- Ascension Health (Nashville, TN)
- …. Must be located with in the TN market . We're looking for an experienced Director of Utilization Management to join our team! In this pivotal role, ... **Details** + **Department:** Utilization Management + **Schedule:** Monday -...root-cause analysis to enhance our processes. You'll collaborate with Market Care Management , Finance, CDI, and Physician… more
- Humana (Louisville, KY)
- …a part of our caring community and help us put health first** The Associate Director , Utilization Management utilizes clinical nursing skills to support the ... and communication of medical services and/or benefit administration determinations. The Associate Director , Utilization Management Nursing requires a solid… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …team of physicians and nurses working with the Rady Children's Health Network. The Utilization Management Medical Director will collaborate closely with the ... ideal candidate will have a strong pediatric clinical background. Utilization management experience is a plus. This...full benefits with a remote work option. The Medical Director , UM is a clinical subject-matter expert for the… more
- Tenet Healthcare (Detroit, MI)
- …and advance Tenet’s Case Management strategy with the specific focus on Utilization Review for the designated Market . Will support the advancement of ... Group Utilization Review Director - 2506000536 Description...to Case Management scope of services, including utilization management , transition management promoting… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... safety net required to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves… more
- Katmai (Fort Carson, CO)
- …(BSN) is required. + Minimum of two (2) years of prior experience in Utilization Management . + Must possess a current, active, full, and unrestricted Registered ... background checks. **DESIRED QUALIFICATIONS & SKILLS** + Certification by a Utilization Management -specific program such as Certified Professional in Healthcare… more
- Abbott (Chicago, IL)
- …female executives, and scientists **The Opportunity** The Global Go to Market Director is responsible for the day-to-day management of the Go-to- Market ... distributor performance across key metrics such as weighted distribution, market /channel share, on-time delivery, promotion management , and...based however will partner with the Global Go to Market Director to drive activities globally. A… more
- ChenMed (Richmond, VA)
- …expanding and we need great people to join our team. The Associate Market Clinical Director will directly supervise, performance manage and train Clinical ... workplace concerns. + Reviews/approves center-level referrals and provides back-up for market referral and delegated utilization authorizations. + Other duties… more
- Intermountain Health (Grand Junction, CO)
- …Group Medical Director of Primary and Specialty Care in Colorado Market , Western Colorado is a leadership position reporting to and collaborating with the ... market Medical Group Associate Chief Medical Officer. Together, and...healthy relationships among providers and Intermountain Health. The Medical Director must be a patient centric leader who is… more
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