• Director Care Management

    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
    Providence (07/08/25)
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  • Director of Care Coordination

    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
    Diversicare Healthcare Services & Diversicare Ther (09/03/25)
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  • National Accounts Medical Director

    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
    Elevance Health (09/23/25)
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  • Director , Emergency Services at St. Louis…

    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
    BJC HealthCare (08/02/25)
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  • Director , Consult Partner--Cloud…

    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
    Kyndryl (07/10/25)
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  • Senior Medical Director (Medicare)

    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
    Molina Healthcare (09/12/25)
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  • Director , Consult Partner - Digital…

    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
    Kyndryl (09/20/25)
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  • Director of Clinical Services, Faculty…

    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
    UCLA Health (09/20/25)
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  • Medical Director , Commercial Line…

    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
    Excellus BlueCross BlueShield (07/01/25)
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  • Regional Director Care Management

    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
    Access Dubuque (09/09/25)
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