- Mount Sinai Health System (New York, NY)
- **Job Description** The Assistant Director of Case Management supports the Director of Case Management with the overall operation of the Case ... efficient care to patients, the delivery of comprehensive front-line Case Management services, including utilization ... processes and throughput. In the absence of the Director of Case Management , the… more
- Prime Healthcare (Inglewood, CA)
- …Status Full Time Shift Days Connect With Us! (https://careers-primehealthcare.icims.com/jobs/209416/ director -of- case - management utilization - management ... https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities We are seeking a strategic and compassionate Director of Case Management to… more
- UTMB Health (Friendswood, TX)
- …resource utilization to Director and/or Assistant Director of Utilization Review/ Case Management . + Maintains a documentation system of all ... ensure optimal quality, cost, and service/outcomes. Supports and actualizes the UTMB Utilization Review/ Case Management program by utilizing clinical… more
- WellSpan Health (York, PA)
- …WellSpan's geographic footprint._** **General Summary** Performs a variety of reviews and applies utilization and case management techniques to determine the ... for which criteria are not met to the Medical Director . + Demonstrates a working knowledge of managed care...+ 3 years Relevant experience. Required + Experience in utilization management , case management… more
- Commonwealth Care Alliance (Boston, MA)
- … will be responsible for providing leadership and subject matter expertise to our utilization management (UM) group. This role is a key role in helping ... other medical management team members. + Support the development of utilization management policy initiatives. + Support the development and implementation… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Corporate Director of Clinical ... or another relevant field + A minimum of seven (7) years' experience in Clinical Utilization Review or Case Management with a large Health Plan +… more
- Integra Partners (Troy, MI)
- …rendering the criteria inappropriate, the Utilization Management Nurse will route the case to the UR Medical Director . The UR Medical Director will ... is seeking a full-time Utilization Review Medical Director to support our Utilization Management...requests + Familiarity with electronic UM systems and queue-based case management preferred + Analytical ability and… more
- Wellpath (Lemoyne, PA)
- …education, and point of care support. **How you make a difference** The Medical Director of Utilization Management leads and oversees utilization ... care and the appropriate utilization of medical services. The Medical Director of Utilization Management serves as a key liaison with external partners… more
- HonorHealth (AZ)
- …of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Case Management Director is accountable and responsible for ... Oversees clinical operations for managed care plan contracts including utilization management , case management...and vendors, as required. Works closely with the Medical Director , Utilization Management , Nursing, the… more
- Tenet Healthcare (Detroit, MI)
- … model, staffing and skill mix, complex Case Management , and centralized utilization review · Participate in new hospital Director of Case ... - Troy and six ambulatory sites. SUMMARY: The Group Director Case Management is responsible...operational management of the Case Management Department in order to promote effective utilization… more
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