- Prime Healthcare (Ontario, CA)
- …Responsibilities The Corporate Director of Clinical ... to individual and Company performance. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/160505/ corporate - director -of- clinical - utilization -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime… more
- Universal Health Services (Harahan, LA)
- …and intensive outpatient). River Oaks Hospital is seeking a dynamic and talented UTILIZATION REVIEW DIRECTOR to direct and serve within the Utilization ... advocates for patient length of stay and level of care. Coordinates utilization review activities with other departments to ensure reimbursement for services… more
- 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 (Nashville, TN)
- …Do you want to join an organization that invests in you as a Corporate Director Simulation Technology? At HCA Healthcare, you come first. HCA Healthcare ... make a difference. We are looking for a dedicated Corporate Director Simulation Technology like you to...organization + Provides leadership for day-to-day operations of the corporate clinical education team + Provides assistance… more
- Sharp HealthCare (San Diego, CA)
- **Facility:** Corporate Offices **City** San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Other; ... **What You Will Do** This position supports the system centralized utilization management department to meet division and organizational objectives, facilitate… more
- University of Southern California (Los Angeles, CA)
- Senior Clinical Administrative Director IIApply (https://usc.wd5.myworkdayjobs.com/ExternalUSCCareers/job/Los-Angeles-CA Health-Sciences-Campus/Senior- ... -II\_REQ20141790/apply) Keck School of Medicine Los Angeles, California The Senior Clinical Administrative Director will oversee clinical , administrative,… more
- YesCare Corp (Bartow, FL)
- …for ensuring the monthly report is sent to each site and participates in Utilization Review with Clinical Director and other personnel as required ... Below is a list of your responsibilities as a ** Utilization Management Coordinator** with YesCare: + Confirms admissions with...Reviews requests for outpatient services, codes, and forwards to Corporate UM Medical Director + Performs monthly… more
- Baptist Memorial (Memphis, TN)
- …education + Employee referral program Job Summary: Position: 85 - System Director -Supply Chain Facility: BMHCC Corporate Office Department: HS Supply Chain ... policy/procedure governing supplier business relationships. Working in collaboration with clinical leadership, analyze supply categories and supplier market share to… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …that we serve through our Healthsource blog: https://healthsource.premera.com . As the ** Director of Pharmacy and Clinical Consulting** , you will participate ... and continued close partnership with functional areas across the company. The Director will oversee the development of pharmacy clinical quality and… more
- Brookdale Senior Living (Brentwood, TN)
- …who have been with us for at least a year. Responsibilities The Director of Clinical Reimbursement is responsible for the oversight of Medicare/Medicaid/Managed ... Overview Brookdale seeks experiencedDirector of Clinical Reimbursementto support our SNF Portfolio. This opportunity...This opportunity is based out of our Brentwood, TN corporate office. Voted by Newsweek in 2024 as one… more
- 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
- 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
- Elevance Health (Richmond, VA)
- …office locations Work schedule: Monday - Friday, standard business hours.** The Medical Director Clinical Programs is responsible for designing and implementing ... care in support of the innovation and execution of corporate clinical interventions. + Provides clinical...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more
- Highmark Health (Charleston, WV)
- …success and works closely with all divisions and departments within the corporate structure to provide clinical consultation and support with regard ... as a resource for information and consultation on the issues related to utilization management, clinical services and medical affairs, including such issues as… more
- Sharp HealthCare (San Diego, CA)
- **Facility:** Corporate Offices **City** San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Master's ... Degree; California BBS Licensed Clinical Social Worker (LCSW) - CA Board of Behavioral...a staff resource and under the direction of the Director /Supervisor/Lead to develop and create department specific education. Consults… more
- 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
- Centene Corporation (PA)
- …and utilization management programs in accordance with regulatory, state, corporate , and accreditation requirements. + Assists the Chief Medical Director ... Assists in the development and implementation of physician education with respect to clinical issues and policies. + Identifies utilization review studies and… more
- Centene Corporation (Phoenix, AZ)
- … utilization management programs in accordance with regulatory, state, corporate , and accreditation requirements. + Assists the Senior Behavioral Health Medical ... Assists in the development and implementation of physician education with respect to clinical issues and policies. + Identifies utilization review studies and… more
- 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 (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