- Tenet Healthcare (Detroit, MI)
- Group Director Utilization Review -... Management strategy with the specific focus on Utilization Review for the designated Market. Will ... employers in Southeast Michigan. Summary Description SUMMARY: The Group Director , Utilization Review will perform...initiatives and will provide subject matter expertise for Case Management – Utilization Review regulations… more
- Trinity Health (Des Moines, IA)
- …Full time **Shift:** **Description:** **_Are you an experienced Director of Care Management & Utilization Review looking for an interim assignment? Join ... Des Moines. Operational responsibilities include budgeting, strategic planning, patient care management and integration and achieve organizational goals. Acts as a… more
- Ascension Health (Nashville, TN)
- …care plan development, service level determination, patient visits, and complaint management . + Prepare and monitor budget(s) and ensure that assigned nursing ... required. + 10 years of experience preferred. + 2 years of leadership or management experience required. + 5 years of leadership or management experience… more
- Intermountain Health (Las Vegas, NV)
- … management , claims, network management , and finance. As the Medical Director for Utilization Management , you are responsible, in partnership with ... order to be considered for the position.** Performs medical review activities pertaining to utilization review...timely documentation and reporting. + Demonstrated knowledge of case management , utilization management , quality … more
- AnMed Health (Anderson, SC)
- The Utilization Review Medical Director supports operations and direction of the Care Coordination, Clinical Documentation, and Utilization Management ... to the leadership and staff who perform the functions of Utilization Management (UM), Case Management (CM), Transition Planning/ Discharge Planning,… 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
- Intermountain Health (Las Vegas, NV)
- **Job Description:** The Utilization Review Care Management Director is responsible for providing leadership and administrative direction for ... Utilization Management and Review for...Utilization Management and Review for the Enterprise. The...and attainment of financial goals. Reporting to the Sr. Director /AVP/VP Utilization Management , the role… more
- Wellpath (Lemoyne, PA)
- …**How you make a difference** The Medical Director of Utilization Management leads and oversees utilization review , case management , quality ... quality patient care and the appropriate utilization of medical services. The Medical Director of Utilization Management serves as a key liaison with… more
- LifePoint Health (Gallatin, TN)
- Monitors adherence to the hospital's utilization review plan to ensure appropriate use of hospital services, hospital admissions and extended hospitals stays. ... Reports to: Director - Case Management Minimum Education Associate's,...or related healthcare field. **Job:** **Nursing* **Organization:** ** **Title:** * Utilization Mgmt Case Manager FT* **Location:** *Tennessee-Gallatin*… more
- Catholic Health Initiatives (Houston, TX)
- …Skills, Abilities and Training: * Comprehensive knowledge of utilization management , Medicare, Medicaid, and commercial admission and review requirements. * ... **Responsibilities** The Utilization Management (UM) Manager is responsible...team leadership and oversight. This role supports the UM Director in ensuring efficient operations with all processes, policies,… more
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