- Brockton Hospital (Brockton, MA)
- …with the physician advisor to proactively intervene in cases where utilization of resources is sub optimal. Aggregates information for an array of audiences ... PURPOSE OF POSITION: The Director of Case Management is responsible for planning,...and provides mission critical access to Hospital & Signature Medical Group. Collaborates with all disciplines with a specific… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …may include, but are not limited to: As an agent of the immediate medical supervisor - interventional radiology physician , the PA is authorized to write ... measures; and participates in the development of the new focus on the Medical Home and Patient Centric Care, Utilization Management, and Patient Safety… more
- WMCHealth (Valhalla, NY)
- …and problems. + Participates in daily review of aggregate denials/appeals with the Medical Director , peer, or the Clinical Review Supervisor. + Provides ... business growth and objectives. This position plays an important role in ensuring physician support and execution of for Utilization Management and Documentation… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …the Quality Management/ Utilization Management (QM/UM) Plan, including having the BH Medical Director for Children's Services and participate on the BH ... of the Children's Behavioral Health (BH) Carve-In program. The Medical Director for BH Children's Services has...Home' policy Minimum Qualifications: + Must hold a NYS medical license as a physician board certified… more
- CommonSpirit Health Mountain Region (Salt Lake City, UT)
- …the Salt Lake City Area._ _The Physician Advisor reports directly to the Medical Director Physician Advisor/UR and is responsible for maintaining a ... collaborative partnership with the Medical Director CDI, Enterprise Director ...assigned sites. This position provides support to the facility Utilization Management Committees, medical staff, UM Hub,… more
- Elevance Health (Indianapolis, IN)
- **Clinical Operations Associate Medical Director ** **Orthopedic Spine Surgery** **Carelon Medical Benefit Management** **Schedule: 10:30 AM-7 PM Central** ... an accommodation is granted as required by law._ The **Clinical Operations Associate Medical Director - Orthopedic Spine Surgery** is responsible for performing… more
- Banner Health (Phoenix, AZ)
- **Division Medical Director Primary Care** .5 FTE Clinical + .5 FTE Medical Director Be a leader of leaders! Excellent growth opportunity to build upon ... and health centers in the Phoenix-Metro area. As a Medical Director , the qualified candidate will provide...care, risk recapture, and quality outcomes. This role includes medical case review, utilization , and quality review,… more
- Saint Francis Health System (Tulsa, OK)
- …Warren Clinic Physicians Only: 12-16 hours per week Job Summary: The Medical Director , Population Health (H) serves as the physician leader for Saint Francis ... Doctor of Osteopathic Medicine (DO). Licensure, Registration and/or Certification: Current physician licensure in State of Oklahoma. Work Experience: Minimum 5 years… more
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Job Title: Director of Medical Staff Services** **Schedule:** Full Time **Department:** ... Holy Cross Health is seeking an experienced and dynamic ** Director of Medical Staff Services** to lead,...Serve in a key leadership role that directly impacts physician relations, medical staff performance, and education… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …is preferred but not required\. In addition to the job responsibilities below, this Medical Director will be responsible for: + Medical necessity reviews ... **Join Our Team as a Medical Review Director \- Behavioral Health\!** Are...and serve on various committees in order to accomplish medical utilization , cost and quality objectives of… more
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