• Director of Case Management

    Prime Healthcare (Inglewood, CA)
    …status, ie full-time or part-time. Responsibilities We are seeking a strategic and compassionate Director of Case Management to lead our dynamic Case ... of staff and systems to effectively operate a comprehensive Case Management Program. The Director ...supervision to case managers, social workers and case management coordinators/discharge planners, utilization more
    Prime Healthcare (08/26/25)
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  • Program Mgr UR/ Case Management

    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
    UTMB Health (08/01/25)
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  • Director Utilization

    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
    Brighton Health Plan Solutions, LLC (07/18/25)
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  • Medical Director Utilization

    AmeriHealth Caritas (Philadelphia, PA)
    ; **Responsibilities:** The Medical Director , Utilization Management provides organizational leadership in the operational areas of care management , ... and practice initiatives in collaboration with the Corporate Medical Director (s), Utilization Management and the...+ Assists IHCM Managers in assessing members' need for case management services + Attends case more
    AmeriHealth Caritas (08/12/25)
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  • Utilization Review Medical Director

    Commonwealth Care Alliance (Boston, MA)
    … will be responsible for providing leadership and subject matter expertise to our utilization management (UM) group. This role is a key role in helping ... other medical management team members. + Support the development of utilization management policy initiatives. + Support the development and implementation… more
    Commonwealth Care Alliance (09/05/25)
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  • Utilization Management Medical…

    Elevance Health (Winston Salem, NC)
    ** Utilization Management Medical Director - NC...The **Medical Director ** will be responsible for utilization review case management for North ... May serve as a resource to staff including Medical Director Associates. **How you will make an impact:** +...and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers… more
    Elevance Health (08/29/25)
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  • Director Utilization Mgmt (Do Or MD…

    Wellpath (Lemoyne, PA)
    …for training, education, and point of care support. **About this role** The Medical Director of Utilization Management leads and oversees utilization ... care and the appropriate utilization of medical services. The Medical Director of Utilization Management serves as a key liaison with external partners… more
    Wellpath (08/08/25)
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  • Director Case Management

    Brockton Hospital (Brockton, MA)
    PURPOSE OF POSITION: The Director of Case Management is responsible for planning, directing, and managing of the activities of the Case Management ... solves problems, referring exceptional issues to Vice President. The Director of Case Management is...resource utilization . Provides training to staff on case management methods and techniques. Establishes monitoring… more
    Brockton Hospital (06/13/25)
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  • Director Of Case Management

    RWJBarnabas Health (Newark, NJ)
    …- $180,000.00 per year Location: 201 LYONS AVENUE, NEWARK, NJ 07112-2027 Job Title: Director Of Case Management Location: Newark Beth Israel Med Ctr ... educational background, skills and professional experience. Job Overview: The Director of Case Management oversees...have at least 3 years of recent experience in Case Management , Utilization Review, or… more
    RWJBarnabas Health (09/04/25)
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  • Director of Case Management

    Select Medical (Madison, WI)
    **Overview** **Critical Illness Recovery Hospital** ** Director of Case Management ** $10,000 Sign On Bonus **_Clinical license as a registered nurse or ... doing well by doing what is right. As the Director of Case Management **,**...resource management . + Demonstrating compliance with facility-wide Utilization Management policies and procedures. + Coordinating… more
    Select Medical (09/06/25)
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