- Dignity Health (Henderson, NV)
- …teaching, and clinical leadership.** **RESPONSIBILITIES:** Clinical Leadership & Direct Patient Care : + Serve as Clinic Director , overseeing administrative ... Rose Internal Medicine Residency program seeks an experienced core faculty primary care physician for its Internal Medicine Residency Continuity Clinic. This role… more
- Alameda Health System (Oakland, CA)
- …Title 22 and other regulatory agencies and overall hospital policies; integrates managed care contract criteria into overall Case Management functions. + ... Director , Inpatient System Care Management +... Director , Inpatient System Care Management + Oakland, CA + Highland General...hiring! Under the direction of the Vice President of Care Management, the Director of Inpatient System… more
- City of New York (New York, NY)
- …State agencies (eg, SDOH, SOMH, OASAS, OPWDD), community health, mental health, and managed care organizations around child mental health services at DHS; write ... for one City Research Scientist IVA to function as the Complex Care Program Director who will. Report directly to the Department of Social Services Chief… more
- AbbVie (Irvine, CA)
- …lives across several key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For ... and treatments for Parkinson's, as well as higher cost and payer managed medications typically processed through retail pharmacy in Migraine, Psychiatry, and Eye… more
- Humana (Montgomery, AL)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...size of region or line of business. The Medical Director conducts Utilization Management of the care … more
- Mount Sinai Health System (Long Island City, NY)
- …to the hospital. Must be able to navigate through a wide variety of managed care contractual issues. Must have knowledge of and familiarity with Interqual ... **Job Description** The Director will direct and manage departmental activities involved...and APNs Pediatric Oncology depts.) Non-Bargaining Unit, 140 - Care Management - MSQ, Mount Sinai Queens **Responsibilities** 1.Reviews… more
- Sharp HealthCare (San Diego, CA)
- …a system that gives feedback to providers individually and collectively regarding managed care effectiveness of individual providers and networks. + Assists ... business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight for Sharp...plans to address issues and improve plan and network managed care performance. + Collaborates with Chief… more
- Baylor Scott & White Health (Dallas, TX)
- …denials. This role serves as a critical liaison between Revenue Cycle leadership and Managed Care leadership to support and streamline payer communications. The ... a matrixed organizational structure, collaborating closely with teams across Revenue Cycle, Managed Care , Finance, and Operations. **Essential Functions of the… more
- Centene Corporation (Tallahassee, FL)
- …general psychiatry or child psychiatry. 5+ years of experience working in behavioral health managed care or behavioral health clinical settings, with at least 2 ... homes. The candidate must be an actively practicing physician. Previous experience within a managed care organization is preferred. Course work in the areas of… more
- Athena Health Care Systems (Sandwich, MA)
- We are hiring an MDS Director to join our dynamic care team at Cape Heritage Rehabilitation & Health Care Center in Sandwich! Shift is 8a-4p with weekly pay. ... you to grow within the company. As the MDS Director , you plan, organize, and direct the MDS process...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed facilities/agencies follow… more