- LA Care Health Plan (Los Angeles, CA)
- …the needs of LA Care's culturally diverse membership. The position supports the UM Manager/ Director . This role also assists UM Educator/Manager/ Director ... that purpose. Job Summary The Supervisor of Utilization Management ( UM ) RN is responsible for executing the day-to-day operations...Off (PTO) + Tuition Reimbursement + Retirement Plans + Medical , Dental and Vision + Wellness Program + Volunteer… more
- Catholic Health Initiatives (Houston, TX)
- …to maintain effective team leadership and oversight. This role supports the UM Director in ensuring efficient operations with all processes, policies, ... **Responsibilities** The Utilization Management ( UM ) Manager is responsible for managing day-to-day UM operations within the markets, focusing on effective team… more
- AdventHealth (Altamonte Springs, FL)
- …which have been referred to the physician for peer-to-peer review with the Medical Director of the insurance carrier. **The expertise and experiences you'll ... you will contribute:** The role of the Utilization Management ( UM ) Registered Nurse (RN) is to use clinical expertise...physician advisor to avoid concurrent denials. 8) Collaborates with medical staff, nursing staff, payor, and ancillary staff to… more
- University of Miami (Miami, FL)
- …the academic year JMH/UMH Afterhours responsibilities to be divided between three UM -JMH chief residents Pull beeper responsibilities to be divided between all 5 ... conjunction with the Chief of Medicine and Residency Program Director , select the case to be discussed, the specific...team each week for Tuesday 11am chief rounds - medical student to present the case at bedside with… more
- State of Colorado (Denver, CO)
- Medical Coding and Fiscal System Administrator Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4941083) Apply Medical Coding and Fiscal ... from people of diverse backgrounds and abilities. We are looking for a Medical Coding and Fiscal System Administrator to join our Clinical Operations Division team!… more
- Houston Methodist (Sugar Land, TX)
- …assurance and quality improvement processes related to admission, concurrent and retrospective UM and medical claims programs. Collaborates with medical ... other areas according to department specifications. + Manages utilization management ( UM ) programs including Medical Claims Review, Precertification and… more
- University of Maryland, Baltimore (Baltimore, MD)
- …and Health Outcomes Research. Clinical reporting responsibility is to the Clinical Services/ Medical Director for the Maryland Poison Center. Teaching reporting ... manager for two clinical toxicology elective courses in the UM School of Pharmacy as well as serve as...King, MD, FAACT, FACMT* Associate Professor, Medicine and Pharmacy Medical Director , Maryland Poison Center Director… more
- University of Miami (Miami, FL)
- …sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The University of Miami/UHealth Medical Training Lab at the Gordon Center is ... currently seeking a full time Nurse Educator - Medical Simulation and Education Lab to work in Miami,...per year. Training programs include curricula developed by the UM Gordon Center, and other organizations, such as the… more
- Beth Israel Lahey Health (Burlington, MA)
- …patients admitted to the Clinic Attending Physicians: Coordinates appropriate documentation Medical Director for /Managed Care, Physician Advisors Works ... making a difference in people's lives.** Manages the Utilization Management ( UM ) team, maintaining effective and efficient processes for determining appropriate… more
- University of Maryland, Baltimore (Baltimore, MD)
- * Medical Director , Level III Neonatal Intensive...join UM -SJMC as the level III NICU Medical Director . This position requires someone with ... Care Unit* *University of Maryland St Joseph's Medical Center ( UM -SJMC) * *I. GENERAL SUMMARY*...and regulations. In addition to the administrative functions, the medical director is also expected to carry… more