- CVS Health (Charleston, WV)
- …Precertification nurses use specific criteria to authorize procedures/services or initiate a Medical Director referral as needed. Sedentary work involves periods ... our colleagues and our communities. The Company offers a full range of medical , dental, and vision benefits. Eligible employees may enroll in the Company's 401(k)… more
- Children's Hospital & Research Center Oakland (Oakland, CA)
- …and operational performance throughout UCSF BCH-Oakland. The Senior Physician Lean Consultant is responsible for using extensive lean knowledge, skills, behaviors, ... and healthcare experience in addition to a deep understanding of medical care to mentor and develop leaders, and implement and deploy a clear understanding of key… more
- SHI (Columbus, OH)
- **Job Summary** The ITAM Solutions Consultant (SC) is responsible for developing ITAM-related sales opportunities within the allocated sales territory, or customer ... include both revenue and non-revenue generating ITAM activities. The ITAM Solutions Consultant will be a point-of-contact for prospective customers of ITAM services… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN (Outpatient) Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... 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 of… more
- MyFlorida (Tallahassee, FL)
- GOVERNMENT OPERATIONS CONSULTANT I - 41500510 Date: Apr 18, 2024... I to serve as a liaison for the Director of Gaming Enforcement and the Chief of Law ... No: 827678 Agency: Florida Gaming Control Commission Working Title: GOVERNMENT OPERATIONS CONSULTANT I - 41500510 Pay Plan: Career Service Position Number: 41500510… more
- MyFlorida (Gainesville, FL)
- …for improvement and/or trends will be identified. + Works in collaboration with the Medical Executive Director (MED) as well as the Chief of Nursing Services ... REGISTERED NURSING CONSULTANT (QI) - 60064544 Date: Apr 11, 2024...medical and health care services, patient assessments, and utilization practices. + Ability to develop program policy, procedures,… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …interpret/ draw conclusions, identify gaps/ issues & analyze information from the utilization management medical management system: Care Prominence (ie MHK), ... of HMM Quality and Compliance team, the Senior Medicare Clinical Compliance Consultant works through the influence as an individual contributor while collaborating… more
- Houston Methodist (The Woodlands, TX)
- …SUMMARY At Houston Methodist, the Senior Organizational Development (OD) Consultant is responsible for organizational assessment, recommendation, and development of ... to design and execute improvement plans, focusing particularly at the Director /Executive level. PRIMARY JOB RESPONSIBILITIES Job responsibilities labeled EF capture… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Organizational Development (OD) Consultant is responsible for organizational assessment, recommendation, and development of ... design and execute improvement plans, focusing particularly at the Director /Executive level. **PEOPLE ESSENTIAL FUNCTIONS** + Maintains strong interpersonal… more
- Henry Ford Health System (Detroit, MI)
- DESCRIPTION: Under the direction of the Director of the department and with high degree of autonomy, the e HR Consultant will work independently or as a Project ... work of a medium to complex nature. The e-HR consultant will plan, organize and coordinate project task completions...System data (employee and system tables) and the effective utilization of the HR System + Make presentations on… more
- CVS Health (Columbus, OH)
- …Med Review nurses use specific criteria to authorize procedures/services or initiate a Medical Director referral as needed. For more information on our benefit ... Required Qualifications: -3+ Years of clinical experience -1+ Year of Utilization Review Management and/or Medical Management experience. -Must have… more
- Cardinal Health (Columbus, OH)
- …pack design, clinical supply chain, safety compliance, product standardization and utilization . This position reports to Quality Director . **_Responsibilties_** ... customer experience with defect awareness. + Serves as lead consultant and resource to internal and external customers in...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
- Highmark Health (Charleston, WV)
- …and providers across the network. + Attend meetings as appropriate, including medical director meetings, QI committee and subcommittees, as assigned. + ... for information and consultation on the issues related to utilization management, clinical services and medical affairs,...There are a variety of external contacts that the Medical Director would be anticipated to regularly… more
- ChenMed (Louisville, KY)
- …for the foundational business unit of our care model - the center. The Senior Medical Director (SMD) will partner with the Center Director /Center Executive ... The SMD is an earned title where the Center Medical Director completes all necessary primary care...Act as a health coach, rather than just a consultant for sickness, by helping patients set short and… more
- Cedars-Sinai (Los Angeles, CA)
- **Job Description** The Medical Director of Mental Health is a psychiatrist who oversees mental health services in the Medical Network and provides support ... mental health needs of patients cared for across the Medical Network. The Medical Director ...population health of their assigned patient caseload. The psychiatric consultant uses a registry to track all assigned patients… more
- Veterans Affairs, Veterans Health Administration (San Francisco, CA)
- …Contract and no significant restriction on moonlighting The Home Based Primary Care (HBPC) Medical Director serves as the physician member of the HBPC leadership ... care provider for veterans enrolled in HBPC. The HBPC Medical Director is part of the Geriatrics,...Director . This physician position serves as a member, consultant , collaborator, and contributor to the HBPC interdisciplinary team… more
- CVS Health (Phoenix, AZ)
- … Management nurses use specific criteria to authorize procedures/services or initiate a Medical Director referral as needed. + Position requires proficiency with ... Eastern Time Shift. + Work with providers to secure information to complete medical necessity reviews for Oncology and Transplant related services. + MUST have the… more
- Trinity Health (Wilmington, DE)
- **Employment Type:** Full time **Shift:** **Description:** ** MEDICAL DIRECTOR ** **Location:** Saint Francis LIFE Riverfront, Wilmington, DE **Status:** Full time ... **Incentives:** 1st Day Health Benefits **Position Purpose:** The Medical Director provides general medical ...wishes. + Promote conservation of resources, and prudently manages utilization of services. + Enforce full optimization of the… more
- Elevance Health (Mason, OH)
- …check, or ask you for payment as part of consideration for employment. **UM Medical Director - Cardiology** + Job Family: MED > Licensed Physician/Doctor/Dentist ... miles of one of our Elevance Health locations.** The Medical Director is responsible for the administration...discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May… more
- Elevance Health (Topeka, KS)
- …or ask you for payment as part of consideration for employment. **Behavioral Health Medical Director - Psychiatrist - Kansas** + Job Family: MED > Licensed ... Wichita, Lawrence, Manhattan and Leavenworth. Relocation assistance available.** The ** Medical Director - KS** shall oversee and...discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May… more