- Eisai, Inc (Nutley, NJ)
- …provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through ... If this is your profile, we want to hear from you. The Director , HCP Marketing, Alzheimer's Disease will lead several core marketing, strategy, and lifecycle… more
- Eisai, Inc (Phoenix, AZ)
- …provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through ... product data, and builds appropriate relationships with key personnel. Understands managed markets to understand product access and partners with appropriate… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …in acute care , utilization review, case management. Strong working knowledge of hospital billing, managed care systems, and discharge planning. Excellent ... collaborative healthcare setting. About Fort Duncan Regional Medical Center Acute care hospital with 101 private rooms, advanced imaging (CT, MRI, ultrasound,… more
- Copious Staffing Solution (Houston, TX)
- …assertive Background in business planning, and targeted outcomes Working knowledge of managed care , inpatient, outpatient, and the home health continuum, as ... About the job Director , Care Management The Director...Director is responsible for monitoring the progress of hospital department activities related to discharge planning and clinical… more
- Mount Sinai Hospital (New York, NY)
- …personnel as needed. The Nursing Clinical Manager collaborates with Appeals Management, Managed Care Contracting and other institutional departments to ensure ... implementation of new Institutional initiatives. The NCM reports to and assists the Director of Case Management in providing ongoing education to Case Managers and… more
- Athena Health Care Systems (Bristol, CT)
- We are hiring a Director of Nursing Services to join our dynamic care team at Sheriden Woods Health Care Center in Bristol! Sheriden Woods, a 146-bed skilled ... employment in short-term hospital or chronic disease hospital as Director of Nurses, Assistant ...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow… more
- UnitedHealth Group (Phoenix, AZ)
- …in either HI, AK, OR, ID, WA, UT a plus 2+ years of managed care , Quality Management experience and/or administrative leadership experience Prior UM experience ... Connecting. Growing together. We are currently seeking an Inpatient Care Management Medical Director to join our...stay reviews for medical necessity for our members being managed within the continuum of care . Our… more
- University of Illinois Hospital and Health Sciences System (Peoria, IL)
- …relationships as needed to meet strategic needs of the MSP. Negotiate with managed care organizations. Ensure that review of monthly financial reports is ... Executive Director for Fiscal Affairs Hiring Department : UICOMP-Dean's...is now accepting applications for the position of Executive Director for Fiscal Affairs. We are looking for a… more
- Compass Group (Chicago, IL)
- …the successful operation of multiple Food & Nutrition Services in more than one Acute Care Hospital in a given geography. MUST RESIDE IN CHICAGO IL Key ... service team members. Job Summary Job Summary: The System Director of Dining Services is a key leadership position...related experience preferred Minimum of seven plus years of hospital or adult home/ care experience preferred, depending… more
- StateJobsNY (Buffalo, NY)
- …innovative leader who can execute strategic decisions to serve as Deputy Director of the Western NY (WNY) Developmental Disabilities State Operations Office (DDSOO) ... of the Commissioner of OPWDD and reports directly to the Region 1 DDSOO Director . The selected candidate will serve at the executive level for the Region, providing… more
- Vertex Pharmaceuticals (Boston, MA)
- …discuss and incorporate contracting strategies and tactics, and understand the various types of managed care contracting. This is a highly visible role that will ... Job Description Reporting to the Director , Contract Operations, this role is responsible for...including but not limited to specialty pharmacy, provider and managed care payors is required (health plans,… more
- Nova Medical Centers (Denton, TX)
- …and supervisory experience for clinical scope Preferred two years' experience in managed care and physician management. Experience developing and leading medical ... management and quality improvement programs, preferably in a managed care setting. Job-Related Skills/Competencies Nova Core Competencies of Service Mentality,… more
- CenCal Health (Santa Barbara, CA)
- …Knowledge/Skills/Abilities Required: In-depth knowledge of the principles and practices of managed care related to utilization management and case management ... Reporting to the Chief Medical Officer, or his/her designee, the Medical Director is responsible for providing clinical oversight for utilization, quality, care… more
- Athena Health Care Systems (Webster, MA)
- …and active RN license in the state. A minimum of one (1) year in a hospital , long-term care facility, or other related health care facility is preferred, ... All individuals, regardless of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow federal and state… more
- Actalent (Fort Lauderdale, FL)
- …review Utilization management InterQual Milliman Commercial Guidelines Medicaid Medical management Medicare Managed care Patient care Medical record Case ... on utilization review issues. The role involves managing continuity of care , ensuring smooth transitions, patient satisfaction, safety, and appropriate length of… more
- Boston Medical Center (Boston, MA)
- …and proper recording of any required hospital /department and or insurance of managed care requirements for proper recording and or billing of Radiology ... hospital . It's a network of support and care that touches the lives of hundreds of thousands...procedures as determined necessary through Supervisor and Radiology Administrative Director . POSITION SUMMARY: Under the general supervision of the… more
- Baylor Scott & White Medical Center - Frisco (Frisco, TX)
- …not paid correctly according to Managed Care contracts. Supports hospital department policies, department director and hospital administration. Lends ... of experience in hospital insurance collections, processing, commercial, and managed care claims preferred. Computer knowledge, including knowledge of… more
- Athena Health Care Systems (Plymouth, MA)
- …Must be CPR certified. Must have as a minimum, one (1) year experience in a hospital , long-term care facility or other related health care facility is ... of shift of duty under the direction of the Director of Nursing Services to ensure that the highest...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow… more
- Thomas Jefferson University Hospitals, Inc. (Philadelphia, PA)
- …preferred. Skills/Abilities: Must present polished professional image. Thorough understanding of managed care systems and utilization review criteria Recent ... or case management Knowledge of health insurance including Medicare, Medicaid and managed care Ability to work and communicate effectively with co-workers,… more
- Memorial Hermann Health System (Pearland, TX)
- …management, case management, performance improvement, disease or population management and managed care reimbursement Understanding of pre-acute and post-acute ... (3) years of nursing or social work experience acute hospital -based preferred, or three (3) years of experience comparable...improvement in both areas. Refers cases and issues to Care Management Medical Director in compliance with… more
