- Children's Mercy Kansas City (Kansas City, MO)
- …leadership, strategic planning, and oversight of daily operations of the case management department which includes utilization management , care progression ... children beyond the walls of our hospital. Overview The Director of Care Management responsible for providing...Partners with Revenue Cycle, Payor Relations, HIM and Risk Management in support of utilization management… more
- Evolent (Baton Rouge, LA)
- …per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... you will be a key member of the utilization management team. We can offer you...management while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:**… more
- Stony Brook University (Stony Brook, NY)
- …including managing Case Management leadership and staff functions related to case management and utilization management activities. + Manage and mentor a ... Director of Case Management **Position Summary**...design, development, implementation, and monitoring of the organization's case management and utilization review functions. + Lead… more
- Evolent (Providence, RI)
- …per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... you will be a key member of the utilization management team. We can offer you...management while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:**… more
- Evolent (Charleston, WV)
- …per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... cases. you will be a key member of the utilization management team. We can offer you...management while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:**… more
- Humana (Concord, NH)
- …relationships, value-based care, quality metrics, population health, and disease or care management . The Behavioral Health Medical Director may develop ... and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health...healthcare providers, clinical group practice management + Utilization management experience in a medical… more
- Houston Methodist (Houston, TX)
- …and trends in the areas of care coordination, evidence- based practice, utilization management , and service excellence. Disseminates information and focuses the ... At Houston Methodist, the Director Case Management & Social Services...appropriate care to patients while promoting the most cost-effective utilization of the hospital's resources. The Director … more
- Select Medical (Atlanta, GA)
- …**Emory Rehabilitation Hospital** In partnership with Select Medical Atlanta, GA ** Director of Case Management ** **Full-time / Salaried** **Why Join Us:** + ... allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and… more
- UPMC (Pittsburgh, PA)
- **Purpose:** The UPMC Health Plan is seeking a board-certified physician with a Pennsylvania Medical License for a Medical Director , Grievances role with ... to choose their weekly availability within the aforementioned time frame. The Medical Director , Grievances is responsible for assuring physician commitment and… more
- Genesis Healthcare (NM)
- …development of area medical directors, the assurance of effective quality and utilization management , and the successful transition within area centers to a ... flexibility! We are seeking a part-time to full-time (24-30 hours per week) Regional Medical Director for remote position with some travel to our centers located… more