- GIBSON AREA HOSPITAL (Gibson City, IL)
- …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...effective discharge planning is provided. Working closely with the Medical Staff and Nursing units in this effort, effective… more
- InterDent (Woodland, WA)
- …health outcomes. Position Overview We are seeking a dynamic Regional Clinical Director (RCD) to provide clinical leadership and operational support to approximately ... 30 Gentle Dental offices within the designated region and serve as a Dental Director (DD) for Capitol Dental. This is a high-impact leadership role central to our… more
- Intermountain Health (Butte, MT)
- …and peer review . Provide leadership and expertise to ensure that medical quality improvement and utilization management programs are carried out in ... monitor medical policies and procedures (including case /disease management, utilization management and clinical programs) as they relate to overall delivery of… more
- Aveanna Healthcare (Birmingham, AL)
- …by the plan of care, the interdisciplinary team, attending physician and Hospice Medical Director . Territory is primarily Jefferson County, AL. Schedule Monday - ... the plan of care and patient needs. Participates in quality improvement, utilization review , and infection control activities as requested. Attends appropriate… more
- GIBSON AREA HOSPITAL (Gibson City, IL)
- …standards. 6. Communicates relevant clinical and other client care information to Department Director , Medical Director , and Treatment Team Members as ... or individualizes a predefined, goal consistent and continuous manner by utilization of and adherence to pre-determined standards which define the structure,… 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...and agency senior leadership, to effectively manage DTRA's manpower utilization of active component and reserve officers, warrant officers,… more
- GIBSON AREA HOSPITAL (Gibson City, IL)
- …physicians and other health care workers. REPORTING RELATIONSHIP Reports to the Director of the Medical /Surgical unit. EDUCATION, KNOWLEDGE AND ABILITIES ... or individualizes a predefined, goal consistent and continuous manner by utilization of and adherence to pre-determined standards which define the structure,… more
- WORKCARE INC (Albany, OR)
- …to treatment care guidelines and in collaboration with the WorkCare Consulting Medical Director (CMD) and company policies/procedures. Coordinates care with ... of practice and as supported by the CMD or Medical Review Officer (MRO). Assists the CMD...to incident reports and tracking of injury and clinic utilization data. Actively participates in emergency response team activities,… more
- Laurel Pointe Senor Living (Reading, PA)
- …related office staff, hospital staff including social workers, discharge planners, utilization review , volunteer coordinators, rehabilitation director , ... Generous PTO Plan Career Development Length of Service Bonus Program Affordable Medical , Dental, Vision, Supplemental Benefits 401K Retirement Plan Oh, and did we… 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)
- …this role. Job Description Under General Supervision, this position reports to a Director of Operations. This level is capable of supporting the management of medium ... 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
- Bassett Healthcare (Cooperstown, NY)
- …continuous improvement in both areas. + Refers cases and issues to Case Review , Utilization Committee, Medical Director , and Director of Quality in ... and accurate information to payors. The role integrates and coordinates utilization management, care facilitation, and discharge planning functions. The Case Manager… more
- UPMC (Pittsburgh, PA)
- The UPMC Health Plan is seeking a licensed MD or DO for a fully remote Medical Director , Utilization Management role. The Medical Director , ... full remote role._ Responsibilities: + Actively participates in the daily utilization management and quality improvement review processes, including concurrent,… more
- Elevance Health (Wallingford, CT)
- ** Utilization Management Medical Director -...Medical Director ** will be responsible for utilization review case management for North Carolina ... opportunities. May serve as a resource to staff including Medical Director Associates. **How you will make...state or territory of the United States when conducting utilization review or an appeals consideration and… more
- UPMC (Pittsburgh, PA)
- The Medical Director , Utilization Management is responsible for assuring physician commitment and delivery of comprehensive high-quality health care to UPMC ... Changing Medicine happen. **Responsibilities:** + Actively participates in the daily utilization management and quality improvement review processes, including… more
- Alameda Health System (Oakland, CA)
- …each individual in the classification. + Lead and manage a team of utilization review professionals providing guidance, training, and performance evaluations. + ... Director , Utilization Management + Oakland, CA...reviews and determine program improvements. + Develop and implement utilization review policies and procedures in accordance… more
- Tufts Medicine (Burlington, MA)
- …coordinates the design, development, implementation, and monitoring of the organization's utilization review functions. The position establishes the department's ... the utilization of resources, coordination of care across the continuum and utilization review and management. The position develops and leads the … more
- Wellpath (Lemoyne, PA)
- …training, education, and point of care support. **How you make a difference** The Medical Director of Utilization Management leads and oversees ... to ensure quality patient care and the appropriate utilization of medical services. The Medical Director of Utilization Management serves as a key… more
- Prime Healthcare (Inglewood, CA)
- …to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization technicians. ... Overview AtCentinela Hospital Medical Center, our dedicated team of professionals are...part-time. Responsibilities We are seeking a strategic and compassionate Director of Case Management to lead our dynamic Case… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Senior Director of Health Services - Utilization Management Location: Hybrid | ... us. The Impact You Will Have As the Senior Director of Health Services, Utilization Management you...UM/Cost Protection * Accountabilities include the overall value of utilization management (UM) product, medical and reimbursement… more
