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
Work ScheduleStandard (Mon-Fri) Environmental ConditionsOffice Job Description As part of the Thermo Fisher Scientific team, you’ll discover meaningful work that makes a positive impact on a global scale. Join our colleagues in bringing our Mission to
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
PermitFlow is redefining how America builds. We’re an applied AI company serving the nation’s builders, tackling one of the largest information challenges in the economy: understanding what can be built, where, and how. Our AI agent
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 –
Who Are We? nesto is Canada’s leading provider of mortgage technology and financing solutions, managing $73B+ CAD in residential and commercial mortgages, with 1,000+ team members across 12 offices nationwide. You will be working on Nesto
Who Are We? nesto is Canada’s leading provider of mortgage technology and financing solutions, managing $73B+ CAD in residential and commercial mortgages, with 1,000+ team members across 12 offices nationwide. You will be working on Nesto
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,
Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices,
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