- University of Miami (Coral Gables, FL)
- …here (https://www.myworkday.com/umiami/d/task/1422$7248.htmld) to log in to Workday to use the internal application process. To learn how to apply for a faculty ... of Miami has a great opportunity for a Sr. Director , Development (Gift fundraising) to join our team at...education in the US for its academic excellence, superior medical care, and cutting-edge research. At the U, we… more
- UCLA Health (Los Angeles, CA)
- Description We are seeking a highly skilled and dynamic Director of Clinical Services to lead the development, evaluation, and implementation of multiple clinical ... programs and medical services with an emphasis on optimizing Utilization Management...will: + Oversee the development and execution of multiple UM processes and workflows, while continuously identifying and evaluating… more
- University of Miami (Miami, FL)
- …here (https://www.myworkday.com/umiami/d/task/1422$7248.htmld) to log in to Workday to use the internal application process. To learn how to apply for a faculty ... education in the US for its academic excellence, superior medical care, and cutting-edge research. At the U, we...to create an environment where everyone contributes to making UM a great place to work. We are one… more
- University of Maryland, Baltimore (Baltimore, MD)
- …Data/Adaptive Clinical Trials*at the University of Maryland-Institute for Health Computing ( UM -IHC) and*Assistant Director for Learning Health System and ... and innovation to win extramural funding and new public-private partnerships involving UM -IHC, respectively. UMGCCC: The role of*Assistant Director for Learning… more
- Integra Partners (Troy, MI)
- The UM Coordinator assists and supports the clinical team ( UM Nurses/ Medical Director ) with administrative and non-clinical tasks related to processing ... authorization platform + Initiate appeal cases and forward to UM Nurses for completion + Meet internal ...& external sources + Other duties as assigned by UM Director + Strong organizational skills, ability… more
- Integra Partners (Troy, MI)
- …policies). + Review and process clinical and administrative appeals; coordinate with Medical Director when required. + Generate and review daily/weekly reporting ... Quality) to resolve escalations and address utilization management issues. + Represent UM nursing team in internal meetings and external stakeholder interactions… more
- Sharp HealthCare (San Diego, CA)
- … medical management activities to include tracking, trending and analyzing UM data. Works in collaboration with regional medical directors, ambulatory ... of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and… more
- University of Michigan (Ann Arbor, MI)
- …**SUPERVISION RECEIVED** General supervision is received from Administrative Manager, Medical Director or Nurse Manager. **PHYSICAL REQUIREMENTS** This ... Medical Assistant Associate/Assistant ( Internal Applicants Only)...Time** Full-Time **Regular/Temporary** Regular **FLSA Status** Nonexempt **Organizational Group** Um Hospital **Department** MM CVC Clinic **Posting Begin/End Date**… more
- 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 ... required to achieve that purpose. Job Summary The Supervisor of Utilization Management ( UM ) RN is responsible for executing the day-to-day operations of the UM… more
- CVS Health (Buffalo Grove, IL)
- …and best practices in the development and maintenance of programs supported by Medical Affairs, drives the regulatory strategy of UM programs and supports ... efficiencies. + Manage the maintenance and external requests of Medical Affairs UM Policies and Procedures. +...across organization by supporting all Heartbeat page maintenance throughout Medical Affairs. + Work with the Lead Director… more