Remote Leader, Utilization Management & Transitions of Care
Community Health Plan of Washington
- Remote job
Community Health Plan of Washington is looking for a Manager of Clinical Utilization Management & Transitions of Care. This role leads a team overseeing utilization management and transitions of care to support effective patient care. The ideal candidate will have a valid RN license, a bachelor’s degree, and at least three years of relevant management experience. The position includes remote working options, competitive salary, and comprehensive benefits such as medical and retirement plans. #J-18808-Ljbffr Community Health Plan of Washington
- ...LLC is seeking a Clinical Supervisor - RN - Full-time to oversee Utilization Management activities. This remote position requires strong clinical and leadership skills to manage UM processes, improve care management, and ensure compliance with standards. Candidates should...Remote jobFull time
- Tampa General Hospital is looking for a Care Transitions Registered Nurse to provide... ...skills with communication to help patients manage their conditions effectively. Ideal candidates... ...Enjoy a full-time position with a hybrid remote work model. #J-18808-Ljbffr Tampa...Remote workFull time
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...projects in the Rail & Transit Market. When you... ...Department Leader, and as a senior member... ..., project management support in helping... ...grow and develop, utilizing the e3 process and... ...Jacobs Culture of caring throughout the Market... ...offices/projects and remote locations enabling...Remote workFull time- ...position leads and oversees the team focusing on utilization management inpatient medical necessity reviews and transitions of care (TOC) efforts, including post-discharge... ...effective transitions across care settings. This leader partners closely with the broader Utilization...Remote workFull timeTemporary workPart timeWork experience placementWork at officeTrial periodFlexible hours
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- ...technology company in Raleigh, NC is seeking an experienced Utilities Business Development Manager to shape how utilities modernize and strengthen... ...an excellent opportunity to drive impact in the energy transition and navigate complex decision cycles. #J-18808-Ljbffr Hitachi...Contract work
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...Culture Commercial Modality Leader Are you ready to... ...matter with people that care for each other, our customers... ...part of BP Commercial Management organization and will be fully remote. What you will do:... ...accurate forecasting and CRM utilization Build long-term...Remote workWork from homeFlexible hours$67.68k - $105.77k
...Supervisor Utilization Management The Supervisor Utilization Management is responsible for the direct supervision of the daily operations of... ...Indiana, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in...Remote workLocal area$130k - $147.5k
...the senior clinical leader for psychiatric... ...quality direct patient care while advancing... ..., nursing, case management, and crisis services... ...this position is remote, the selected candidate... ...in peer review, utilization review, and... ...to strengthen care transitions. Maintain timely...Remote workWork at officeRelocationFlexible hoursAfternoon shift- Appworkshub is seeking a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN) to join our remote healthcare team. In this role, you will... ...and outpatient utilization reviews, support transitions of care, and ensure compliance with Medicare...Remote job
$36.8 - $49.8 per hour
...Utilization and Care Management Nurse Work from home within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause... ...teams, case management, and other departments to facilitate transitions of care and resolve issues. Serves as a resource to...Remote workFull timeWork at officeImmediate startWork from homeFlexible hours$106k - $161k
A leading utility services provider is seeking an experienced Utility Practice Leader for Technical Presales to drive transformation initiatives across the North American utility sector. You will advise clients, tailor solutions, and ensure delivery excellence in a client...Remote job- ...country, who actively, genuinely care about our clients, each other... ...Description The Market Leader serves as the senior leader... ...Lead a disciplined sales management process, including pipeline reviews, forecasting, and CRM utilization (e.g., Salesforce) Actively...Remote workLocal areaFlexible hours
$150k - $300k
Tetra Tech is seeking a Power and Utility Sales Leader for a remote/flexible position in the U.S. The role involves leading business development activities to win clients and projects in the power sector, focusing on solution selling and building relationships. Candidates...Remote jobFlexible hours- ...healthcare provider in California is seeking a Supervisor of Utilization Management to oversee operations of the Pre-Authorization team. This... ...a hybrid work environment and focuses on improving patient care and operational efficiency. Join us in making a difference in...Remote job
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...Market Leader - Greater Houston Full-time Department... ...Sales Office Type: Remote Compensation: USD 2... ...actively, genuinely care about our clients,... ...a disciplined sales management process, including pipeline... ...forecasting, and CRM utilization (e.g., Salesforce)...Remote workFull timeWork at officeLocal areaFlexible hours- ...Is it Hybrid, onsite or remote position - Remote Tentative... ...- 12 Years Domain - IS- Utilities Any certification required... ...• Participate in knowledge transition sessions • Exposure to delivering... ...reports for projects to management • Possess excellent written...Remote workContract workWork experience placement
- ...experts that genuinely care about helping people scale... ...digital marketing, PPC management, creative services, and... ...experienced PPC Pod Leader to join our team. In this... ...they are being utilized effectively Developing... ...flexible working hours Remote work year-round 4 weeks...Remote workFull timeImmediate startFlexible hours
- Cambia Health Solutions is seeking a Supervisor Utilization Management in Vancouver, WA. This hybrid position involves leading a team in the clinical... ...services department to ensure cost-effective and quality care. The successful candidate will have a nursing background and...
