- Prime Healthcare (Inglewood, CA)
- …status, ie full-time or part-time. Responsibilities We are seeking a strategic and compassionate Director of Case Management to lead our dynamic Case ... of staff and systems to effectively operate a comprehensive Case Management Program. The Director ...supervision to case managers, social workers and case management coordinators/discharge planners, utilization … more
- Tufts Medicine (Burlington, MA)
- …of Science in Nursing (BSN). 2.Massachusetts RN Licensure. 3. Current certification in case / utilization management (ACM, CCM, CMAC) 4. Seven (7) years ... management . The position develops and leads the Utilization Management operations, strategy and implementation of...of UM/ Case Management experience in an acute-care hospital… more
- AmeriHealth Caritas (Philadelphia, PA)
- **Role Overview:** The Medical Director , Utilization Management , provides organizational leadership in the operational areas of appeals, utilization ... practice initiatives in collaboration with the Corporate Medical Directors, Utilization Management and the Vice President, Medical...+ Assists Care Managers in assessing members' needs for case management services and attends meetings and… more
- Commonwealth Care Alliance (Boston, MA)
- …responsibility for managing the effective utilization of healthcare services, case / disease management , program development/ management /evaluation and ... Mgmt * Directs, coordinates and evaluates efficiency and productivity of utilization management functions for physical health services and long term… more
- Elevance Health (Wallingford, CT)
- ** Utilization Management Medical Director - NC...The **Medical Director ** will be responsible for utilization review case management for North ... May serve as a resource to staff including Medical Director Associates. **How you will make an impact:** +...and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers… 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 for ... leader for system services for wholly owned and Partner hospitals for utilization management . Job Duties OPERATIONS: Plans, organizes and delegates activities… more
- UTMB Health (Galveston, TX)
- …and reports trends of inappropriate resource utilization to Director /Assistant Director of Utilization Management . + Maintains a documentation system ... + Educates the Medical Staff and Nursing Staff on Utilization Management and provides specific information related to case types, including financial… more
- UCLA Health (Los Angeles, CA)
- …care with efficient resource utilization under the UCLA Medical Group Utilization Management guidelines. In this role, you will work collaboratively with ... Description Under the direction of the Assistant Director , the ICM Medicare Advantage Utilization ...RN License + Minimum of 2 years' experience in utilization management , Inpatient CM or clinical Experience.… 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 ... care and the appropriate utilization of medical services. The Medical Director of Utilization Management serves as a key liaison with external partners… 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
- Stony Brook University (Stony Brook, NY)
- Assistant Director of Case Management ...regulatory standards within the scope of Case Management including, outcomes management , utilization ... **Position Summary** At Stony Brook Medicine, the Assistant Director of Case Management is...the design, development, implementation and monitoring of the organizations case management and utilization review… more
- Brockton Hospital (Brockton, MA)
- PURPOSE OF POSITION: The Director of Case Management is responsible for planning, directing, and managing of the activities of the Case Management ... solves problems, referring exceptional issues to Vice President. The Director of Case Management is...resource utilization . Provides training to staff on case management methods and techniques. Establishes monitoring… more
- RWJBarnabas Health (Newark, NJ)
- …- $180,000.00 per year Location: 201 LYONS AVENUE, NEWARK, NJ 07112-2027 Job Title: Director Of Case Management Location: Newark Beth Israel Med Ctr ... educational background, skills and professional experience. Job Overview: The Director of Case Management oversees...have at least 3 years of recent experience in Case Management , Utilization Review, or… more
- Select Medical (Oxford, FL)
- **Overview** **Critical Illness Recovery Hospital** ** Director of Case Management ** **_Clinical license as a registered nurse or respiratory therapist or ... doing well by doing what is right. As the Director of Case Management **,**...resource management . + Demonstrating compliance with facility-wide Utilization Management policies and procedures. + Coordinating… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Director Case Management & Social Services RN position is responsible for strategy, function and operations of the Case ... cost-effective utilization of the hospital's resources. The Director Case Mgmt Social Svcs position deploys...a voice for the department. + Sets direction for Case Management /Social Services which supports strategic and… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Director Case Management ? At TriStar Skyline Medical Center, you come first. ... make a difference. We are looking for a dedicated Director Case Management like you...to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all… more
- HCA Healthcare (Kissimmee, FL)
- …with purpose and integrity. We care like family! Jump-start your career as a Director Case Management today with HCA Florida Osceola Hospital. **Benefits** ... vary by location._** Come join our team as a(an) Director Case Management . We care...to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all… more
- Select Medical (Hummelstown, PA)
- …Name: Penn State Health Rehabilitation Hospital** **Partnership with Select Medical** **Position:** Director of Case Management **Schedule:** Full-time Our ... management criteria, and implementation of safe and appropriate discharge plans. The Director of Case management is also responsible for maintaining a… more
- Select Medical (Los Angeles, CA)
- …A Joint Venture with Cedars, UCLA, and Select Medical Century City / Los Angeles, CA Director of Case Management - Full Time (on-site) **Salary Range: $150k ... hospitalization for their recovery. We are currently seeking a ** Director of Case Management -...growth of the Department including yet not limited to Utilization Review (UR) and resource management , discharge… more
- LA Care Health Plan (Los Angeles, CA)
- …observation) admission in the acute setting. Works with UM leadership, including the Utilization Management Medical Director , on requests where determination ... and determinations within required turnaround times specific to the case type. Identifies requests needing medical director ...setting. Previous experience to have a strong understanding of Utilization Management / Case Management … more