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The Utilization Management Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS.CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio.
$33.3 - $44.49 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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2 years of experience in Case Management (Care Coordination or Utilization Management) or successful completion of the Transitions in Practice (TIP) program for Care Manager.
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Reporting to the Sr. Director, Utilization Management, the role of the Director, Utilization Management Nurse Management (CalPERS) is critical to the success of Blue Shield of California and the Utilization Management department in realizing its goals and objectives.
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Minimum three years progressive professional experience in health care, including a minimum of two years in a grievance and appeals or related area such as medical or utilization management required.
$93,000 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Experience in utilization review, case management and/or managed care. Minimum of 1-2 years of utilization management experience, case management, managed care regulations; or any combination of education and experience, which would provide an equivalent background required.
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Additionally, PacArctic provides program management of specialized IT services such as employee assistive technologies, photogrammetry utilization for native rock art recording, and geographic information systems (GIS) program management for transportation planning needs.
$32 an hourPart-timeExpandApply NowActive JobUpdated 6+ months ago - UpvoteDownvoteShare Job
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Perform daily utilization management functions at designated Recovery Works/Pinnacle location(s) and take appropriate action when necessary. Minimum of five years’ experience in the mental health and substance abuse field required; experience with all target populations and direct experience performing benefits and/or utilization management in a managed care setting preferred.
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The Pharmacy Tech Medication Adherence Specialist (Pharm Tech) supports CHPA members in meeting Healthcare Effectiveness Data and Information Set (HEDIS) and Medicare Star Ratings medication adherence and utilization measure goals.
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How you make a difference:The Utilization Management Nurse role involves providing clinical care coordination, utilization management, and care management activities on a daily basis, in accordance with relevant nursing standards, state and federal regulations, and under the guidance of the Chief Medical Officer.
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Position Title: Project Development Manager - Architectural Scoping - Educational Facilities Company: DACM Project Management, Inc. Program: Los Angeles Unified School District – Facilities - Asset Management Start Date: Approximately October 2024 Location: Los Angeles (Downtown) DACM Project Management, Inc. DACM Project Management, Inc. is a full service program, project, and construction management firm established in 1987.
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Experience required with Windows, MS Word, MS Excel Conservation desktop, Hel Determination tool and HEL/WC tracking tool, PowerPoint Duties: Enrollee will provide mentoring support to NRCS Field Offices and staff in the onboarding, office space utilization, and functions of partner and affiliate employees, and complete management and strategy functions to increase delivery of technical assistance at the field level.
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Oversee the collection, analysis, and reporting of Care Coordination, BHT, ABA and CDE Referral, Case Management and Utilization Management based on MCG clinical guidelines, state, and federal standards Recommend process and performance improvement for the BHT, ABA and CDE services.
$182,595.42 a yearFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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The Director of IT & Security Risk Management is responsible for developing and implementing the first line of defense for an end-to-end IT risk management program in alignment with Flagstar’s Enterprise Risk Management program driving the identification, assessment, and prioritization of existing and emerging IT risks across the organization.
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The Program Director or Program Manager is responsible for the management and the strategic growth of the Wound Care Program for the assigned area of responsibility. Manages costs through appropriate utilization and management of labor and supply.
$109,250 a yearFull-timeExpandApply NowActive JobUpdated 15 days ago - UpvoteDownvoteShare Job
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Demonstrated strategic planning, population utilization management and the ability to integrate multiple aspects of medical center operations. Provide integrated and coordinated case management services for the high risk and high utilizer populations in both inpatient and outpatient psychiatry and addiction medicine settings.
$45 an hourPart-timeExpandApply NowActive JobUpdated Today
program management utilization jobs Company: Teksystems in Phoenix, Oregon
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