- Merck & Co. (Austin, TX)
- …you ready to swing into action like Miles Morales? As the IT Program Manager for Patient Access and Affordability, you will be the glue that holds together ... roadmaps.Lead all aspects of projects/programs, including requirements gathering, business case creation, and implementation.Manage complex dependencies, planning for integration… more
- VNS Health (Manhattan, NY)
- …Degree or equivalent work experience in management for a health plan or utilization / case management Required Master's Degree in Nursing or Health Care ... management or related field, including three years of progressive experience in case or utilization Management Required Effective oral/written communication and… more
- Sharp HealthCare (San Diego, CA)
- …8/40 - 8 Hour Shift **Additional Shift Information:** *Flex start time / Remote work is not available **Weekend Requirements:** No Weekends **On-Call Required:** No ... health care practitioners involved in Admission & Triage, Discharge planning, and case management of chemical dependency patients. + AHA Basic Life Support for… more
- VNS Health (Manhattan, NY)
- …Professional Nurse or an Occupational Therapist in New York State required Certified Case Manager preferred For SelectHealth ETE Only: Nurse Practitioner (NP) ... cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical determinations in… more
- Actalent (Santa Barbara, CA)
- …Experience + Utilization Management WHAT'S IN IT FOR YOU: + Remote opportunity + Gain experience with a leading healthcare organization Description: The Health ... These units include, but are not limited to, the Utilization Management, Case Management, Enhanced Care Management,...Population Health programs. This position reports to the Program's Manager or their designee of the assigned unit. Depending… more
- Providence (Mission Hills, CA)
- **Description** The Manager of Utilization Management provides a...remote UR team + Previous experience as a case manager in an acute care setting ... hospital utilization management program in the Southern California Region. The Manager assists the Regional Director of Utilization Management, Appeals &… more
- Actalent (Alvarado, TX)
- …experience working with individuals with chronic illnesses, comorbidities, and/or disabilities as a case manager . + 1+ year experience working in a community ... RN Case Managers Needed Near El Paso! (fully- remote...comorbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefit. + Assess, plan, and implement… more
- AmeriHealth Caritas (Dublin, OH)
- ** Utilization Management Plan Oversight Manager (Ohio Resident)** Location: Dublin, OH Primary Job Function: Medical Management ID**: 37872 **Job Brief** ... Degree. + Current and unrestricted RN license in OH. + 3+ years of utilization / case management experience in relevant scope preferred, one year required. + 3+… more
- McLaren Health Care (Flint, MI)
- We are looking for a Case Manager RN to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren Health Care ... state providing services. + Two(2)yearsclinicalnursingexperience. + One (1) year previous case management or utilization review experience. _Preferred:_ + BSN.… more
- Elevance Health (FL)
- **JR133557 Manager II Behavioral Health Services ( Utilization Management for Behavior Analysis Services)** Responsible for Behavioral Health Utilization ... department. Develops and manages annual operating budget. **Location:** This position will work remote and must live in Florida. **How will you make an impact:** +… more
