- Prime Healthcare (Lynwood, CA)
- …the care given to their assigned patients. They communicate with the physician about changes in the patient's clinical condition including cardiac monitoring, ... his/her patients in the Emergency Department. He / She communicates with the physician about the changes in the patient's clinical condition including results of the… more
- UPMC (Pittsburgh, PA)
- …remote Medical Director, Utilization Management role. The Medical Director, Utilization Management is responsible for assuring physician commitment and ... care to UPMC Health Plan members. They will be responsible for assuring physician commitment and delivery of comprehensive high quality health care to UPMC Health… more
- Sharp HealthCare (San Diego, CA)
- …for and provides professional leadership and direction to the utilization /cost management and clinical quality management functions. Works collaboratively with ... experience in the clinical practice of medicine. + Previous experience as a physician executive in a managed care environment, preferably as an HMO Medical Director.… more
- Corewell Health (Dearborn, MI)
- …for groups of patients as it relates to disease management, resource utilization , access, discharge planning, quality, service and efficiently across the continuum. ... focus. Scope of work Under general direction, integrates cost, quality and utilization to facilitate the admission, continued stay and discharge of the patient.… more
- WMCHealth (Hawthorne, NY)
- …AR, payor mix, billing throughput and other performance statistics. + Physician and Mid-level provider productivity, utilization , patient referrals, ... and forecast financial performance. + Coordinate with practice operations and physician leaders to develop and oversee transition plan for capital assets,… more
- Centene Corporation (Olympia, WA)
- …American Board certified in Child or Addiction Psychiatry, preferred + Utilization Management experience and knowledge of quality accreditation standards. + Actively ... for the business unit. + Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. + Performs… more
- Centene Corporation (New York, NY)
- …+ Board certified in Internal Medicine or Family Medicine preferred + Utilization Management experience and knowledge of quality accreditation standards. + Actively ... for the business unit. + Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. + Performs… more
- Sharp HealthCare (San Diego, CA)
- …a comprehensive plan of care for each patient/family in collaboration with the physician , social worker and all members of the interdisciplinary team in the ... position requires the ability to combine clinical/quality considerations with regulatory/financial/ utilization review demands to assure patients are receiving care… more
- HCA Healthcare (Henderson, NV)
- …the healthcare continuum from the introduction to adoption and advancing utilization of HCA ambulatory EHR technologies. Duties also include ensuring providers ... EHR optimization efforts and actively supports and promotes system standardization, utilization , and best practices. + Contributes as a subject-matter expert for… more
- Centene Corporation (Raleigh, NC)
- …AND reside in North Carolina + American Board Certification + Utilization Management experience and knowledge of quality accreditation standards highly preferred ... business unit + Provides medical insights and/or interpretation for utilization management, cost containment, and medical quality improvement activities. Performs… more
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