- Eisai, Inc (Nutley, NJ)
- …of the Quality management system. This role is responsible for Good Clinical Practice (GCP) and for assuring the compliance of projects, products and programs ... the workforce to evolving technologies.Align clinical portfolio, business strategy, clinical studies, and related functions eg data management , clinical… more
- Eisai, Inc (Nutley, NJ)
- …research activities and development of external communication materials. The Director facilitates coverage, reimbursement and appropriate utilization based ... your profile, we want to hear from you. The Director , US HEOR and RWE (field) is responsible for...to contribute to the development and the communication of clinical , real-world, health economics outcomes data. This role primarily… more
- Daiichi Sankyo, Inc. (Phoenix, AZ)
- …and is comprised of nurses working under the general direction of the Regional Director of Clinical Nurse Managers. The OCE is responsible for educating ... Hospital Pharmacy, OB/GYN and Cardiology).Develops strong, long-term relationships with clinical personnelEnsures appropriate and compliant utilization of… more
- Jooble (Alexandria, LA)
- …in matters related to nursing service and strategies Standard I: Financial Management Recognizes the impact of reimbursement on revenue Understands the relationship ... capital appropriations and project authorizations Standard II. Human Resources Management Evaluates and specifies the critical resources required to accomplish… more
- Merck & Co. (Rahway, NJ)
- …biologics, vaccine) Drug Product development and Good Manufacturing Practice (GMP) clinical manufacturing plant in Rahway, New Jersey. The Sterile Production ... members and partner groups including formulators, engineers, Quality, Safety, and Facilities management to drive overall success and performance of the area and … more
- Jooble (Caddo County, LA)
- …in matters related to nursing service and strategies Standard I: Financial Management * Recognizes the impact of reimbursement on revenue * Understands the ... Documents capital appropriations and project authorizations Standard II. Human Resources Management * Evaluates and specifies the critical resources required to… more
- The Career Sphere (Jacksonville, FL)
- …the client directly. Basic job responsibilities include: medical leadership for utilization management , cost containment, medical quality improvement, ability to ... great group in Jacksonville, FL is seeking an experienced part-time Medical Director (Board certified in either Pediatrics or Family Practice).Candidates should have… more
- The Career Sphere (Los Angeles, CA)
- …and oversight of the primary care services at the assigned clinical site? Supervise medical providers including providing timely performance feedback, review ... customer service, and clinic flow.? With the help of clinic management and administrative assistance, manage provider panels, provider schedules, vacations, absences… more
- Texas Health Resources (Arlington, TX)
- Director Utilization Management - Clinical Review _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking ... leader for system services for wholly owned and Partner hospitals for utilization management . Job Duties OPERATIONS: Plans, organizes and delegates activities… more
- Commonwealth Care Alliance (Boston, MA)
- …Manager, Utilization Management reports to the Director of Utilization Management * Oversees clinical decision review for services requiring ... & Utilization Mgmt Position Summary: Commonwealth Care Alliance's (CCA) Utilization Management (Authorization) Unit is primarily responsible for the… more
- Alameda Health System (Oakland, CA)
- Director , Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req ... Generous paid time off plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing… more
- UPMC (Pittsburgh, PA)
- …UPMC Health Plan is seeking a licensed MD or DO for a fully remote Medical Director , Utilization Management role. The Medical Director , Utilization ... full remote role._ Responsibilities: + Actively participates in the daily utilization management and quality improvement review processes, including concurrent,… more
- Tufts Medicine (Burlington, MA)
- … review and management . The position develops and leads the Utilization Management operations, strategy and implementation of the Utilization ... of Science in Nursing (BSN). 2.Massachusetts RN Licensure. 3. Current certification in case/ utilization management (ACM, CCM, CMAC) 4. Seven (7) years of UM/Case… more
- Elevance Health (Wallingford, CT)
- ** Utilization Management Medical Director - NC Medicaid** Location: This role enables associates to work virtually full-time, with the exception of required ... The **Medical Director ** will be responsible for utilization review case management for North Carolina...programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical /strategic advisor… more
- Commonwealth Care Alliance (Boston, MA)
- …quality team.collaboration with the broader clinical organization. * Ensures that utilization management processes are integrated with care management ... Mgmt * Directs, coordinates and evaluates efficiency and productivity of utilization management functions for physical health services and long term… more
- UPMC (Pittsburgh, PA)
- The Medical Director , Utilization Management is responsible for assuring physician commitment and delivery of comprehensive high-quality health care to UPMC ... Changing Medicine happen. **Responsibilities:** + Actively participates in the daily utilization management and quality improvement review processes, including… more
- AmeriHealth Caritas (Philadelphia, PA)
- **Role Overview:** The Medical Director , Utilization Management , provides organizational leadership in the operational areas of appeals, utilization ... policy and practice initiatives in collaboration with the Corporate Medical Directors, Utilization Management and the Vice President, Medical Affairs. ; **Work… more
- Prime Healthcare (Inglewood, CA)
- …and Clinical Coordinators. This leader will oversee all facets of utilization management , discharge planning, and care coordination to ensure patients ... ie full-time or part-time. Responsibilities We are seeking a strategic and compassionate Director of Case Management to lead our dynamic Case Management… more
- Molina Healthcare (GA)
- …of healthcare services professionals in some or all of the following functions: utilization management , care management , behavioral health and other ... one or more of the following key health care services functions: care management , utilization management , care transitions, long-term supports and services… more
- Wellpath (Lemoyne, PA)
- …education, and point of care support. **How you make a difference** The Medical Director of Utilization Management leads and oversees utilization ... a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We...appropriate utilization of medical services. The Medical Director of Utilization Management serves… more
