• Director Case Management

    HCA Healthcare (Texas City, TX)
    …want to join an organization that invests in you as a(an) Director Case Management ? At HCA Houston Healthcare Mainland, you come first. HCA Healthcare ... our team. **Job Summary and Qualifications** The Facility Case Management Director has the overall responsibility for...to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all… more
    HCA Healthcare (08/01/25)
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  • Director Case Management

    HCA Healthcare (Kissimmee, FL)
    …charitable organizations. Apply Today! **Job Summary and Qualifications** The Facility Case Management Director has the overall responsibility for managing and ... We care like family! Jump-start your career as a Director Case Management today with HCA Florida...to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all… more
    HCA Healthcare (06/21/25)
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  • LPN Utilization Mgmt Reviewer - Medical…

    Guthrie (Troy, PA)
    Up to a $15,000.00 Sign on Bonus! Summary The LPN Utilization Management (UM) Reviewer, in collaboration with Care Coordination, Guthrie Clinic offices, other ... Packer Hospital Business Office, is responsible for the coordination of Utilization Management (UM) processes and requirements of prior… more
    Guthrie (07/15/25)
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  • Medical Director

    Molina Healthcare (Santa Fe, NM)
    …capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management , risk management , risk adjustment, disease ... and effective resource management . + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure… more
    Molina Healthcare (07/25/25)
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  • Utilization Review Nurse

    US Tech Solutions (Columbia, SC)
    …Contract to hire) **Job Description:** + NICE TO HAVE skill sets/qualities: Utilization management experience and /or Appeals experience /strong clinical skills ... experience and /or UR experience/Process Appeals requests/can have experience in either Utilization management or Appeals. + Team: Fast paced, Interactive team… more
    US Tech Solutions (07/31/25)
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  • Director Clinical Resources

    HCA Healthcare (St. Louis, MO)
    …a strategic thinker with a passion for driving clinical and financial impact in healthcare ? We're seeking a **Clinical Resource Director ** to lead the supply ... is incentive eligible. **Introduction** Do you have the career opportunities as a ** Director Clinical Resources** you want with your current employer? We have an… more
    HCA Healthcare (07/22/25)
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  • Division Director of Pharmacy Operations

    HCA Healthcare (Las Vegas, NV)
    …financial reporting, performance improvement, use of technology, regulatory compliance, drug utilization , clinical education and staff development, management of ... Are you passionate about the patient experience? At HCA Healthcare , we are committed to caring for patients with...care like family! Jump-start your career as a(an) Division Director of Pharmacy Operations today with HealthTrust Supply Chain.… more
    HCA Healthcare (06/21/25)
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  • Director -Assistant Rehab

    Genesis Healthcare (Elk Grove, CA)
    …or In-Training (IT) Director of Rehab is responsible for assisting the Director of Rehab in the efficient management of rehabilitation services in his/her ... of the rehabilitation department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient… more
    Genesis Healthcare (07/30/25)
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  • Medical Director - Sharp Health Plan…

    Sharp HealthCare (San Diego, CA)
    …to accrediting and regulatory agency feedback. + Supports pre-admission review, utilization management , and concurrent and retrospective rev1ew process. + ... a managed care environment, preferably as an HMO Medical Director . + California Physicians and Surgeons License - Medical...Participates in risk management , pharmacy utilization management , catastrophic… more
    Sharp HealthCare (05/18/25)
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  • Director of Quality

    HCA Healthcare (Brooksville, FL)
    …in a healthcare environment + Previous experience in accreditation, quality, utilization management , or risk management required. + Knowledge of ... years. Do you want to be an influencer in healthcare ? **Apply for our Director of Quality...today!** **Job Summary and Qualifications** We are seeking a Director of Quality Management . As our … more
    HCA Healthcare (07/14/25)
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