- UHS (Bethlehem, PA)
- …health care services for seniors, adults and adolescents. Hanover is seeking an experienced Director of Utilization Management and Review. This is a ... multi-disciplinary team while working in a state-of-the-art facility, including EPIC. The Utilization Review Director is responsible for overseeing the … more
- Curative HR LLC (Austin, TX)
- …teams, including Nurse Practitioners, Care Coordinators, and Operations, to optimize utilization management processes and improve member outcomes. Contribute to ... development, review, and revision of medical policies, clinical guidelines, and utilization management protocols. Participate in quality improvement initiatives,… more
- Kaiser Permanente (Sacramento, CA)
- …as assigned, such as statistical reports for state, federal, and local agencies. Assists the director of quality and utilization management for QM and UM in ... assigned areas. Essential Responsibilities: Assists in the coordination of the quality management / utilization management department activities. Acts as a… more
- AmeriHealth Caritas Health Plan (Philadelphia, PA)
- …services. Discover more about us at www.amerihealthcaritas.com. Join a mission-driven Utilization Management team where your clinical expertise helps shape ... experience in ICU, ED, Med-Surg, pediatrics, behavioral health, or similar. Prior Utilization Management or managed care experience preferred. Strong analytical,… more
- Twist BioScience (South San Francisco, CA)
- …adherence to GxP standards, and delivery of services. Optimize the utilization of internal development resources.Budget Management : Develop and manage ... Sr. Director , Manufacturing Execution System (MES) (Hybrid in South...data integrity within a highly automated environment. The effective utilization and continuous enhancement of our proprietary MES technologies… more
- EvergreenHealth (Kirkland, WA)
- …arrange for equipment, and arrange for additional services in the community. Utilization Management /Case Management Nurses provide clinical information to ... payer conditions are met. Primary Duties: Under the direction of the department Director /Manager of Care Management , supervises the day-to-day activities of the… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …a difference? The Position Position provides field coaching, mentorship and management to the field-based Medical Liaisons, and develops and implements strategies: ... the US affiliate and globally if needed; responsible for administrative and management support of field-based FMA Program at Novo Nordisk Inc (NNI). Accountable… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …pull you in? Are you ready to experiment with us? The Position The Associate Director of Nephrology Key Opinion Leader Marketing will be a pivotal driver in shaping ... with brand/therapy area vision and message. Relationships Reports to Senior Director of Cardio Renal Marketing Responsible for providing interface with key… more
- Merck & Co. (Rahway, NJ)
- …the guidance of a senior leader, an Associate Principal Scientist/Associate Director , has primary responsibility for planning/managing real world and economic ... characterize disease burden and epidemiology, treatment patterns, healthcare resource utilization and costs, physician and patient satisfaction surveys, clinical and… more
- Eisai, Inc (Nutley, NJ)
- …If this is your profile, we want to hear from you. The Associate Director (AD), Global Medical Affairs Training and Education is responsible for the planning and ... for internal medical training content. Train new hires on EMAC organization/ utilization .Provide input into and collaborate with regional and global medical leads… more
- Merck & Co. (North Wales, PA)
- Job DescriptionRole SummaryThe Principal Scientist/ Director , Value & Implementation (V&I) Outcomes Research, position resides in the V&I organization, which includes ... characterize disease burden and epidemiology, treatment patterns, health-care resource utilization and costs, physician and patient satisfaction surveys, clinical… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …need them most, by creating an environment where innovation and chronic disease management drive optimal health outcomes. Are you ready to realize your potential? ... customers. Relationships This position reports into a Vice President or Sr. Director within the National Account Market Access Teams. Internally, this position has… more
- Gracelight Community Health (Los Angeles, CA)
- …Type Full Time Salary Range $120916.00 - $194708.00 Salary Description SUMMARY: The Director of Enhanced Care Management (ECM) will lead the strategic ... and resource utilization across the ECM team. Collaborate with the Director of Operations to ensure seamless operational integration of ECM services within… more
- Athari (New York, NY)
- Under the supervision of the Senior Director of Integrated Care Management (ICM), the Director of ICM (Medicare) provides clinical and administrative ... operations of the clinical and non-clinical staff, ensuring adherence to the care management process. Most broadly, the Director ensures members are receiving… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …certification (CCM, ACM, CCM-RN) preferred. Proven leadership experience in acute care, utilization review, case management . Strong working knowledge of hospital ... Position Summary Lead and oversee the hospital's case management department, ensuring patients receive high-quality, efficient, and coordinated care from admission… more
- Jamie Grayem (Downey, CA)
- Director , Patient Safety & Clinical Risk Management Downey, CA, US$170,400 - $205,100 + Performance Bonus + Relocation Assistance + Sign On Bonus + Paid ... listed below, this position is also responsible for overseeing critical risk management projects such as cybersecurity, changes to the reimbursement structure, and… more
- Odell Medical Search (Los Angeles, CA)
- Role you will play: The Director of Case Management is responsible for the development of staff and systems to effectively operate a comprehensive Case ... leadership and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and … more
- NYC Health Hospitals (New York, NY)
- …Assistant Director will use data-driven methodology to ensure appropriate utilization and compliance with 340B regulations as well as financial optimization of ... vendor management , and revenue and spend managements. The Assistant Director will also actively engage with leadership and participate in decision-making… more
- Tenet Health (Nacogdoches, TX)
- …national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention; Transition ... This position may qualify for a sign-on bonus Summary Responsible for hospital utilization performance improvement and operational management of the Case … more
- East Side High School District (San Jose, CA)
- …/ Essential Elements: EAST SIDE UNION HIGH SCHOOL DISTRICT Job Title: Director of Transportation (Classified Management ) DESCRIPTION OF BASIC FUNCTIONS AND ... in the use of computers including electronic spreadsheets and database utilization Prepare county, federal, and state mandated reports Perform research, compiling… more
