Operations Management Jobs 2026 (Now Hiring) – Smart Auto Apply

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Knowhirematch logo

Director Case Management / Utilization Management / CDI Location: Buckey

Knowhirematch
Buckeye Lake, OH

$63 - $75 / hour

TITLE: Director Case Management / Utilization Management / CDI Location: Buckeye Lake, OH Now is your chance to join a Forbes magazine top 100 hospital where career growth and oppo...

Posted 30+ days ago

Morgan Stanley logo

Asset Liability Management Risk Manager (Risk Management) : Job Level - Associate/Analyst

Morgan Stanley
New York, New York

$75,000 - $95,000 / year

Firm Risk Management Firm Risk Management (FRM) supports Morgan Stanley in achieving its business objectives by partnering with business units across the Firm to deliver efficient,...

Posted 2 weeks ago

SLC Management logo

Senior Director, Asset Management Compensation - SLC Management

SLC Management
Wellesley, Massachusetts
SLC Management is a growing global asset management firm providing innovative and diversified investment solutions to institutional investors. We are breaking new ground with a ful...

Posted 1 week ago

Morgan Stanley logo

Model Risk Management : COO/CAO - Vice President (Risk Management)

Morgan Stanley
New York, New York

$120,000 - $205,000 / year

Firm Risk ManagementFirm Risk Management (FRM) supports Morgan Stanley to achieve its business goals by partnering with business units across the Firm to realize efficient risk-adj...

Posted 30+ days ago

Transamerica logo

Lead Management Specialist, ORM (Operational Risk Management) - Hybrid

Transamerica
Cedar Rapids, Iowa
Job Family Operational Risk About Us At Transamerica, hard work, innovative thinking, and personal accountability are qualities we honor and reward. We understand the potential of...

Posted 1 week ago

Morgan Stanley logo

Risk Data Aggregation, (Firm Risk Management)(Risk Management) : Job Level - Executive Director

Morgan Stanley
New York, New York

$165,000 - $275,000 / year

Background on the PositionThe role will reside within the Morgan Stanley Risk Data team within the Firm Risk Management function (FRM). Risk Data is responsible for the development...

Posted 3 weeks ago

Sun Life logo

Senior Director, Asset Management Compensation - SLC Management

Sun Life
Wellesley, Massachusetts
SLC Management is a growing global asset management firm providing innovative and diversified investment solutions to institutional investors. We are breaking new ground with a ful...

Posted 1 week ago

Northern Trust logo

Global Compensation Consultant, Head Of Wealth Management And Asset Management

Northern Trust
New York, NY

$225,000 - $275,000 / year

About Northern Trust: Northern Trust, a Fortune 500 company, is a globally recognized, award-winning financial institution that has been in continuous operation since 1889. Norther...

Posted 3 weeks ago

The Tampa General Hospital Foundation Inc logo

Utilization Management Educator- Case Management Admin

The Tampa General Hospital Foundation Inc
Tampa, FL
Under general supervision of Director Utilization Management, designs, plans, and manages education projects and formal orientation programs for Utilization Management RNs. Follows...

Posted 30+ days ago

Morgan Stanley logo

Risk Data Aggregation, (Firm Risk Management)(Risk Management) : Job Level - Executive Director

Morgan Stanley
New York, NY

$165,000 - $275,000 / year

Background on the Position The role will reside within the Morgan Stanley Risk Data team within the Firm Risk Management function (FRM). Risk Data is responsible for the developmen...

Posted 30+ days ago

Rochester Regional Health logo

Supv, Materials Management, Materials Management, (Full time, Days)

Rochester Regional Health
Batavia, New York

$22 - $27 / hour

Position Summary:Coordinates Inventory replenishment and management for multiple inventory locations. Provides back up leadership to department Manager as needed. Assists with inve...

Posted today

C logo

Nurse Manager, Case Management & Utilization Management

Children’s Hospital of Orange County
Orange, California
Work Location Orange, California Work Shift Day – 08hrs (United States of America) Why CHOC? At CHOC, we strive to be the leading destination of children’s health by providing exce...

