- buyer (New York, NY)
- …ancillary services review , etc., following established MetroPlusHealth Utilization Management policies, procedures, and protocols.Oversee the coordination ... Physician Advisor/Medical Director . Informs member and provider of Utilization Management determinations and treatment alternatives.Identifies utilization… more
- GIBSON AREA HOSPITAL (Gibson City, IL)
- …Position Type Full Time Salary Range $32.00 - $48.00 Hourly Description JOB TITLE: UTILIZATION REVIEW /CASE MANAGEMENT - Nurse DEPARTMENT: CASE MANAGEMENT ... (QUALITY) GENERAL SUMMARY The Utilization Review /Case Management Nurse is directly responsible for review of patient admissions for severity of illness… more
- Gentle Dental (Oregon City, OR)
- Director of Project Management InterDent is a well-established and growing organization supporting 2,100 employees and 170 dental offices across 8 western states ... Position Overview We are seeking a dynamic and experienced Director of Project Management to oversee our...equipment, and budget, to support project initiatives. Monitor resource utilization and make adjustments as needed to optimize project… more
- InterDent (Amboy, WA)
- …Develop, implement, and monitor clinical guidelines, quality improvement initiatives, and utilization management processes to enhance patient outcomes and ... health outcomes. Position Overview We are seeking a dynamic Regional Clinical Director (RCD) to provide clinical leadership and operational support to approximately… more
- Aveanna Healthcare (Birmingham, AL)
- …the plan of care and patient needs. Participates in quality improvement, utilization review , and infection control activities as requested. Attends appropriate ... Sign-On Bonus Position Overview: The Hospice Registered Nurse is responsible for pain management , symptom control in the delivery of care to hospice patients, as… more
- GIBSON AREA HOSPITAL (Gibson City, IL)
- …the Gero-Psych patients in all aspects of medication self-administration and all management of medication and other patient care supplies. The LPN also provides ... or individualizes a predefined, goal consistent and continuous manner by utilization of and adherence to pre-determined standards which define the structure,… more
- Office of the Secretary of Defense (Arlington, VA)
- …provides direct support to the Office of Strategic Capital (OSC), reporting to the Director of Operations. The Office of Strategic Capital (OSC) serves as a crucial ... systems with program initiatives and utilizes advanced technology for effective data management , ensuring the department remains at the forefront of financial … more
- UCP OF LONG ISLAND (Hauppauge, NY)
- …Description General Purpose of the Job: Provide organizational support and project management to ensure the smooth workflow of the Adult Services Department. Manage ... in areas including but not limited to, participant attendance, billing and utilization . Complete reports as assigned Assist in maintaining accurate and current… more
- Defense Threat Reduction Agency (Fort Belvoir, VA)
- Summary This position serves as the Director , Human Resources Directorate, serving as the principal and key advisor. Duties Help As a SUPERVISORY HUMAN RESOURCES ... Serves as the principal and key advisor to the Director of DTRA and the senior leadership team on...that are responsive to the needs of both DTRA management and employees, and assures optimum productivity and goal… more
- GIBSON AREA HOSPITAL (Gibson City, IL)
- …or individualizes a predefined, goal consistent and continuous manner by utilization of and adherence to pre-determined standards which define the structure, ... and unit levels through use of data sources and compliance peer review monitoring. 19. Demonstrates willingness and ability to effectively coordinate patient… more
- GIBSON AREA HOSPITAL (Gibson City, IL)
- …or individualizes a predefined, goal consistent and continuous manner by utilization of and adherence to pre-determined standards which define the structure, ... and unit levels through use of data sources and compliance peer review monitoring. Demonstrates willingness and ability to effectively coordinate patient care/unit… more
- Laurel Pointe Senor Living (Reading, PA)
- …related office staff, hospital staff including social workers, discharge planners, utilization review , volunteer coordinators, rehabilitation director , ... outreach opportunities. This position will assist and oversee internal lead management system, Public Relation activities, and Public Educational Outreach Programs.… more
- WORKCARE INC (Albany, OR)
- …care guidelines and in collaboration with the WorkCare Consulting Medical Director (CMD) and company policies/procedures. Coordinates care with other WorkCare ... strategies, referral to Employee Assistance Programs (EAP), and case management efforts, as deemed necessary. Helps employees prevent injuries...practice and as supported by the CMD or Medical Review Officer (MRO). Assists the CMD with health care… more
- CytomX Therapeutics, Inc. (South San Francisco, CA)
- …CA Candidate Location: Hybrid Travel Required: 5% Reports To: Sr. Director , Clinical Operations Department: Clinical Operations Position Type: Temporary (6-12 ... clinical trial conduct including study start-up and conduct processes, clinical document review and tracking, vendor access and administration support, and finally … more
- Fluor Corporation (Morris, IL)
- …for this role. Job Description Under General Supervision, this position reports to a Director of Operations. This level is capable of supporting the management ... to Site Business Plan by monitoring budgets, performance and utilization , and provides periodic reporting for the respective site....zero accidents. *Prepare scope of work for bid packages, review bids and make recommendations for award Basic Job… more
- GIBSON AREA HOSPITAL (Gibson City, IL)
- …care in a knowledgeable, skillful, consistent and continuous manner by utilization of/adherence to pre-determined standards which define the structure, process and ... at the generic and unit levels through data sources and compliance peer review monitoring. 19. Demonstrates appropriate delegation of patient care activities in the… 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 ... leader for system services for wholly owned and Partner hospitals for utilization management . Job Duties OPERATIONS: Plans, organizes and delegates activities… more
- Elevance Health (Wallingford, CT)
- …locations may be considered. The **Medical Director ** will be responsible for utilization review case management for North Carolina Medicaid. May be ... ** Utilization Management Medical Director -...** Utilization Management Medical Director - NC Medicaid** Location:...state or territory of the United States when conducting utilization review or an appeals consideration and… more
- Commonwealth Care Alliance (Boston, MA)
- … Management reports to the Director of Utilization Management * Oversees clinical decision review for services requiring prior authorization in a ... for overseeing and managing the daily operation of the Utilization Management Review Nurse and...and support personnel. * Act as liaison with medical director , provider relations, case management and quality… 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...the classification. + Lead and manage a team of utilization review professionals providing guidance, training, and… more
