- HCA Healthcare (Las Vegas, NV)
- …financial reporting, performance improvement, use of technology, regulatory compliance, drug utilization , clinical education and staff development, management of ... on medication/patient safety and quality standards related to medication management (ie State Board of Pharmacy, TJC, CMS, NQSF,...growth, we encourage you to apply for our Division Director of Pharmacy Operations opening. We promptly review… more
- Humana (Carson City, NV)
- …. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial ... operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately...with prior experience participating in teams focusing on quality management , utilization management , case … more
- Horizon Services, Inc. (Hayward, CA)
- …of front-line support and milieu staff to ensure full census and efficient utilization management at assigned program(s). Engages in marketing, client retention, ... JOB TITLE: Associate Director of Outpatient & Prevention Program Operations LOCATION:...youth prevention, youth and adult outpatient, sobering programs, withdrawal management , and co-occurring capable residential programs to support the… more
- Highmark Health (Harrisburg, PA)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... and DOL regulations at all times. In addition to utilization review , the incumbent participates as the...member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… more
- Molina Healthcare (AZ)
- …**Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental ... management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization management and case management ...all LOBs * Responds to BH-related RFP sections and review BH portions of state contracts * Assist the… more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 10/03/2025 **Requisition Number** PRN43256B **Job Title** Director , Student Activities & Advising **Working Title** Senior Director for ... **Career Progression Track** F **Track Level** M7 - Senior Director **FLSA Code** Executive **Patient Sensitive Job Code?** No...Rate Range** $106,000 - $125,000 **Close Date** 01/03/2026 **Priority Review Date (Note - Posting may close at any… more
- HCA Healthcare (Sun City Center, FL)
- …Healthcare Quality) OR CHCQM (Diploma in American Board of Quality Assurance and Utilization Review Physicians). _Individuals without CPHQ or_ CHCQM _will be ... today!** **Job Summary and Qualifications** We are seeking a Director of Quality Management . As our ...a healthcare environment + Previous experience in accreditation, quality, utilization management , or risk management … more
- San Jose State University (San Jose, CA)
- …grounds, automotive, recycling, and moving services + Oversee and ensure full utilization of the computerized maintenance management system to plan, schedule, ... Senior Director of Maintenance and Operations Apply now (https://secure.dc4.pageuppeople.com/apply/873/gateway/default.aspx?c=apply&lJobID=552369&lJobSourceTypeID=837&sLanguage=en-us)… more
- Molina Healthcare (Fort Worth, TX)
- …learn new programs. Preferred Qualifications * Experience with utilization /quality program management . * Managed care experience. * Peer review experience. * ... of health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies… more
- Johns Hopkins University (Baltimore, MD)
- …plant production, control systems, and distribution systems for all campus utilities. The Director is also responsible for the management , use, and payment of ... fuel and electric contract purchases, etc.). From time to time, where the utilization of internal resources is merited, the Director will undertake and… more