• Corporate Director

    Prime Healthcare (Ontario, CA)
    …Responsibilities The Corporate Director of Clinical ... to individual and Company performance. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/172723/ corporate - director -of- clinical - utilization -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime… more
    Prime Healthcare (08/29/24)
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  • Director , Utilization Management

    Point32Health (Canton, MA)
    …are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Director , Utilization Management is responsible for directing, leading, ... The Director is responsible for ensuring achievement of Point32Health corporate goals; compliance with Point32Health business rules; oversight of all aspects of… more
    Point32Health (08/01/24)
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  • Utilization Management Director

    CareFirst (Baltimore, MD)
    …location based on business needs and work activities/deliverables that week. The Director , Utilization Management provides strategic leadership of the ... plans and sets goals within the context of the corporate policies and procedures. Develops annual goals, and prepares,...Upon Hire Required. **Experience:** 8 years' Experience in a clinical and utilization review role. 3 years… more
    CareFirst (08/27/24)
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  • Director of Clinical Case Management

    HCA Healthcare (Nashville, TN)
    …**Introduction** Do you want to join an organization that invests in you as a Director of Clinical Case Management? At HCA Healthcare, you come first. HCA ... lives and you have the opportunity to make a difference. We are looking for a dedicated Director of Clinical Case Management like you to be a part of our team.… more
    HCA Healthcare (09/10/24)
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  • Organ Utilization Administrative…

    LifeCenter Northwest (Bellevue, WA)
    Utilization Administrative Coordinator is responsible for supporting the Organ Utilization Director and the department's Managers along with administrative ... + Calendar management and meeting support - Manage the calendar of the Director of Organ Utilization and scheduling for the leadership team, scheduling… more
    LifeCenter Northwest (09/07/24)
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  • Clinical Director -AR UM

    Kepro (AR)
    …a vital partner for health solutions in the public sector. Acentra is looking for a Clinical Director to join our growing team. Job Summary: The Clinical ... Director is responsible for the management and oversight of Arkansas Utilization Management Contract activities within clinical , contractual, and budgetary… more
    Kepro (08/17/24)
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  • Director of Clinical Informatics

    HCA Healthcare (Salem, VA)
    …Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Director of Clinical Informatics with LewisGale Medical Center you can be ... resources you need to succeed in our organization. We are looking for an enthusiastic Director of Clinical Informatics to help us reach our goals. Unlock your… more
    HCA Healthcare (09/06/24)
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  • Division Director Clinical Resources

    HCA Healthcare (Sugar Land, TX)
    …Do you want to join an organization that invests in you as a Division Director Clinical Resources? At HealthTrust Supply Chain, you come first. HCA Healthcare ... a difference. We are looking for a dedicated Division Director Clinical Resources like you to be...teams and supply chain leadership. + Interacts with HealthTrust corporate supply chain, HCA Clinical Services Groups,… more
    HCA Healthcare (08/15/24)
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  • Director of Clinical Informatics…

    HCA Healthcare (Dallas, TX)
    …sites of care in 21 states and the United Kingdom. We are looking for a Director of Clinical Informatics- Medical City North Hills for our, team where excellence ... to be an influencer in healthcare? **Apply for our Director of Clinical Informatics role today!** **Job...utilization , and best practices in the area of clinical quality informatics + Adheres to HCA Code of… more
    HCA Healthcare (08/07/24)
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  • Senior Director Clinical Strategy…

    The Cigna Group (Bloomfield, CT)
    **Job Description** The Senior Director , Clinical Consulting serves as a clinical strategy leader and trusted advisor for Prime Therapeutics within the ... clinical consulting team functions, including custom formulary maintenance, utilization management policy review, formulary consulting and financial analysis. +… more
    The Cigna Group (09/18/24)
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  • Executive Clinical Director Quality…

    AdventHealth (Tampa, FL)
    …the general direction of the Chief Quality and Safety Officer, the Executive Clinical Director of Quality & Safety will provide project management, redesign ... care across the continuum (acute and ambulatory) for AdventHealth. The Executive Clinical Director Quality & Safety must lead/facilitate performance improvement… more
    AdventHealth (09/18/24)
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  • Director -Nursing & Women's Oncology…

    Baptist Memorial (Memphis, TN)
    …risk management, utilization review, reimbursement, and oversight of all clinical patient care facilities with in Baptist Medical Group. Responsibilities * ... education + Employee referral program Job Summary: Position: 237 - Director -Nursing & Women's Oncology Services Facility: BMG- Corporate Department: MG… more
    Baptist Memorial (07/18/24)
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  • Clinical Director , Perioperative…

    Roper St. Francis (Charleston, SC)
    …Weekly Hours:** 40 **Work Shift:** Days (United States of America) The Clinical Director , Perioperative Services is responsible for providing leadership and ... St. Francis Eye Center locations. This role partners closely with the Director of Perioperative Services - Roper Downtown/Roper Berkeley to support in developing… more
    Roper St. Francis (08/28/24)
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  • System Director - Clinical Pharmacy

    Baptist Memorial (Memphis, TN)
    …education + Employee referral program Job Summary: Position: 19958 - System Director - Clinical Pharmacy Facility: BMHCC Corporate Office Department: HS ... Summary This System Director position will be responsible for formulary management... Corporate Category: Leadership & Administration Type: Non Clinical Work Type: Full Time Work Schedule: Days Location:… more
    Baptist Memorial (09/19/24)
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  • Senior Director Clinical Trials…

    e CancerCare (Fresno, CA)
    Purpose: The Director , Clinical Trials & Research, for CCARE Physicians, PC, is responsible and accountable for the daily operations and management of staff, of ... in the department. Promote clinical excellence through applied clinical knowledge, leadership, team recommendations and research utilization . Ensure… more
    e CancerCare (08/16/24)
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  • Director of Professional Development…

    AdventHealth (Tavares, FL)
    …strategic direction in conjunction with nursing leadership for professional development, clinical excellence, and Magnet recognition. The Director sets strategic ... Way, Tavares, FL 32778 **The role you'll contribute:** The Director is a Master's prepared Registered Nurse who provides... adheres to, and is knowledgeable of, the AdventHealth Corporate Compliance Plan, **The value you'll bring to the… more
    AdventHealth (09/18/24)
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  • Director , Clinical Pharmacy…

    Centene Corporation (Tallahassee, FL)
    …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... a fresh perspective on workplace flexibility. Position Purpose: Oversee the clinical pharmacy services function and develop new quality improvement and revenue… more
    Centene Corporation (09/18/24)
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  • Medical Director , BH - TX licensed, Remote…

    Magellan Health Services (Dallas, TX)
    …supervision of the use of the medical necessity criteria. + Along with the Corporate Clinical team, implements clinical practice standards and policies ... clinical quality improvement activity (QIA) in collaboration with the clinical lead senior medical director , and quality improvement staff. May… more
    Magellan Health Services (08/21/24)
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  • Behavioral Health Medical Director

    Kepro (Indianapolis, IN)
    …provide the clinical and administrative medical oversight for Behavioral Health Utilization Management reviews. The Medical Director will be responsible for ... to the Behavioral Health physician reviewers. Moreover, the Medical Director will provide clinical determinations on behavioral... specialty if MD or DO. + Experience in Utilization Management (UM) with knowledge of Medicaid and Medicare… more
    Kepro (09/06/24)
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  • Medical Director - Florida

    Humana (Columbus, OH)
    …hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilization management experience ... a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
    Humana (09/06/24)
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