- Evolent (Lincoln, NE)
- …in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be...Surgery you will be a key member of the utilization management team. We can offer you… more
- CVS Health (Baton Rouge, LA)
- …a Plus **Preferred Qualifications:** -Health plan/payor Utilization Management / Review experience. -Electronic medical systems/record experience. ... and every day. **Position Summary:** Ready to take your Medical Director skills to the next level...and appeal request. This position is primarily responsible for Utilization Management , including prior authorization and precertification… more
- Select Medical (Cleveland, OH)
- …significant PI findings pertaining to adverse drug reactions, drug usage evaluation, medical management of acute transfers and other CQI indicators. ... **Overview** **Cleveland Clinic Rehabilitation Hospital - Fairhill** ** Director of Quality Management ** **(DQM)** **Opening in October, the Cleveland Clinic… more
- HCA Healthcare (Kissimmee, FL)
- …charitable organizations. Apply Today! **Job Summary and Qualifications** The Facility Case Management Director has the overall responsibility for managing and ... We care like family! Jump-start your career as a Director Case Management today with HCA Florida...to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all… more
- Select Medical (Miami, FL)
- …Select Medical * **Location: Miami, FL** **$10,000 Sign-on Bonus** ** Director of Quality Management ** **(DQM)** **Responsibilities** **Position Summary** ... significant PI findings pertaining to adverse drug reactions, drug usage evaluation, medical management of acute transfers and other CQI indicators.… more
- CVS Health (Austin, TX)
- …physician oversight for utilization management team, including the management of high-risk cases and medical necessity decisions * Participate in ... based (work from home) role.** In this role has Medical Director (Behavioral Health) you will: *... programs * Provide psychiatric leadership to an interdisciplinary utilization management team, including medical /clinical… more
- UCLA Health (Los Angeles, CA)
- …multiple clinical programs and medical services with an emphasis on optimizing Utilization Management for the Faculty Practice Group (FPG) Management ... Description We are seeking a highly skilled and dynamic Director of Clinical Services to lead the development, evaluation,...years of executive leadership experience with a focus on Utilization Management for a medical … more
- Elevance Health (St. Louis, MO)
- …an entire clinical program and/or independently perform clinical reviews. + The Medical Director typically has program management responsibilities including ... ** Medical Director ** **Location:** This role enables...a State agency. **Preferred Skills, Capabilities, and Experiences:** + Utilization Management experience is a plus. +… more
- Providence (Olympia, WA)
- …admissions. + **Physician Relations:** Build strong cooperative relationships with physicians. + ** Utilization Management Oversight:** Lead the Utilization ... opportunity for you! **The Role:** Under the supervision of the North Division Executive Director of Care Management , the Director of Care Management… more
- EAB (Washington, DC)
- …Success team including skills coaching, staff career management /pathing, pipeline management , service strategy and utilization management , and motivating ... visit our Careers page. The Role in Brief: Senior Director , Forage Partner Success and Operations The Senior ...of Forage's Talent products, with the goal of driving utilization and impact to help secure the renewal and… more