- Centene Corporation (Richmond, VA)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Directs the utilization management team to ensure the appropriate application of ... policy procedures and processes to help support best member outcomes. Oversees and manages ...Utilization Operations specific to the daily operations of Utilization Management including timeliness, quality and performance… more
- Bassett Healthcare (Cooperstown, NY)
- …and human resources for the department. Oversees and works with the Director of Utilization Management to support and implement the goals of the ... director is responsible for the oversight of case management and logistics activities for the Bassett Healthcare Network...utilization management program. Maintains oversight responsibility for the discharge planning… more
- UNC Health Care (Morrisville, NC)
- …and well-being of the unique communities we serve. **Summary** : The **Executive System Director of Utilization Management (UM)** is a strategic and ... operational leader responsible for designing, implementing, and standardizing utilization management functions across a large healthcare system, including a… more
- Alameda Health System (Oakland, CA)
- Director , Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req ... plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds...and procedures. + Analyze data and generate reports on utilization trends, outcomes and quality indicators to support… more
- Centene Corporation (Richmond, VA)
- …efficiency to support timely and compliant claims outcomes. + Leads utilization management team on performance, improvement, and career growth path ... including a fresh perspective on workplace flexibility. **Position Purpose:** Directs the utilization management team to ensure the appropriate application of… more
- UPMC (Pittsburgh, PA)
- The Medical Director , Utilization Management is responsible for assuring physician commitment and delivery of comprehensive high-quality health care to UPMC ... and procedures. + Contributes to process improvement within the Utilization Management department. + Participates in activities to support policy decision… more
- Centene Corporation (Sacramento, CA)
- …experience with prior auth is highly preferred** **Position Purpose:** Directs the utilization management team to ensure the appropriate application of policy ... procedures and processes to help support best member outcomes. Oversees and manages ...Utilization Operations specific to the daily operations of Utilization Management including timeliness, quality and performance… more
- Texas Health Resources (Arlington, TX)
- Director Utilization Management -Clinical Review _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for ... leader for system services for wholly owned and Partner hospitals for utilization management . Job Duties OPERATIONS: Plans, organizes and delegates activities… more
- Wellpath (Lemoyne, PA)
- …and point of care support . **How you make a difference** The Medical Director of Utilization Management leads and oversees utilization review, ... life balance for team members and their family to support physical, mental, and financial wellbeing including: * DailyPay,...appropriate utilization of medical services. The Medical Director of Utilization Management serves… more
- Henry Ford Health System (Clinton Township, MI)
- GENERAL SUMMARY: The Medical Director of Utilization Management shall have responsibility for the medical oversight of activities related to Henry Ford ... or DO. Two (2) years of physician advisor and/or utilization management experience. Medical Staff membership in...team members is our priority. That's why we offer support in the various components of our team's well-being:… more