- 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
- Tufts Medicine (Burlington, MA)
- …1. Bachelor of Science in Nursing (BSN). 2. RN Licensure. 3. Current certification in case / utilization management (ACM, CCM, CMAC) 4. Seven (7) years of UM/ ... management . The position develops and leads the Utilization Management operations, strategy and implementation of...Case Management experience in an acute-care hospital… more
- AmeriHealth Caritas (Philadelphia, PA)
- **Role Overview:** The Medical Director , Utilization Management , provides organizational leadership in the operational areas of appeals, utilization ... practice initiatives in collaboration with the Corporate Medical Directors, Utilization Management and the Vice President, Medical...+ Assists Care Managers in assessing members' needs for case management services and attends meetings and… more
- Commonwealth Care Alliance (Boston, MA)
- …responsibility for managing the effective utilization of healthcare services, case / disease management , program development/ management /evaluation and ... Mgmt * Directs, coordinates and evaluates efficiency and productivity of utilization management functions for physical health services and long term… more
- Sharp HealthCare (San Diego, CA)
- …Years experience as an LVN in a hospital or clinical setting. + 2 Years utilization / Case Management experience, preferably in a Managed Care setting. + ... hiring teams. **What You Will Do** To provide comprehensive utilization management and coordination of care for...Experience as a case manager or discharge planner interacting with managed care… more
- UTMB Health (Webster, TX)
- …efficient use of medically appropriate services. Integrates and coordinates utilization management activities, care coordination, discharge planning functions, ... UTMB TDCJ Hospital to specialty services hospitals. **_ESSENTIAL JOB FUNCTIONS_** **:** Utilization Management + Demonstrates thorough knowledge of Inter Qual… 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)
- …education, and point of care support. **How you make a difference** 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
- Molina Healthcare (GA)
- …of healthcare services professionals in some or all of the following functions: utilization management , care management , behavioral health and other ... one or more of the following key health care services functions: care management , utilization management , care transitions, long-term supports and services… more
- Houston Methodist (Houston, TX)
- …for all hospital-based Case Management Directors and the Central Utilization Review Director across the system. This position is responsible for the ... At Houston Methodist, the Sr Director Case Management position... initiatives. + Provides strategic vision and execution for case management and utilization review… more
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