• Director Care Management

    Community Health Systems (Carlsbad, NM)
    …and discharge planning. + Refers cases not meeting criteria to the Physician Advisor or Utilization Management Committee and ensures appropriate follow-up. ... any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to… more
    Community Health Systems (05/20/25)
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  • Medical Director - North Central

    CVS Health (Columbus, OH)
    …Previous UM experience with a Health Plan / Payor. Previous UM experience as a Physician Advisor in a Health / Hospital system. Board Certification in Internal ... in one of these states.** + In the Medical Director role you will provide oversight for medical policy...lead business and clinical liaison to network providers and facilities to support the effective execution of medical services… more
    CVS Health (05/30/25)
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  • Director Clinical and DRG Denials

    Kaleida Health (Buffalo, NY)
    …as facilitating strong working relationships between HIM, Clinical Documentation, UR, Physician Advisor operations, PFS, Contracting, and hospital departments ... ** Director Clinical and DRG Denials** **Location:** Larkin Bldg...to develop, implement and maintain strategies that capitalize on facility and industry best practices to achieve targeted outcomes.Identifies,… more
    Kaleida Health (03/20/25)
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  • Assistant Director

    RWJBarnabas Health (Newark, NJ)
    …resource utilization; support utilization review: Collaborate with physicians and the physician advisor in utilization review escalations, ensuring appropriate ... Assistant DirectorReq #:0000191242 Category:Leadership Status:Part-Time Shift:Day Facility :Newark Beth Israel Medical Center Department:Case Management Location:… more
    RWJBarnabas Health (03/11/25)
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  • Family Medicine Physician (MD/DO) Core…

    UNC Health Care (Lumberton, NC)
    …Faculty UNC Health Southeastern in Lumberton, NC seeks board certified Family Medicine physician to serve as Core Faculty to our 8-8-8 Family Medicine Residency ... patient care within the program. * Serve as a family medicine resident advisor . * Provide assistance with scholarly activity. * Assist in the recruitment,… more
    UNC Health Care (04/12/25)
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  • Physician (MD/Do) - Family Medicine Sports…

    UNC Health Care (Lumberton, NC)
    …Southeastern in Lumberton, NC seeks a board-certified Family Medicine Sports Medicine physician to serve as Core Faculty to our 8-8-8 Family Medicine Residency ... patient care within the program. . Serve as a family medicine resident advisor . + Provide assistance with scholarly activity. + Assist in the recruitment,… more
    UNC Health Care (03/08/25)
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  • Medical Director - Health Services - Sharp…

    Sharp HealthCare (San Diego, CA)
    ** Facility :** Health Plan **City** San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** California ... the membership. Serves as a medical manager and policy advisor to SHP and its Chief Medical Officer. Is...clinical practice of medicine. + Previous experience as a physician executive in a managed care environment, preferably as… more
    Sharp HealthCare (05/18/25)
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  • Director TeleBehavioral Services

    Banner Health (Scottsdale, AZ)
    …supportive of innovative solutions. Assumes a leadership role, in partnership with physician and facility leaders, in managing the quality of services ... regulatory and compliance requirement. This position will serve as the primary advisor to the Banner Telehealth senior leadership on matters related to… more
    Banner Health (04/16/25)
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  • Dialysis Clinical Manager Registered Nurse - RN

    Fresenius Medical Center (Waldorf, MD)
    …and compliance with FMS Medical Staff By-Laws. + Responsible for strong Director and physician relationships and facilitating staff relationships with ... care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close-knit,...advance your career into an Area Team Lead or Director of Operations role. **Our culture:** We believe our… more
    Fresenius Medical Center (04/10/25)
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  • Dialysis Program Manager Registered Nurse - RN

    Fresenius Medical Center (Chambersburg, PA)
    …departments and external customers; particularly in problem resolution. Acts as an advisor to subordinate(s) to meet schedules and/or resolve problems. + Responsible ... in order to achieve quality standards. + Responsible and accountable for facility maintenance and environmental integrity. Promotes a culture of safety in assigned… more
    Fresenius Medical Center (05/22/25)
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