Posted 1 day ago

Next Generation Inc logo

IT Asset Management Analyst - Software Asset Management (Remote)

Next Generation Inc
Brooklyn, NY

$65 - $70 / hour

Job Title: IT Asset Analyst – Software Asset Management Job Description: Next Generation Inc. (NGI) is seeking a highly detail-oriented IT Asset Analyst for our client head-quarter...

Posted 30+ days ago

Voyage Advisory logo

Management Consultant, Change Management Specialist

Voyage Advisory
Chicago, IL
Management Consultant, Change Management Specialist Our consultancy is looking for a highly motivated and talented Change Management Specialist. We are looking for peak performers...

Posted 30+ days ago

BETA Technologies logo

Polarion System Administrator - Application Lifecycle Management | Configuration Management

BETA Technologies
South Burlington, VT
At BETA Technologies, we apply our intellectual curiosity, passion for aviation, and commitment to sustainability toward a shared mission of revolutionizing electric aviation. Rega...

Posted 30+ days ago

BETA Technologies logo

Product Structure Management | Configuration Management

BETA Technologies
South Burlington, VT
At BETA Technologies, we apply our intellectual curiosity, passion for aviation, and commitment to sustainability toward a shared mission of revolutionizing electric aviation. Rega...

Posted 30+ days ago

Walmart logo

(USA) Director, Strategic Account Management - Technical Account Management, Partner Applications

Walmart
Irvine, California

$132,000 - $264,000 / year

Position Summary... What you'll do... Lead the team that enables top streaming and content partners to build, certify, launch, and scale high-quality app experiences on VIZIO OS. A...

Posted 2 days ago

Morgan Stanley logo

Private Wealth Management Wealth Management Associate

Morgan Stanley
Boston, MA

$68,000 - $120,000 / year

POSITION SUMMARY: Wealth Management Associates provide exceptional service to our clients and support Financial Advisor(s) (FAs)/ Private Wealth Advisor(s) (PWAs)/ teams on a daily...

Posted 30+ days ago

A logo

Invasive Plant Management Member -Southeast Invasive Plant Management Team - Kings Mountain National Military Park

American Conservation Experience - EPIC
Blacksburg, SC
Invasive Plant Management Member- Southeast Invasive Plant Management Team- Kings Mountain National Military Park Summary American Conservation Experience, a nonprofit Conservation...

Posted 30+ days ago

Knowhirematch logo

Director Case Management / Utilization Management / CDI Location: Buckey

Knowhirematch
Buckeye Lake, OH

$130,000 - $156,000 / year

TITLE: Director Case Management / Utilization Management / CDI Location: Buckeye Lake, OH Now is your chance to join a Forbes magazine top 100 hospital where career growth and oppo...

Posted 30+ days ago

Knowhirematch logo

Director Case Management / Utilization Management / CDI Location: Buckey

KnowhirematchBuckeye Lake, OH

$63 - $75 / hour

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Overview

Schedule
Full-time
Education
Nursing (RN, LPN)
Career level
Director
Compensation
$63-$75/hour
Benefits
Health Insurance
Dental Insurance
Vision Insurance

Job Description

TITLE: Director Case Management / Utilization Management / CDI Location: Buckeye Lake, OHNow is your chance to join a Forbes magazine top 100 hospital where career growth and opportunity await you.They are committed to building healthcare teams whose care exceeds the expectations of their patients and community and are looking for quality talent who share the same values.They’re nestled in a beautiful rural setting but close enough to the big city to enjoy that too!If that sounds like the change you are looking for, please read on…What you’ll be doing:

