• Director of Case Management

    Prime Healthcare (Inglewood, CA)
    …status, ie full-time or part-time. Responsibilities We are seeking a strategic and compassionate Director of Case Management to lead our dynamic Case ... of staff and systems to effectively operate a comprehensive Case Management Program. The Director ...supervision to case managers, social workers and case management coordinators/discharge planners, utilization more
    Prime Healthcare (07/18/25)
    - Related Jobs
  • Program Mgr UR/ Case Management

    UTMB Health (Friendswood, TX)
    …resource utilization to Director and/or Assistant Director of Utilization Review/ Case Management . + Maintains a documentation system of all ... ensure optimal quality, cost, and service/outcomes. Supports and actualizes the UTMB Utilization Review/ Case Management program by utilizing clinical… more
    UTMB Health (08/01/25)
    - Related Jobs
  • Director Utilization

    Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
    About The Role The Director , Utilization Management (UM) will manage the Utilization Management team consisting of Clinicians and Non-Clinical ... onboardings with time sensitive requirements. + Support and grow the utilization management team through strong professional relationships, mentorship, modelling… more
    Brighton Health Plan Solutions, LLC (07/18/25)
    - Related Jobs
  • RN Case Manager

    Lompoc Valley Medical Center (Lompoc, CA)
    …internal equity. Position Summary + Reports to the Director of Case Management + Plan, organize and deliver utilization management activities for BOP ... preferred. + Experience: A minimum of two years of clinical experience in Utilization Review or Case Management is preferred. + Per Diem Positions: Case more
    Lompoc Valley Medical Center (07/28/25)
    - Related Jobs
  • Medical Director Utilization

    AmeriHealth Caritas (Philadelphia, PA)
    ; **Responsibilities:** The Medical Director , Utilization Management provides organizational leadership in the operational areas of care management , ... and practice initiatives in collaboration with the Corporate Medical Director (s), Utilization Management and the...+ Assists IHCM Managers in assessing members' need for case management services + Attends case more
    AmeriHealth Caritas (08/12/25)
    - Related Jobs
  • Temporary, Utilization Review Medical…

    Commonwealth Care Alliance (Boston, MA)
    … will be responsible for providing leadership and subject matter expertise to our utilization management (UM) group. This role is a key role in helping ... other medical management team members. + Support the development of utilization management policy initiatives. + Support the development and implementation… more
    Commonwealth Care Alliance (08/20/25)
    - Related Jobs
  • Manager, Case Management

    Seattle Children's (Seattle, WA)
    …Clinical experience caring for children with medical complexity Current or previous hospital case management or utilization review experience Current or ... In partnership with the director , Care Coordination provides leadership, supervision, and oversight...previous case management or utilization review leadership experience **Compensation… more
    Seattle Children's (06/17/25)
    - Related Jobs
  • Medical Director , Post-Acute Care…

    MVP Health Care (Rochester, NY)
    …thinking and continuous improvement. To achieve this, we're looking for a **Medical Director , Post-Acute Care Utilization Management ** to join #TeamMVP. If ... continued stay requests, and handling first-level appeals. + Collaborate with Utilization Management , Case Management , Quality Department and other… more
    MVP Health Care (08/19/25)
    - Related Jobs
  • Utilization Review Case Manager

    Covenant Health (Nashua, NH)
    …of the health care team. + Annual goals are achieved. + Attends pertinent case management / utilization review programs to maintain current knowledge of UR ... and quality of care and communicates findings to the director of the department. + Maintains current knowledge of...Minimum of five years broad clinical experience preferred + Case management and/or Utilization more
    Covenant Health (07/30/25)
    - Related Jobs
  • Director Utilization Mgmt (Do Or MD…

    Wellpath (Lemoyne, PA)
    …education, and point of care support. **How you make a difference** The Medical Director of Utilization Management leads and oversees utilization ... care and the appropriate utilization of medical services. The Medical Director of Utilization Management serves as a key liaison with external partners… more
    Wellpath (08/08/25)
    - Related Jobs