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- Overview Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources, and the quality of patient care rendered... ...Nursing required OR four (4) years Case Management/ Appeal/Utilization Management experience in lieu...SuggestedRemote jobFull timeShift work
$60.42k - $117.81k
...as it pertains to contracting, network management and credentialing. **Job Duties** This role... ...from initial draft to full execution utilizing approved standardized contract templates... ...standards and regulatory requirements and review revised language with leadership based...SuggestedOngoing contractContract workWork experience placementLive inWork at officeLocal areaRemote workWork from home- ...excellence in our service to our vegetation management clients. We’re transparent and... ...clients and within our team. We are seeking a Utility Call Center Supervisor to oversee a call... ...training, escalation point, performance reviews, timecard review and approval. Handle inquiries...SuggestedFull timeRemote work
$77.97k - $106.21k
...DESCRIPTION Job SummaryLeads and supervises a team supporting non-clinical healthcare services activities for care management, care review, utilization management, transitions of care, behavioral health, long-term services and supports (LTSS), and/or other program specific...SuggestedWork experience placementWork at office- ...Initial authorizations of outpatient physical therapy services: Reviews and authorizes services that meet criteria, along with... ...ensure services continue to meet defined plan guidelines. Care Management : Reviews all cases meeting criteria to determine if the member...SuggestedPart timeLocal area
$80.41k - $188.16k
...process improvement, organizational change management, project management and other processes... ...principles. + Conduct regular project reviews and retrospectives to identify lessons... ...Insurance Operations; particularly Utilization Management, Care Management, and Clinical...SuggestedWork experience placementNight shift$93.25k - $125k
...Lincoln Electric Company, is seeking a highly skilled Project Manager for our Shelby Township, MI location. Fori Automation specializes... ...phases of custom automation projects. This includes contract reviews, design and engineering reviews, procurement, manufacturing, internal...SuggestedFull timeContract workLocal areaLincoln Electric
Shelby Township, MI2 days ago$17k
...development. Position Summary The Project Manager oversees and manages the Insurance... ...Solutions (PNS). Work independently to draft, review, and revise “Final Strategies,” “Mapping,... ...goals. Project Coordination & Documentation Utilize PNS’s proforma spreadsheet to identify...SuggestedContract workPrivate practice- ...guest service, maintenance, inventory management, recruitment, training and development... ...orientation process for all new employees utilizing the onboarding folder. Oversee the... ...Crisis Manual. Controls profit and loss by reviewing financial reports and taking appropriate...SuggestedLocal areaShift work
- ...the use of all equipment, resources, PPE, managing the safety and production training of... ...company quality standards by monitoring, reviewing, and dispositioning of daily scrap. Maintaining... ...areas and monitor equipment by utilizing the 5S philosophy. · Demonstrate the ability...SuggestedTemporary workWork at officeShift workDay shift
- ...skilled, and motivated Project Development Manager to join our Energy Group. The ideal... ...supporting Roncelli’s continued growth in the utility-scale renewable construction sector. Why... ...EPC proposals. Conduct preliminary site reviews, feasibility assessments, and permitting...SuggestedFull timeFor subcontractorWork at officeLocal areaFlexible hours
- ...with conducting regular team meetings to review progress and identify potential... ...and standard processes. Supervising and managing controls and robotics integration. Managing... ...CARE/ICT systems and auxiliary equipment utilized for the program. Verify each new CLIENT...SuggestedFor contractorsFor subcontractor
$125k - $160k
Senior Project Manager - Construction Roncelli, Inc. is currently seeking a full time construction... ...and publish monthly or as needed. Review subcontractor schedules and recovery... ...managing renewable energy projects, including utility‑scale solar or energy infrastructure....SuggestedFull timeContract workFor subcontractorWork at officeLocal areaFlexible hours- ...particular Business Unit. This includes managing labor, productivity, maintenance, and engineering... ...in problem-solving activities utilizing 8D methodologies. # Provide an environment... .... # Study production schedules, review performance, and customer releases to determine...SuggestedLocal areaShift workAfternoon shift
- ...) - 40 hrs/week (Saturday‑Wednesday) Position Summary The Utilization Management Case Manager is responsible for organizing and conducting the... ...by conducting timely admission and continued stay record reviews with external payers, utilizing approved criteria to determine...SuggestedLocal area
