• Utilization Manager Reviewer, RN (Multiple…

    Excellus BlueCross BlueShield (Rochester, NY)
    …set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case Management to address ... and refers potential quality of care and utilization issues to Medical Director . + Utilizes appropriate communication techniques with members and providers to obtain… more
    Excellus BlueCross BlueShield (08/23/25)
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  • Manager Network Operations

    OhioHealth (Columbus, OH)
    …the Central Verification Office (CVO) and Network Operations Department reports to the Director of CVO and Network Operations and oversees all operational aspects of ... performance related to quality. The Manager also supports the Director with planning and coordinating daily work with the...is completed with all CIN and OhioHealth payers including Medicare /Medicaid prior to care site go-live. The Manager plays… more
    OhioHealth (08/21/25)
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  • Psychiatric Nurse Practitioner

    Lincoln County (Newport, OR)
    …of the client. + Consult and coordinate with physicians, Health Center Medical Director , Associate Medical Director , and Primary Care Program Manager as ... from Program Manager, Deputy Directors or Health Center Medical Director to evaluate level of care provided and whether...time of appointment. Possession of a National Certificate for Medicare , or the ability to obtain one by the… more
    Lincoln County (08/20/25)
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  • Coord Life Safety

    HCA Healthcare (Atlantis, FL)
    …of Care Committee Coordinator under the direction of the Facilities Director , with overall responsibility for development, implementation, and monitoring of safety ... management. Reports to the Director of Facilities Mgmt regarding safety and health related...fire safety and evacuation plan to comply with JCAHO, Medicare , OSHA, and other regulatory agencies; Coordinate and implement… more
    HCA Healthcare (08/14/25)
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  • Physician Audit and Education Manager

    MedKoder (Mandeville, LA)
    …week that offers a flexible schedule Description: Under the direction of the Director of Physician Coding, the Audit and Education Manager is responsible for leading ... surgical cases. + Conduct regular meetings with the Coding Director and Team Leads. + Collaborate with the Coding...guidelines by the AMA, ICD-10-CM coding and guidelines, and Medicare and Medicaid billing policies for professional services. +… more
    MedKoder (08/10/25)
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  • Vice President for Programs (Special Programs)

    Comunilife (New York, NY)
    …the Assistant Vice Presidents for Programs (AVP) for Transitional Housing, Program Director for Medical Respite, Program Director for Care Coordination, and ... managed in compliance with contract and policy requirements of NYS-OMH, NYC-DOHMH, Medicaid/ Medicare , HRA/HASA, OTDA, DHS, HUD, HPD, SAMSHA, MRT, ESSHI and HIV/AIDS… more
    Comunilife (08/08/25)
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  • Chief Medical Officer

    Tiburcio Vasquez Health Center (Hayward, CA)
    …and enhancing speciality behavioral health. + Team-based care models. + Expansion of Medicare and other services for the aging population. + Leads and works ... TVHC. Supervises: Department Medical Directors, Medical Providers, Clinical Program Leads, Director of Behavioral Health Services, Street Health Outreach Director more
    Tiburcio Vasquez Health Center (08/03/25)
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  • AVP of Operations

    Gentiva (Yuma, AZ)
    …applicable regulatory agencies - ie, keeping personnel records up-to-date for Medicare surveys. + Maintains updated copies of all applicable regulations, statutes, ... policies and procedures. + Coordinates with the appropriate corporate staff, Medical Director , Clinical Manager, and Executive Director or Administrator all… more
    Gentiva (08/01/25)
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  • Residential Counselor - Lancaster Diversion…

    WellSpan Health (Lancaster, PA)
    …program leadership to implement programming including but not limited to: Assisting director /managers/nurse in operation and management of the milieu for a specific ... LADV program; Orienting new RC staff to LADV; Assisting LADV director /managers in delegating resident assignment, activities, and milieu tasks; insuring all tasks… more
    WellSpan Health (07/29/25)
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  • CBHC Child and Adolescent Psychiatrist

    Advocates (Framingham, MA)
    …of the multidisciplinary teams, including students, if assigned. + Work with Medical Director and Clinical Program Director to develop and manage Integrated ... eligible, if the candidate demonstrates to the satisfaction of the Medical Director comparable experience and competence). + Current, valid, unrestricted license to… more
    Advocates (07/28/25)
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