- Novo Nordisk Inc. (Plainsboro, NJ)
- …- Supplies, is responsible for US and CA supply operations including country oversight of Planning, Purchasing, Logistics and Customer Service with the function to ... to decrease costs and create efficiencies. Manage end to end supply, order management , placement and delivery to US and CA warehouses operations for US and… more
- Merck & Co. (Durham, NC)
- …with other supervisors;Decisions are guided by policies, procedures and business plan ; receives guidance and oversight from Operations Associate Director ... finances, labor, employee, environment and safetyTactical and strategic Shift(s) management , including collaboration with indirect staff;Promote the behaviors and… more
- Legend Biotech USA, Inc. (Raritan, NJ)
- …advantage in the market place. Key Responsibilities Additional responsibilities include; Management oversight and/or contribute to strategic capacity plans and ... for facility infrastructure and determines optimal approaches for which to maximize utilization and capacity to meet global demand and commercial forecasts Drives… more
- LL Bean (Yarmouth, ME)
- …knowledge of fluid power, pneumatic, electrical, mechanical power transmission, distribution, utilization , and control of electrical energy up to 480 volts AC. ... Serve as automation, fluid power and mechanical safety oversight resource across the company to leaders, engineering, project managers, risk management , etc. for… more
- LL Bean (Brunswick, ME)
- …advanced knowledge of fluid power, electrical, mechanical power transmission, distribution, utilization , and control of electrical energy up to 480 volts AC. ... Serve as automation, fluid power and mechanical safety oversight resource across the company to leaders, engineering, project managers, risk management , etc. for… more
- AmeriHealth Caritas (Newark, DE)
- ** Utilization Management Plan Oversight Manager, Registered Nurse (must reside in DE)** Location: Newark, DE Primary Job Function: Medical Management ... and serves as SME for clinical components DE Medicaid Utilization Management Program. Works in close collaboration... program. + Act as a primary liaison with plan providers including but not limited to physicians, hospital… more
- LA Care Health Plan (Los Angeles, CA)
- …experience in a patient care setting and/or combination in utilization management , appeals and grievances, delegation oversight , and/or CNA experience. At ... Utilization Management Nurse Specialist LVN II... Utilization Management Nurse Specialist LVN II Job Category: Clinical...- $107,498.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role BHPS provides Utilization Management services to its clients. The Utilization Management Nurse - Prior Authorization performs medical ... administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs daily medical necessity reviews. ... administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative… more
- Colorado State University (Fort Collins, CO)
- …Implementation Division of the Colorado State Forest Service provides administration and oversight of forest management programs that directly contribute to the ... the oversight and administration of programs under the Wood Utilization and Marketing Program including developing and maintaining education and outreach program… more
- LA Care Health Plan (Los Angeles, CA)
- …acts as a liaison between the Plan Partners, PPGs and Vendors regarding Utilization Management (UM) issues; assists in improving access and utilization ... is responsible for ensuring that delegates contracted to perform Utilization Management (UM) functions on behalf of... Department. It is responsible, as part of the oversight team, for ensuring compliance of the Plan… more
- LA Care Health Plan (Los Angeles, CA)
- … oversight and adequate performance of delegated activities. Collaborates with Utilization Management (UM), Provider Network Operations and Quality Dept.'s ... Plan Partners, and specialty health plans. The Delegation Oversight Clinical Audit Program activities include auditing delegated activities...or health care with a focus in areas of Utilization Management claims. At least 3-5 years… more
- Universal Health Services (Streamwood, IL)
- …of Utilization Management Full-Time The Director of Utilization Management is responsible for the oversight of the utilization management ... or mental health setting and at least three years' experience in utilization management is REQUIRED. Skills in consumer assessment, motivating families… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Corporate Director of Clinical Utilization Management (UM) provides comprehensive ... oversight of the Utilization Review process for the self-insured Employee Health Plans,...experience in Clinical Utilization Review or Case Management with a large Health Plan +… more
- Ascension Health (Austin, TX)
- …Provide strategic direction and oversight of the day-to-day operations of utilization management function within the insurance plan . + Ensure ... fully insured clients to implement and manage comprehensive outpatient and inpatient utilization management programs. + Oversee implementation and maintenance of… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role BHPS provides Utilization Management services to its clients. The Utilization Review Appeals Nurse performs daily appeal reviews and clinical ... administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative… more
- CVS Health (Richmond, VA)
- …convenient and affordable. Position Summary The manager of Clinical Health Services Utilization Management will develop, implement, support, and promote Health ... quality healthcare to establish competitive business advantage for Aetna. Oversight and management of clinical team processes...years in clinical area of expertise. + 3+ years Utilization Management experience + MS Office Suites… more
- WelbeHealth (Los Angeles, CA)
- … Services team plays a critical role in our participant's journey and our Utilization Management team ensures we can provide timely, quality, compliant, and ... population, functioning as both a care provider and care plan to those individuals we serve. Our Health ...care to our participants. By guiding this team, the Utilization Management RN Supervisor drives the continuous… more
- Universal Health Services (Franklin, MA)
- Responsibilities UTILIZATION REVIEW COORDINATOR Arbour Counseling Services, a subsidiary of Universal Health Services, provides trusted quality and experience ... Services is excited to offer Hybrid Fu ll Time Utilization Review Coordinator opportunities for Licensed Clinicians or Master's...including tracing and managing the process + Maintain UR oversight for the 8 PHP programs + They will… more
- Point32Health (MA)
- …* Overall program management of Care Management (CM) and Utilization Management (UM) Oversight Programs, focusing on both short-term initiatives ... complexity, risk and/or cost that support assigned programs and providers delegated for Utilization Management (UM) and/or Care Management (CM) activities.… more
