- Project Renewal, Inc. (New York, NY)
- …team comprised of a Clinical Coordinator, Team Leaders, Housing Coordinators, Case Managers, and Recreation Specialists. The Director of Social Services ... mental illness and/or substance use disorders. Our comprehensive services include case management , individual and group counseling, recreational activities,… more
- Intermountain Health (Las Vegas, NV)
- **Job Description:** The Utilization Review Care Management Director is responsible for providing leadership and administrative direction for Utilization ... and attainment of financial goals. Reporting to the Sr. Director /AVP/VP Utilization Management , the role of the...Education is verified. Three years of experience leading Utilization Management case management requiring knowledge… more
- Sharp HealthCare (San Diego, CA)
- …findings in conjunction with the Quality Improvement Director . + Assists in POS/PPO Case Management and high-cost review with CMO and Claims management ... business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight...Assists CMO in continued builds strong partnerships with Medical Director PMGs and their clinical teams. +… more
- Humana (Charleston, WV)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The… more
- Seattle Children's (Seattle, WA)
- …Coordination provides leadership, supervision, and oversight of day-to-day operations of the Case Management department. Serves as the central resource to the ... director to develop strategies which are efficient, effective, timely,...Credentials** Current Washington State RN license. National certification in case management must be obtained within three… more
- Premera Blue Cross (Mountlake Terrace, WA)
- … of Pharmacy & Clinical Consulting to drive business outcomes. The ** Director , Pharmacy Operations & PBM Management ** will provide direction and oversight in ... seeking a strategic Health Plan Pharmacy leader that will oversee pharmacy clinical operations, PBM relationship, formulary, utilization management , and other… more
- Suffolk University (Boston, MA)
- …a higher education setting along with excellent interpersonal skills and strong management and clinical supervisory skills . Additionally, successful candidates ... member of the CHW leadership team. Primary Responsibilities The Director is responsible for the clinical and... clinical services issues as they arise including clinical consultation and risk management decisions. +… more
- Elevance Health (Winston Salem, NC)
- …The **Manager, Behavioral Health Services (CM** ) is responsible for the Behavioral Health Case Management team. **How you will make an impact:** + Serves as ... of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management , a… more
- HCA Healthcare (Frisco, TX)
- …21 states and the United Kingdom. We are looking for a Nurse Manager of Case Management for our Medical City Frisco team where excellence creates excellence. ... influencer in healthcare? **Apply for our Nurse Manager of Case Management role today!** **Job Summary and...and HPF + Promotes effective and efficient utilization of clinical resources + Actively provides and monitors training of… more
- University of Utah Health (Salt Lake City, UT)
- …Implements patient discharge plans prepared and delegated by social work or nurse case management by coordinating with home care agencies, post-acute care ... + Issues CMS Important Messages to patients/designees. + Inputs clinical information into computer database. + May be required...One year of experience in a utilization review or case management environment. + Basic Life Support… more
Recent Jobs
-
Bilingual Sales Representative
- Love's Travel Stops & Country Stores (Oklahoma City, OK)
-
Senior Policy Analyst, Penn Wharton Budget Model
- University of Pennsylvania (Philadelphia, PA)
-
General Foreman - Pipe
- RK Mechanical (Fort Collins, CO)
-
Pipeline Operator - Associate
- ONEOK, Inc (Watford City, ND)