- Prime Healthcare (Woonsocket, RI)
- …Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Director of Case ... Criteria and InterQual Criteria preferred. #LI-MM4 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/160141/ director case - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityLandmark Medical Center… more
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- CenterWell (Providence, RI)
- …care and high-risk management and care coordination. * Experience with case management , social work, skilled nursing facilities, rehab programs, etc. * ... caring community and help us put health first** **National** ** Director of Transitional Care and High-Risk Patient Management...** Director of Transitional Care and High-Risk Patient Management ** The Director of Transitional Care and… more
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... support to Medicaid markets within the region, aiding in case review, peer to peer and appeals as needed....size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...management operational improvements, including those within the medical director area + Participate in call rotation + Develop… more
- RELX INC (Providence, RI)
- Sr. Director , Program Management and Strategy Position is remote within US About the business: LexisNexis Risk Solutions is the essential partner in the ... Verification, Fraud and Credit Risk mitigation and Customer Data Management . We are a fast-growing division of the RELX...support to teams and Finance by ensuring that investment case estimates are accurate, properly socialized, and reflect the… more
- SitusAMC (Providence, RI)
- …think global but act local - come join our team! **Position Overview:** As the Director of Workforce Management , you will play a pivotal role in leveraging data ... trends and best practices in operations, people analytics and workforce management . + Administer and maintain the ActivTrak platform, ensuring optimal performance,… more
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and new... Case managers or Care managers on complex case management , including familiarity with social determinants… more
- Sanofi Group (Providence, RI)
- Position Summary This position reports to the Senior Director , Value & Access and Provider Accounts, Transplant & T1D and is responsible for serving as the medical ... to open patient access to care with Thymo. The National Business Director will demonstrate strong relationships with Chief Medical Officers, Medical Benefit… more