- Kind Behavioral Health (Huntersville, NC)
- …including scheduling, resource allocation, and onboarding workflows. Assist the Clinic Director with utilization management and support revenue-driving ... development initiatives within the clinic. Role Responsibilities - Performance & Growth Management Track clinic-level KPIs and support Clinic Director in… more
- Lifepoint Health (Louisburg, NC)
- …Case Management Department to facilitate timely discharge planning.. Reports to: Director , Case Management What we offer Fundamental to providing outstanding ... Description Registered Nurse (RN) Utilization Review Job Type: Full Time | Day...the responsibilities involved in monitoring adherence to the hospital's utilization review plan, which ensures the appropriate use of… more
- ACCUR Recruiting Services (Asheville, NC)
- …strategic direction for beverage production, quality control, regulatory compliance, capacity management , facility sanitation, and team development. The Director ... a well known regional winery in the Asheville, NC area. Objective The Director of Operations provides leadership for wine production activities and teams, including… more
- Liberty Health (Wilmington, NC)
- …focusing on fax and authorization queues, and other documents incoming and outgoing. Assist Utilization Management RNs and Director with projects as needed. ... the healthcare industry. Join us! We are currently seeking an experienced: UTILIZATION MANAGEMENT ADMINISTRATIVE COORDINATOR Full Time, Days SUMMARY: Day-to-day… more
- Merck & Co. (Durham, NC)
- …finances, labor, employee, environment and safetyTactical and strategic Shift(s) management , including collaboration with indirect staff;Promote the behaviors and ... and business plan; receives guidance and oversight from Operations Associate Director and Director ;Interprets client and/or customer needs and assesses… more
- KA Recruiting, Inc. (Asheville, NC)
- Job Title : Site Director Department : Clinical Management Location : Site Specific Reports To : Market Medical Director or Vice President of Clinical ... Operations Position Summary : The Site Director is responsible for overseeing clinical operations, building and maintaining relationships with hospital staff and the… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role The Director , Utilization Management (UM) will manage the Utilization Management team consisting of Clinicians and Non-Clinical ... onboardings with time sensitive requirements. + Support and grow the utilization management team through strong professional relationships, mentorship, modelling… more
- Humana (Raleigh, NC)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... value based care, population health, or disease or care management . **Responsibilities** The Medical Director provides medical...with prior experience participating in teams focusing on quality management , utilization management , case … more
- Humana (Raleigh, NC)
- … 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
- Humana (Raleigh, NC)
- … 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 actively uses their medical background, experience, and judgement...with prior experience participating in teams focusing on quality management , utilization management , case … more