- MVP Health Care (Rochester, NY)
- …and continuous improvement. To achieve this, we're looking for a ** Medical Director , Post-Acute Care Utilization Management ** to join #TeamMVP. If you ... our Talent team at ###@mvphealthcare.com . **Job Details** **Job Family** ** Medical Management /Clinical** **Pay Type** **Salary** **Hiring Min Rate** **240,067… more
- UPMC (Pittsburgh, PA)
- The Regional Medical Director , CC/DP and Utilization Review, provides clinical and management leadership across multiple hospitals within the region. This ... utilization, and length of stay (LOS) strategic oversight. The Medical Director will report to the Vice...documentation of all physician advisory activities in the UPMC Care Management information system. + Conduct or… more
- LA Care Health Plan (Los Angeles, CA)
- …Supervisor of ECM and receives clinical supervision as needed from the Medical Director of Care Management . The position is responsible for providing ... Enhanced Care Management Clinical Specialist II Job...or chronic conditions in collaboration with members and interdisciplinary care professionals in a hospital, medical group… more
- Corewell Health (Royal Oak, MI)
- …status and level of care . Uses defined resources to guide decisions, including Medical Director Care Management , Physician Advisors, and ... evaluates appropriateness of admission or continued stay based on medical necessity. The overall goal of the position is...of all hospitalized patients. 1. Identifies patients that need care management services (ie utilization review; … more
- CVS Health (Tallahassee, FL)
- …* Work with medical director teams focusing on inpatient care management , clinical coverage review, member appeals clinical review, medical ... health populations to optimize risk adjustment, clinical quality, and care management . * Actively participate in meetings...as needed. * Develop and guide the implementation of Medical Management programs to ensure providers deliver… more
- Humana (Montpelier, VT)
- …region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member ... caring community and help us put health first** The Medical Director relies on medical ...based care , population health, or disease or care management . Medical Directors support… more
- Humana (Salem, OR)
- …value based care , population health, or disease or care management . **Responsibilities** The Medical Director provides medical interpretation ... , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned… more
- Humana (Charleston, WV)
- …region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member ... caring community and help us put health first** The Medical Director actively uses their medical...based care , population health, or disease or care management . Medical Directors support… more
- Humana (Bismarck, ND)
- …region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member ... caring community and help us put health first** The Medical Director relies on medical ...business metrics. + Experience working with Case managers or Care managers on complex case management , including… more
- MVP Health Care (Schenectady, NY)
- …innovative thinking and continuous improvement. To achieve this, we're looking for a ** Medical Director , Clinical Review and Care Integrity** to join ... preferred. + Experience working in a matrixed healthcare environment + Previous medical director or clinical leadership experience within a health plan… more
Recent Jobs
-
Physical Therapist-Pelvic/Ortho Outpatient-$2500 Sign on Bonus
- Select Medical (Palatine, IL)
-
Internal Auditor II- Hybrid (Bala Cynwyd, PA)
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
-
OPWDD Incident Management Investigator
- Hawthorne Foundation Inc. (Hawthorne, NY)
-
Environmental Services-Cleaning
- Trinity Health (Grand Rapids, MI)
Related Job Searches:
Care,
Care Director,
Care Management,
Director,
Director Care Management,
Management,
Medical,
Medical Director,
Medical Management