- Providence (Olympia, WA)
- …admissions. + **Physician Relations:** Build strong cooperative relationships with physicians. + ** Utilization Management Oversight:** Lead the Utilization ... **Description** **Calling All Healthcare Visionaries!** Are you a dynamic leader with...Role:** Under the supervision of the North Division Executive Director of Care Management , the Director… more
- Diversicare Healthcare Services & Diversicare Ther (Oak Ridge, TN)
- …services), must hold a current license in respective field. 2. Knowledge of healthcare reimbursement, utilization management , and discharge planning. 3. ... **Overview** **Lead the Way as Director of Care Coordination at Diversicare!** At Diversicare,...Engage/72 HR Admission meetings as part of the care management system. + Manage the restorative nursing program, integrating… more
- Elevance Health (Overland Park, KS)
- …clinical responsibilities means that the medical director is directly involved in Utilization Management and Case Management . + Daily case reviews for ... director provides clinical expertise in all aspects of utilization review and case management . Provides input...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- BJC HealthCare (St. Louis, MO)
- …qualifications and relevant work experience) **Additional Information About the Role** ** Director , Emergency Services at St. Louis Children's Hospital** This leader ... Emergency Transport Team and Trauma Program. Accountable for effective operations and management of these programs. Ensures development of staff and systems to… more
- Kyndryl (Sacramento, CA)
- …and ultimately supporting execution. Partners will be focused on financial impact, utilization and contribution, client impact and leadership. As a partner in Hybrid ... cloud strategy for healthcare enterprises, you will...client value through Operational Excellence + Meet or exceed utilization targets through efficient project staffing and delivery +… more
- Molina Healthcare (Columbus, GA)
- …experience as a Molina Medical Director + Demonstrated experience in Utilization /Quality Program management + Previous leadership experience + Peer review, ... of prior authorization, inpatient concurrent review, discharge planning, case management and interdisciplinary care team activities. + Ensures that authorization… more
- Kyndryl (Juneau, AK)
- …ultimately supporting execution. Partners will be focused on financial impact, utilization and contribution, client impact and leadership. **Contribute to Profitable ... as a strategic partner. + Bring consulting experience-preferably in the Healthcare space-to tailor engagements that resonate with industry-specific needs and… more
- UCLA Health (Los Angeles, CA)
- …of multiple clinical programs and medical services with an emphasis on optimizing Utilization Management for the Faculty Practice Group (FPG) Management ... Description We are seeking a highly skilled and dynamic Director of Clinical Services to lead the development, evaluation,...the delivery of program functionalities in all aspects of Utilization Management and its integration with other… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …of the Medical Services area including, but not limited to, Medical and Pharmacy Utilization Management , quality management , member care management , and ... State and Federal Mandates and maintains current and working knowledge of Utilization Management Standards. + Clinical skills are excellent and evidence-based… more
- Access Dubuque (Dubuque, IA)
- …on improving outcomes, reducing unnecessary utilization , and optimizing healthcare resources. The director collaborates with clinical teams, operational ... Regional Director Care Management **UnityPoint Health Finley...recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in… more