- Evolent (Dover, DE)
- …LMSWs, LCSW, and LPCs, Clinical Reviewers. Opportunities to work collaboratively with other Utilization Management Leaders including our Director may also be ... the mission. Stay for the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as a point of contact for… more
- Humana (Dover, DE)
- …a Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care ... community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement...with prior experience participating in teams focusing on quality management , utilization management , case … more
- Evolent (Dover, DE)
- …Clinical Reviewer, Interventional Pain Management , you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... for selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical… more
- Elevance Health (Wilmington, DE)
- …medical complexity. **How you will make an impact:** + Oversees case and utilization management execution/decision making for managed member populations. + Is ... **Healthcare Management Services (HCMS) Director Senior** Location:...Management Program including disease management , case management , and utilization management . +… more
- Humana (Dover, DE)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
- Evolent (Dover, DE)
- …impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your ... Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- Genesis Healthcare (Hockessin, DE)
- …Area Director ). 9. Assumes responsibility for daily staffing and utilization with input from treating therapists, consideration of clinical requirements, and ... of the rehabilitation department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient… more
- Humana (Dover, DE)
- …a part of our caring community and help us put health first** The Director , Product Management Conceives of, develops, delivers, and manages products for ... customer use. The Director , Product Management requires an in-depth understanding...account teams and solution architects to ensure optimal platform utilization and innovation. + **Customer & Market Insights** +… more
- Datavant (Dover, DE)
- …educational and life experiences to realize our bold vision for healthcare. The Director of Workforce Management , Forecast Planning & Capacity will provide ... ensure the organization can meet service, efficiency, and growth objectives. The Director will oversee a high-performing team of leaders, analysts, and system SMEs… more
- Evolent (Dover, DE)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National … more