The Manager of Utilization Management provides daily oversight for Case Management teams (which includes RN’s, Social Workers, and Coordinators). The Manager of Utilization Management is responsible for ensuring high quality, cost-effective, and appropriate allocation of member services, treatments, and resources.
Company :Highmark Inc. Job Description : JOB SUMMARY This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral to a
Job Title Plays a critical role in ensuring that patients receive high-quality care while efficiently utilizing medical resources. Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in
Job Title Plays a critical role in ensuring that patients receive high-quality care while efficiently utilizing medical resources. Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in
Osteal Therapeutics is a Dallas-based, privately held biotechnology company redefining the standard of care for life-altering orthopedic infections. Osteal is hiring to launch NEXCHANGE KIT, a first-of-its-kind FDA Breakthrough Therapy for periprosthetic joint infection (PJI), a
Covetrus is a global animal-health technology and services leader dedicated to empowering veterinary practice partners to drive improved health and financial outcomes. We bring together products, services, and technology into a single platform that connects our
Make banking a Fifth Third better® We connect great people to great opportunities. Are you ready to take the next step? Discover a career in banking at Fifth Third Bank. GENERAL FUNCTION: Manager role performs a wide
Make banking a Fifth Third better® We connect great people to great opportunities. Are you ready to take the next step? Discover a career in banking at Fifth Third Bank. GENERAL FUNCTION: Manager role performs a wide
Qarad’s IVD CRO is a clinical research organization (CRO) specializing in In Vitro Diagnostics (IVD), providing full-service solutions to support diagnostic development from concept to commercialization. With a growing portfolio of projects, we are dedicated to
Job TitleSales, Account Manager, Fetal and Maternal Monitoring (AR, KS, OK, North TX) Job Description Account Manager- Fetal & Maternal Monitoring (AR, KS, OK, North TX) Manages and grows Fetal and Maternal Monitoring business within an assigned territory
About The Channel Company The Channel Company is the global leader in data-driven growth acceleration solutions and services for the IT channel. With 40+ years of channel expertise and a premier portfolio of editorial brands, marketing
About OpenSesame OpenSesame is the trusted partner for Workforce Reinvention in the age of AI. OpenSesame delivers integrated software, curated and customizable content, and expert services – embedded into existing learning, HR, and work systems –
Job Description Amazing Career Moments Happen Here Transforming the insurance industry is ambitious, we know. That’s why at Applied, we’re building a team that shows up every day ready to learn, willing to try new things,
Job Description SummaryWith the growth of the Grid Solutions Integration - North America Region business portfolio and increased work scope and complexity of our customer projects, the Project Engineering Manager leads the multi-discipline technical project team and
COMPANY SUMMARY Vessco Water is a value-added distributor of equipment and services for process, flow control, pumps and automation/controls related to municipal water/wastewater and industrial customers. We offer a comprehensive product portfolio, value-added design/engineering and aftermarket
Company Description At Intelerad, we believe the path to answers in healthcare should be clear-whether you are waiting for a diagnosis or trying to expedite one. Our medical imaging solutions streamline the flow of information, simplifying
Blackpoint Cyber is the leading provider of world-class cybersecurity threat hunting, detection and remediation technology. Founded by former National Security Agency (NSA) cyber operations experts who applied their learnings to bring national security-grade technology solutions to
Reddit is a community of communities. It’s built on shared interests, passion, and trust, and is home to the most open and authentic conversations on the internet. Every day, Reddit users submit, vote, and comment on
Canada External Job Ad Amazing Career Moments Happen Here Transforming the insurance industry is ambitious, we know. That’s why at Applied, we’re building a team that shows up every day ready to learn, willing to try
1Password is growing. We’ve surpassed $400M in ARR and we’re continuing to accelerate, earning a spot on the Forbes Cloud 100 for four years in a row and teaming up with iconic partners like Oracle Red