$75k - $250k
...You Belong Here, Listen. Care. Follow Through., and... ...As an Education Market Leader, you play a critical role... ...vendor Successfully transition opportunities into the... ...alignment skills Experience managing a pipeline and tracking... ...Type: full Location: Remote - Dallas-Fort Worth...Remote workLocal area- Cambia Health Solutions is seeking a Supervisor Utilization Management to lead a team dedicated to improving health care delivery. This hybrid role requires leadership skills and clinical expertise to ensure quality care through effective utilization management programs...
$70k - $87.5k
Vail Health is seeking a Social Work Care Manager to lead the behavioral health track of a new Care Transitions Program for Medicare patients. This role involves conducting post-discharge outreach, assessing social determinants of health, and developing individualized...Remote job- PROFESSIONAL DEVELOPMENT LEADER/ ONCOLOGY BWH Apply remote type: Onsite Location: Boston... ...to supporting patient care, research, teaching, and service... ...Professional Development Manager (PDM), in collaboration... ...Promotes staff and student utilization of the research process....Remote workFull timeWork at officeLocal areaShift work
- ...Resources has a potential need for Registered Nurse Utilization Managers (RNUM) . These will be completely remote positions, working entirely from the Nurse's home.... ...cases, educating patients on appropriate care and managing health care costs for the dependents...Remote workFull timeContract workWork at officeWork from homeMonday to Friday
- ...physician reviews. The candidate will support utilization review and ensure adherence to medical... ...MD or DO, board-certification, and acute-care experience. Strong communication skills and proficiency in utilization management are essential. This role offers a unique opportunity...Remote job
- ...Overview: The Senior Community Care Manager supports members in... .... Work Arrangements: ~ Remote – Associate must reside in the... ...including reconciliation during transitions of care Coordinates care... ...Quality Assurance (NCQA) and Utilization Review Accreditation...Remote workWork at office
- ...value has always been simple: We Care. That commitment extends to... ..... As VP/Vertical Market Leader, you will be responsible for developing... ...to safety by proactively managing respective vertical market... ...office environment, and routinely utilizes standard office equipment,...Remote workWork at officeLocal areaWork from home
$72k - $78k
...Worker Supervisor, Brooklyn Transitions Program Reports to: Program... ...clinical casework and case management services provided by the... ...professionalism, urgency, and care, including incidents involving... ...-based targets, program utilization, and casework contacts. Qualifications...Afternoon shift$298k - $409.8k
...Become a part of our caring community The National Physician Leader relies on medical background and reviews... ...across home health and post-acute utilization management, while also driving strategic... ...-level compensation + bonus Remote flexibility with national scope...Remote workFull timeTemporary workShift work$85.7k - $128.54k
The Supervisor, Utilization Management (UM), reports to the Manager of UM and oversees the UM department, leading a clinical team and ensuring... ...Alignment Health turnaround times. Promote quality patient care outcomes while supporting appropriate resource management. Audit...Remote jobLocal area
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