- CVS Health (MO)
- …regional role that primarily supports the Aetna Better Health Plan of Oklahoma. This UM (Utilization Management) Medical Director will be a "Work from Home" ... Oklahoma. Support for other regions may occasionally be required. The UM Medical Director will ensure timely and consistent responses to members and providers… more
- Integra Partners (Troy, MI)
- …call center and other internal & external sources + Other duties as assigned by UM Director + Strong organizational skills, ability to adapt quickly to change ... The UM Coordinator assists and supports the clinical team ( UM Nurses/Medical Director ) with administrative and non-clinical tasks related to processing… more
- University of Maryland, Baltimore (Baltimore, MD)
- The University of Maryland School of Medicine is seeking a Chair and Medical Director of Critical Care for the UM Capital Region Health Medical Center (UMCRH), ... PA They will work closely and in collaboration with the Trauma Medical Director , Chief of Cardiac Surgery, Surgery, Medicine, Neurocritical Care. The Chair will be… more
- CareFirst (Baltimore, MD)
- …initiatives forward in alignment with direction established through thought partnership with the Director of UM and the VP/CMO of Medical Management.Ability to ... utilization management, the Senor Business Consultant acts as a liaison between the UM clinical teams, the technical support teams, and the claims operations teams.… more
- CareFirst (Baltimore, MD)
- …critical initiatives in alignment with direction established through thought partnership with the Director of UM and the VP/CMO of Medical Management.Ability to ... platforms and workflows that results in automation and driving efficiencies for the UM teams. + Interfaces with all areas affected by the project including clinical… more
- Evolent (Topeka, KS)
- …participate in meetings as assigned with practices and/or payers. + Will work with the Director of UM to ensure client satisfaction. + Perform all peer clinical ... one of the Vascular Surgeons or Cardiologists. + Responsible for coordinating with UM staff to ensure timely and accurate communication of clinical decisions. +… more
- LA Care Health Plan (Los Angeles, CA)
- …cost cases and reports are maintained and referred to the Physician Advisor/ UM Director . Document in platform/system of record. Utilize designated software ... and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for...or HMO setting . Preferred: Managed Care experience performing UM and CM at a medical group or management… more
- University of Maryland, Baltimore (Baltimore, MD)
- …Fischell Department of Bioengineering, and Maryland Institute for Neuroscience Discovery ( UM -MIND). The Director is expected to contribute 10-15% effort ... * Director of Basic and Translational Research* (Ph.D. and/or...and elevate the visibility of the department's research portfolio. UM -Neurosurgery seeks to solve complex neurological problems to improve… more
- Sharp HealthCare (San Diego, CA)
- …or services, readmissions to acute or visit to the Emergency Department.Informs Director , QI/ UM of any quality issues.Attends hospitalists rounds, as required, ... for medical necessity are issued under the direction of the Medical Director or designee.Assists with transfers, when necessary. + Demonstrates knowledge of… more
- University of Michigan (Dearborn, MI)
- …Islander (AAPI) communities on campus. Working under the guidance of the IHP Director of Research for UM -Dearborn, the Research Fellow will be responsible ... The IHP Research Fellow will report to the IHP Director of Research for the Dearborn campus, Camron Amin....UM -Dearborn campus history, working in collaboration with the Director of Research and the IHP Program Coordinator for… more