- ...Havenwyck Hospital at (***) ***-****. POSITION SUMMARY: The Utilization Management Case Manager has a responsibility for organizing and... ...to ): conducting timely admission and continues stay record reviews with external payers, utilizing approved criteria to make...Local area
$77.97k - $155.51k
**JOB DESCRIPTION** **Job Summary** Manages people who are responsible for internal business projects and programs involving department... ...(executive steering, town halls, implementation readiness reviews); prior people leadership or mentoring of PMs/analysts is a plus...Work experience placement- ...Center Inside Sales Administrator and Office Manager YCM Technology (YCMT) (USA), a... ...IT · Process invoices from suppliers, utilities · Plan Michigan Tech Center and other... ...miscellaneous, etc. · Participate in weekly order review meetings Other · Create proposals...Work at officeLocal area
- ...your own work schedule while continuing to utilize your insurance expertise in a remote,... ...broker clients in Personal Lines for Account Manager positions. Responsibilities may include:... ...renewal risks. Responsible for contract review and issuance of Certificates of Insurance...Remote jobFull timeContract workPart timeWork experience placementWork at officeWork from home
$77.97k - $171.06k
...vendors. Focuses on process improvement, organizational change management, program management and other processes relative to business... ...least 3 or more years in one or more of the following areas: utilization management, care management, care transitions, behavioral...Contract workWork experience placementWork at office$130.4k - $217.4k
...financial incentives. Leadership /Mentorship Manage team consisting of data governance and data... ...Management, and Health / Wellness programs (e.g., utilization management, case management, demand management, medical review, care plans, health care coaching, incentives,...Work experience placementLocal areaRemote workWork from homeFlexible hours$19 per hour
...with administrative and non-clinical tasks related to processing Utilization Management prior authorization sand appeals. JOB RESPONSIBILITIES Monitor incoming faxes Enter UM authorizations review requests in UM platform using ICD-10 and HCPCS codes Verify...Full timeTemporary workLocal areaRemote work- ...States (military or veteran status), or any other consideration protected by federal, state, or local law. California residents: Review our applicant privacy notice HERE. Sweetgreen participates in the federal government's E-Verify program to determine employment...Full timePart timeLocal areaShift work
sweetgreen
Utica, MI3 days ago $65k - $70k
Regional Account Manager role at Continental Join to apply for the Regional Account Manager role at Continental We are looking for a... ...onboarding and performance rhythm including consistent business reviews. Monitor and improve client engagement through surveys,...Full timeContract workPart timeWork at officeFlexible hours$77.97k - $155.51k
...Summary** The Risk & Quality Performance Manager position will support Molina's Risk &... ...stakeholders and leadership. - Create, review, and approve program documentation, including... ...- 2+ years of data analysis experience utilizing technical skillsets and resources to...Work experience placementWork at office- Group Manager - Middle Market (Detroit, MI) page is loaded## Group Manager - Middle Market (Detroit, MI)locations: Sterling Heights/43... ...development, and handling of salary administration, performance reviews, and employee relations issues.* **Relationship Management/...Bank staffLocal area
- ...seeking a skilled and experienced Concrete Estimator and Project Manager to join our construction team. This dual-role position is... ...labor, and equipment needed for concrete work. Solicit and review quotes from subcontractors and suppliers. Prepare bid packages...For subcontractor
Metropolitan Concrete Corporation
Sterling Heights, MI9 days ago $107.03k - $208.71k
...direct Market finance staff, optimally manage team resources for timely delivery of outcomes... ...month-end close with Accounting staff; review all non-IBNR reserves for... ...and admits per 1,000, prescription drug utilization, billed dollars of inventory, and other...Temporary workWork experience placementWork at officeRemote work- ...Coordinator will be responsible for efficiently managing time-sensitive tasks and expertly... ..., and handle confidential documents by reviewing, scanning, tracking, and submitting them... ...Communicating with servicing companies: Utilizing various servicers' case management systems...Full timeContract workWork at office
UWM
Pontiac, MI22 hours ago - ..."Building a Career for YOU" District Manager The District Manager is responsible for... ...workplace, proper safety training, and reviewing its fleet condition. This means DOT and... ...District to accomplish the aforementioned and utilize the District Manager Checklist Form when...Temporary workFor contractorsWork experience placementFlexible hours
