- Integra Partners (Troy, MI)
- … (Senior MD) serves as the clinical and strategic leader for Integra's Utilization Management (UM) and Credentialing programs. This is a full-time, 40+ ... quality and inter-rater reliability, overseeing audit readiness, and chairing Integra's Utilization Management Committee and Credentialing Committee. This role… more
- LifeCenter Northwest (Bellevue, WA)
- …- $199,200.00 Salary Position Type Full Time Description and Qualifications The Director , Organ Utilization ( Director ), is responsible for overseeing ... of organ donation systems, allocation practices, and regulatory compliance. The Director develops and executes strategies to improve organ allocation strategy and… more
- Devereux Advanced Behavioral Health (Kennesaw, GA)
- …referrals. Additionally, the Director will supervise the admissions and utilization management department, ensuring a seamless and compassionate process for ... Devereux Georgia in Kennesaw seeks a dynamic and driven ** Director of Business Development** to join our team. This...will lead marketing initiatives and oversee the admissions and utilization management team for our residential treatment… more
- Integra Partners (Troy, MI)
- …of Durable Medical Equipment (DME) and related requests to support Integra's Utilization Management (UM) operations. This full-time, salaried role functions ... The Utilization Review Medical Director is responsible...or past OIG or state sanctions + Experience performing utilization management or clinical review activities +… more
- Samaritan Daytop Village (Queens, NY)
- …and agency administration. The Program Director will be responsible for census/ utilization management and quality assurance. What You Will Do + Supervise ... Community is Everything Help LEAD Yours! LCSW Program Director -OASAS Facility Staten Island Social Workers, psychotherapists and mental health professionals can work… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …and procedures along with the Administrative Director + Oversees Clinical Quality Management and Utilization Management of the department along with the ... Washington Street, 20 Maverick Square - Cradock Building Position Summary: Dental Director of NeighborHealth Working under general supervision of the Chief Medical… more
- Molina Healthcare (AZ)
- …years as a medical director in managed care setting supporting utilization management /quality management initiatives, or equivalent combination of ... of prior authorization, inpatient concurrent review, discharge planning, care management and interdisciplinary care team (ICT) activities. * Recruits, hires,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …depending on customer and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of ... productivity and gain efficiencies for performance improvement opportunities in the Utilization Management Department. + Assists in updating departmental… more
- CommonSpirit Health (Phoenix, AZ)
- **Job Summary and Responsibilities** The System Vice President of Utilization Management is a key member of the healthcare organization's leadership team and is ... and accountability for creating, implementing, and leading an integrated system-wide utilization management program which includes comprehensive denials … more
- LifeCenter Northwest (Bellevue, WA)
- …or operational needs. + Collaborate with the Director , Organ Utilization , to manage departmental budgets and identify cost- management opportunities without ... clinical proficiency and participate in on-call schedule as directed by the Director , Organ Utilization , available for consultation outside of regular working… more