Utilization Manager

Job Summary:As a Utilities Unit Manager at DSJ Global, you will be responsible for leading a team of professionals and associates to achieve key performance indicators in plant utilities. Your primary focus will be on overseeing the daily operations of steam generation, power, air, and water systems, ensuring efficiency and reliability. You will develop and...

Job Title: Clinical Utilization ManagerJob Summary: Integrated Resources seeks a skilled Clinical Utilization Manager to ensure compliance of the Utilization Management (UM) and Quality Review (QR) functions performed by the Medical Groups/IPAs participating in the networks of Client's HMOs.Key Responsibilities: Evaluates the need for, designs, and...

Job SummaryWe are seeking a highly skilled Utilities Operations Manager to lead our plant utilities team. The successful candidate will be responsible for overseeing the daily operations of steam generation, power, air, and water systems, ensuring efficiency and reliability.Key ResponsibilitiesLead a team of professionals and associates to achieve key...

Job Title: Utilization ManagerJob Summary:The Utilization Manager will play a critical role in ensuring the continuity of care and quality of service to consumers. This position will serve as a liaison between the Utilization Department and various stakeholders, including Lead Therapists, Therapists, Case Managers, and Service Coordinators.Key...

Job Summary:This position is responsible for ensuring compliance of the Utilization Management (UM) and Quality Review (QR) functions performed by the Medical Groups/IPAs participating in the networks. The ideal candidate will have a strong clinical background, excellent analytical and communication skills, and the ability to work effectively in a team...

Job Description:This position plays a vital role in ensuring compliance of Utilization Management and Quality Review functions within w3r Consulting's HMO networks. The successful candidate will be responsible for evaluating educational needs, assisting in benefit determinations, and providing support on transplant requests and benefit terminations.Key...

Job SummaryThis position is responsible for ensuring compliance of the Utilization Management (UM) and Quality Review (QR) functions performed by the Medical Groups/IPAs participating in the networks of BCBSIL?s HMOs. The ideal candidate will have a strong clinical background and experience in utilization review, quality assurance, or statistical...

Job SummaryWe are seeking a highly skilled Clinical Utilization Management Specialist to join our team at Mindlance. In this role, you will be responsible for ensuring compliance with Utilization Management (UM) and Quality Review (QR) functions performed by Medical Groups/IPAs participating in our networks.As a Clinical Utilization Management Specialist,...

Business Development Manager OpportunityWe are seeking a highly motivated and experienced Business Development Manager to join our team at The Planet Group. As a Business Development Manager, you will be responsible for developing, penetrating, and growing our strategic consulting services within the Utility, Energy, Infrastructure, and Industrial...

About the Role:We are seeking a highly experienced Senior Manager to join our Utility Industry team. As a Senior Manager, you will be responsible for leading our clients in the utility industry to reimagine, transform, and grow their business and create new value propositions, revenue streams, commercial models, and ecosystems.Key Responsibilities:Understand...

About the RoleArdmore Roderick is a leading provider of infrastructure solutions, specializing in utilities, transportation, aviation, rail, and transit projects. We are headquartered in Chicago, with offices in Champaign, IL, Orlando, FL, and Philadelphia, PA.As a Senior Project Manager, you will be responsible for managing the quality and schedule...

Job DescriptionJob Title: Clinical Utilization SpecialistLocation: OnsitePay rate: $41.00/hrDuration: Contract PositionBASIC FUNCTION:This position is responsible for ensuring compliance of the Utilization Management (UM) and Quality Review (QR) functions performed by the Medical Groups/IPAs participating in the networks of BCBSIL's HMOs. Evaluates the need...

Job SummaryThis position is responsible for ensuring compliance of the Utilization Management (UM) and Quality Review (QR) functions performed by the Medical Groups/IPAs participating in the networks of Integrated Resources HMOs. The ideal candidate will have a strong clinical background and experience in utilization review, quality assurance, or statistical...

About Our ClientOur client is an independent power producer with expertise and financial resources to develop, own, manage, and trade products from their portfolio of renewable and energy storage assets.Job DescriptionThe Project Development Manager (Utility-Scale) will be responsible for driving project development and value creation, executing the project...

Job SummaryWe are seeking a highly motivated and reliable Utility Worker to join our team at North American Concessions in Chicago, IL. As a key member of our team, you will be responsible for ensuring the smooth operation of our concession stands and food service areas.Key ResponsibilitiesTransport products from loading docks to venues, labeling and storing...

Job SummaryWe are seeking a highly skilled Nurse Liaison I UM to join our team at w3r Consulting. This role is responsible for ensuring compliance with Utilization Management (UM) and Quality Review (QR) functions performed by Medical Groups/IPAs participating in our networks.Key ResponsibilitiesReviews and evaluates UM/QR plans for prospective and existing...

Job SummaryWe are seeking a highly organized and detail-oriented Utilization Review Coordinator to join our team at Insight Global. As a key member of our Department of Care Coordination, you will play a critical role in supporting the Utilization Review (UR) team to enhance efficiency, timely responsiveness to payor requests, and denial prevention.The...

About VEIRVEIR is a pioneering company developing innovative High Temperature Superconductor (HTS)-based transmission lines, enabling efficient and reliable power transfer over long distances.The RoleWe are seeking a seasoned Business Development Director to drive our customer engagement efforts and create new revenue-generating projects in the utility...

Job SummaryR1 RCM is seeking a skilled Clinical Utilization Review Author to join our team. As a key member of our Physician Advisory team, you will play a critical role in providing first-level initial admission and continued stay case reviews for our hospital clients.Key ResponsibilitiesDetermine the appropriate cases for review, utilizing client-specific...

Job Title: Drug Utilization Review SpecialistAt destinationone Consulting, we are seeking a highly skilled Drug Utilization Review Specialist to join our team. This role is responsible for evaluating medication use patterns to promote safe and effective medication therapy, ensuring optimal patient outcomes.Key Responsibilities:Conduct comprehensive drug...