- Ascension Health (Nashville, TN)
- …TN market. Must be located with in the TN market. We're looking for an experienced Director of Utilization Management to join our team! In this pivotal role, ... **Details** + **Department:** Utilization Management + **Schedule:** Monday -...optimize patient care and partner with the National Senior Director of UM to align on organizational goals. Ready… more
- Ascension Health (Nashville, TN)
- …internal Ascension Travel Program, please visit our site (https://about.ascension.org/our-work/ associate -travel-program) . **Benefits** Paid time off (PTO) Various ... care plan development, service level determination, patient visits, and complaint management . + Prepare and monitor budget(s) and ensure that assigned nursing… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... safety net required to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves… more
- Vanderbilt University Medical Center (Nashville, TN)
- …Operating Officer - Vanderbilt Transplant Center. The Executive Director and Associate Operating Officer shall provide general management for the operations ... Director and Associate ...+ Lead activities related to performance, improvement, and risk management programs to establish and meet clinical quality goals,… more
- AmeriHealth Caritas (Dover, DE)
- …Under the direction of a supervisor, the Clinical Care Reviewer - Utilization Management evaluates medical necessity for inpatient and outpatient services, ... policies. When necessary, cases are escalated to the Medical Director for further review. The reviewer independently applies medical...in a fast-paced environment. ;The Clinical Care Reviewer - Utilization Management will also be counted upon… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …Join Kite and help create more tomorrows. **Job Description** The ** Associate Director of Clinical Trial Planning, Resource Management , and Reporting** is a ... clinical plans + update project templates and styles. Resource Management & Reporting: + Support Director of...+ Stakeholder communication + Risk assessment & mitigation + Utilization of project management core principles (PMP… more
- San Jose State University (San Jose, CA)
- Associate Director of Resources and Operations Apply now ... with the Executive Director of Moss Landing Marine Labs (MLML), the Associate Director of Resources and Operations, functions with autonomy and provides… more
- AmeriHealth Caritas (Charleston, SC)
- …**Responsibilities:** Under the direction of the Supervisor, the Behavioral Health Utilization Management Reviewer is responsible for completing medical ... and appropriately identify and refer requests to the Medical Director when indicated. The BH UM Reviewers are responsible...of behavioral health and substance use disorder experience.; + Utilization management experience in a managed care… more
- Elevance Health (Woodbridge, VA)
- …of licensure the District of Columbia is required. **Preferred Qualifications:** + Utilization Management /Review in managed care strongly preferred. + Inpatient ... RN Utilization Review Nurse (Washington DC Medicaid) JR149756 **Location**...is located at 609 H. Street NE. The **Medical Management Nurse** is responsible for review of the most… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …Director of Operations and Director of Youth Employment Programs, the Associate Director of Education Programming for the RiseBoro Youth Center is ... Division's adult education and youth workforce portfolio of programs. Additionally, the Associate Director will provide support in strategic planning, program… more
- Gilead Sciences, Inc. (Foster City, CA)
- …and providing critical business-enabling capabilities in the Clinical Operations organization. The ** Associate Director , Clinical Resource Management ** , is ... to enable high-quality, timely planning and strategic decision-making regarding headcount utilization and capacity planning at an organizational level. You will play… more
- CenterWell (Olathe, KS)
- …who provide outpatient care to patients in a clinical setting. The Associate Director , Clinic/Center Administration requires a solid understanding of how ... planning, determining services, providers, and expected outcomes collaboratively. + Focus on utilization management and review provider schedules to meet patient… more
- Martin's Point Health Care (Portland, ME)
- …Martin's Point Health Plan members. + Assists in the construction of the annual Utilization Management , Care Management , and Disease Management Program ... + Knowledge of process improvement tools + Experience in Health Plan utilization management + Experience in Medicare Advantage and/or TriCare preferred… more
- New York State Civil Service (Latham, NY)
- NY HELP No Agency Military and Naval Affairs, Division of Title Associate Director State Human Resources 3 Occupational Category Other Professional Careers ... may be called on for service, requires significant data management to ensure accuracy of personnel information in order...assigned. Minimum Qualifications One year of service as an Associate Director Human Resources 1 or 2.ORA… more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- As an Associate Director Product Management you will work in Commercial IT supporting the technology needs of Sales and Marketing teams for all brands in the ... resource will own the execution of Commercial data (including Master Data Management , Commercial Data products) and reporting projects to ensure seamless delivery to… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …has approximately 22 FTE, which includes six direct reports consisting of an Associate Director , Head of Information Services, Head of Collection Services, ... seek a highly collaborative, knowledgeable, and strategic individual as Associate University Librarian (AUL) and Director of...and management , and human resource planning and management . Working with the Associate Vice Provost… more
- Somatus (Falls Church, VA)
- …+ Community engagement opportunities + And more! $5k SIGN ON BONUS! The Associate Director of Out-Patient Services supports Somatus mission, vision, values, and ... + Collaborates with the SVP of Dialysis Services/Clinical Services Director of IP/OP Dialysis Operations regarding providing high-quality patient care… more
- Ascension Health (Baltimore, MD)
- **Details** + **Department:** Utilization Management + **Schedule:** Hybrid work schedule available. Monday-Friday, 8:00AM-4:30PM. + **Hospital:** Ascension St. ... salary range at the time of the offer._ **Responsibilities** Manage effective utilization review processes, including management of patient statusing processes… more
- Beth Israel Lahey Health (Burlington, MA)
- …healthcare services. Leverage health informatics and data analytics across campuses The Director will oversee the integration and utilization of health ... taking a job, you're making a difference in people's lives.** The Institute Director will develop the strategic plan, research priorities, and recruit and build a… more