- MVP Health Care (Tarrytown, NY)
- …continuous improvement. To achieve this, we're looking for a **Medical Director , Post-Acute Care Utilization Management ** to join #TeamMVP. If you have a ... At MVP Health Care , we're on a mission to create a...stay requests, and handling first-level appeals. + Collaborate with Utilization Management , Case Management , Quality… more
- Intermountain Health (Las Vegas, NV)
- **Job Description:** The Utilization Review Care Management Director is responsible for providing leadership and administrative direction for ... and attainment of financial goals. Reporting to the Sr. Director /AVP/VP Utilization Management , the role...team in delivering and collaborating on all aspects of utilization management and care coordination… more
- UPMC (Pittsburgh, PA)
- …collaborate effectively with hospital administration and clinical teams. + Experience in utilization management and care coordination. + In-depth ... The Regional Medical Director , CC/DP and Utilization Review, provides clinical and management ...documentation of all physician advisory activities in the UPMC Care Management information system. + Conduct or… more
- Humana (Montpelier, VT)
- …depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned ... of decisions to internal associates, and possible participation in care management . The clinical scenarios predominantly arise...with prior experience participating in teams focusing on quality management , utilization management , case … more
- Humana (Harrisburg, PA)
- …depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned ... of decisions to internal associates, and possible participation in care management . The clinical scenarios predominantly arise...with prior experience participating in teams focusing on quality management , utilization management , case … more
- Humana (Bismarck, ND)
- …depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned ... with prior experience participating in teams focusing on quality management , utilization management , case ...business metrics. + Experience working with Case managers or Care managers on complex case management , including… more
- UNC Health Care (Morrisville, NC)
- …and well-being of the unique communities we serve. **Summary** : The **Executive System Director of Utilization Management (UM)** is a strategic and ... value-based care across the healthcare system. **Responsibilities** : 1. ** Utilization Management ** - Develop and lead a system-wide utilization… more
- Commonwealth Care Alliance (Boston, MA)
- … will be responsible for providing leadership and subject matter expertise to our utilization management (UM) group. This role is a key role in helping ... management team members. + Support the development of utilization management policy initiatives. + Support the... care environment is strongly preferred. + Primary care discipline, prior experience as Associate Medical Director… more
- Alameda Health System (Oakland, CA)
- Director , Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req ... plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds...needed. In essence, they orchestrate efficient utilization management to deliver high-quality patient care . **DUTIES… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role The Director , Utilization Management (UM) will manage the Utilization Management team consisting of Clinicians and Non-Clinical ... onboardings with time sensitive requirements. + Support and grow the utilization management team through strong professional relationships, mentorship, modelling… more