiesWork cross-functionally to design and...

Company OverviewBecome a part of Brookdale, an organization that prioritizes diversity and inclusion. Our commitment to creating a workplace where everyone can thrive has earned us recognition as one of America's Greatest Workplaces for Diversity.Salary Range: $64,740.00 - $80,930.00 per yearAbout the Role:We are seeking a highly skilled Care Manager Leader...

Petco is a health and wellness company dedicated to improving the lives of pets, pet parents, and our partners. We are 29,000 strong and operate 1,500+ pet care centers in the U.S., Mexico, and Puerto Rico.We believe what's good for pets, people, and our planet is good for Petco.Our core values capture that spirit as we work to improve lives by doing what's...

Unlocking Innovative Cancer Care SolutionsAt Thyme Care, we are on a mission to revolutionize the cancer care experience by empowering individuals and their loved ones with personalized support and access to high-quality care. As a key member of our team, you will play a pivotal role in shaping the future of healthcare by driving innovation in clinical...

Odle Management Job OpportunityWe are seeking a dedicated and skilled High School Teacher to join our team at Odle Management.Salary: $67,500 - $70,000 per year, depending on experience.About the RoleThis is a salaried, exempt position that involves teaching in a regular classroom setting. The successful candidate will be responsible for presenting...

About the RoleWe are looking for a Nurse Practitioner to join our team as a Utilization Management Expert. As a key member of our healthcare team, you will be responsible for developing and implementing strategies to optimize healthcare resource utilization.Key ResponsibilitiesAnalyze data and metrics to identify areas for improvement and develop targeted...

**Quality Assurance and Risk Management Leader:**COMMUNITY HEALTH PARTNERSHIP OF ILLINOIS is committed to providing exceptional care to our patients. We are seeking an experienced professional to lead our quality assurance and risk management efforts, ensuring we meet regulatory requirements and accreditation standards.Key Accountabilities:Develop and...

Transform Your Career with Aramco Services CompanyWe are a leader in the global energy sector, with a strong commitment to responsible operations and sustainable practices. Our legacy of excellence spans nearly nine decades, with a proven track record of managing vast hydrocarbon resources and delivering significant socioeconomic benefits worldwide.Join our...

We are seeking an experienced Clinical Pharmacy Specialist to join our team at Insight Hospital and Medical Center. As a key member of our interdisciplinary team, you will play a vital role in ensuring the highest level of patient care and satisfaction.Responsibilities:Provide quality pharmaceutical care defined as being responsible for assuring the...