  • Responsible for developing, planning, evaluating, and coordinating comprehensive patient care across the continuum, to enhance quality patient care while simultaneously promoting cost-effective resource utilization. Provides director-level oversight of Inpatient and ED Case Management, Utilization Management and Clinical Documentation Integrity programs, ensuring alignment with organizational goals and regulatory requirements. Monitors patient care, including utilization, quality assurance, discharge planning, continuity of care, and case management activities, and ensures that these functions are integrated into overall hospital operations. Coordinate and monitors activities with appropriate members of the health care team to promote efficient use of hospital resources, facilitate timely discharges, prevent and control infections, promote quality patient care, and reduce risk and liability. Collaborates closely with coders and revenue cycle teams to optimize clinical documentation and support accurate coding, reimbursement, and compliance initiatives.
  • Responsible for identifying tracking mechanisms in order to evaluate and achieve optimal financial outcomes, to enhance quality patient care, and promote cost-effective resource utilization.
  • Uses data to drive decisions, plan, and implement performance improvement strategies for case management, utilization management, and clinical documentation integrity
  • Coordinates daily activities of the Case Management, UM, and CDI Department in order to promote quality patient care, efficient use of hospital resources, facilitate timely and adequate discharges, and reduce risk and liability.
  • Investigates and initiates follow-up on utilization denials, contract negotiations, and external regulatory agencies’ requirements.
  • Directs operations of our Physician Advisor Program, including analysis of performance through reporting and committee involvement and oversight.
  • Actively serves on hospital committees and teams and facilitates opportunities for employees to do the same.
  • Develops, performs, and improves personal and departmental knowledge of computer software and reporting functions.
  • Organizes and oversees the maintenance of denial and appeal activity.  
  • Follows up with physicians and others when indicated.
  • Prepares or coordinates the preparation of periodic and special reports required by various agencies, insurance contracts, and for hospital committees.
  • Analyzes and trends data results in order to incorporate efforts and information results with existing systems to optimize the efficiency of operational systems through strategic quality leadership.
  • Facilitates growth and development of the case management program, utilization management ( including physician advisor program and clinical documentation integrity (CDI), in response to the dynamic nature of the health care environment through benchmarking for best practices, networking, quality management, and other activities, as needed. 
  • Develop new resources where gaps exist in the system as identified through research and data analysis to meet and enhance the quality/efficiency of comprehensive patient care and/or basic human needs for the community.
  • Interact with Corporate Consulting and Business office on issues such as contracting, billing, reimbursement, denials, and physician reports cards, and collaboratively initiate improvements related to these areas.
  • Maintains hospital compliance with the Quality Improvement Organization (QIO) and CMS guidelines.  
  • Maintains professional knowledge by participating in educational seminars and opportunities.
  • Participates in Population Health work at an organizational level, including active involvement with the System-Wide Care Management Team and Value-Based Care Delivery.Additional info:
  • Position will report to a Manager that is well respected in the organization. Position is open as the person is retiring.They use EPIC(EMR) and the facility has a lot of technology. Person would be over about 50-60 people between CM/UM/CDI. Great team to work with.
  • If you're a passionate Pharmacist and seeking a rewarding career in a collaborative healthcare setting, this is the opportunity you've been waiting for. 

    Join us in east central Ohio, and become part of our exceptional team dedicated to delivering high-quality care to our community. Apply now and embark on a fulfilling career journey with us.

    Requirements

    What they’re looking for:

  • Master’s degree in nursing, Healthcare Administration, or Business Administration required.
  • Current Ohio RN licensure (or active multi-state licensure).
  • Certified Case Manager(CSM).
  • At least three (3) years of management or demonstrated leadership experience required.
  • Knowledge of prospective payment systems, managed care, infection control surveillance, patient care, disease processes, discharge planning, and continuum of services offered within Genesis and externally. Knowledge of coding, mid-revenue cycle, CDI, physician advisor and payor relations.
  • Ability to perform data analysis and to utilize computer systems to record and communicate information to other services.  
  • •The ability to lead collaboration with other leaders in the organization, especially about the delivery of high-quality, timely, and right site of care.•Excellent leadership, verbal and organizational skills to order to steer the case management process.

    Benefits

    Hours and compensation potential:•The position is full time.•The range starts at $62.50hr($130K)-$75hr($156K) depends on years of experience.•Full benefits package being offered.

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    Submit 10x as many applications with less effort than one manual application.

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