- AmeriHealth Caritas (Newark, DE)
- ** Utilization Management Plan Oversight Manager, Registered Nurse (must reside in DE)** Location: Newark, DE Primary Job Function: Medical Management ... and serves as SME for clinical components DE Medicaid Utilization Management Program. Works in close collaboration... program. + Act as a primary liaison with plan providers including but not limited to physicians, hospital… more
- AmeriHealth Caritas (Newark, DE)
- …in collaboration with the Corporate Medical Director(s), Senior Medical Directors, Utilization Management and the CMO. The following responsibilities are ... Preferred Provider Organization (PPO), large Health Care Organization, health plan or any combination thereof, or Full-time medical facility...+ 5+ years of clinical practice. + Experience in Utilization Management as a Medical Director within… more