- Universal Health Services (Sacramento, CA)
- Responsibilities Sierra Vista Hospital is seeking a talented and dynamic Director of Utilization Management to join our team of dedicated healthcare ... detox and outpatient chemical dependency services. Position Summary: The Clinical Director of Utilization Management is responsible for the development of… more
- Humana (Sacramento, CA)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....time to the Indiana Pathways program to assist the Utilization Management , Care Management , and… more
- Humana (Sacramento, CA)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
- Humana (Sacramento, CA)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... with prior experience participating in teams focusing on quality management , utilization management , case ...management operational improvements, including those within the medical director area + Participate in call rotation + Develop… more
- Dignity Health (Rancho Cordova, CA)
- …home.** **Position Summary:** Under the guidance and supervision of the department Manager/ Director , the Supervisor of Utilization Management is responsible ... (Medicare Guidelines, InterQual, Health Plan Benefit Interpretation Guidelines and Medical Management Policies, and DHMF Utilization Management guidelines… more
- CenterWell (Sacramento, CA)
- …a part of our caring community and help us put health first** **National** ** Director of Transitional Care and High-Risk Patient Management ** The Director ... Coordinate quality improvement activities to address high risk, high-utilizers/high-cost patient management through the utilization of the 5M's framework as… more
- Humana (Sacramento, CA)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Sanofi Group (Sacramento, CA)
- Position Summary This position reports to the Senior Director , Value & Access and Provider Accounts, Transplant & T1D and is responsible for serving as the medical ... to open patient access to care with Thymo. The National Business Director will demonstrate strong relationships with Chief Medical Officers, Medical Benefit… more
- Sunrise Senior Living (Carmichael, CA)
- …me, that's a big breath of fresh air."_** **_- Sunrise Leader_** The Executive Director is responsible for overall leadership, management , and success of their ... These responsibilities include but are not limited to financial management , hiring, supervising, training, team member relations and recognition, communication,… more
- BrightSpring Health Services (Sacramento, CA)
- …of death and submit to State Health Services Director and Assigned Director , Clinical Practice* Review utilization report at least monthly to ensure adequate ... are coordinated with behavioral and programmatic staff in partnership with the Executive Director . The Director of Nursing is accountable for overseeing the… more
- Elevance Health (Rancho Cordova, CA)
- …strongly preferred. + Spine surgery experience preferred. + Experience with utilization management , especially with CMS guidelines preferred. For candidates ... **Clinical Operations Associate Medical Director ** **General Orthopedic Surgery** Full Time **_Sign on Bonus: $7,500_** **Location:** This position will work a… more
- BrightSpring Health Services (Sacramento, CA)
- …or revision to quality improvement goals and objectives* Reinforce the consistent utilization of the company's Risk management systems to maximize the ... Our Company BrightSpring Health Services Overview The Director , Operations Support partners with operations to ensure quality and integrity in services and stability… more
- CenterWell (Sacramento, CA)
- …under the PCO's Chief Medical Officer. This role reports to the National Director , High Risk Patient Management . Responsibilities will include: + Lead ... community and help us put health first** The National Director , Clinical Pharmacy is a strategic pharmacy leader responsible...care, high quality health outcomes, and improved cost and utilization in pharmacy-related care, and serve as a national… more
- Elevance Health (Rancho Cordova, CA)
- **Clinical Operations Associate Medical Director ** **Carelon Insights** **Post Acute Care Utilization Review** _Schedule: 11-8 Central Time_ A proud member of ... of care for the people we serve. The **Clinical Operations Associate Medical Director ** is responsible for supporting the medical management staff ensuring… more
- Humana (Sacramento, CA)
- …focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with health insurance ... and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims...reviews health claims and preservice appeals. The Corporate Medical Director works on problems of diverse scope and complexity… more
- Rocket Software (Sacramento, CA)
- …programs, and strategies to ensure effective, repeatable, and scalable project management , resource utilization practices, and reporting. + Foster global ... BELIEVE in what they're doing!** **Job Description Summary:** The Senior Director , Customer Solutions Engineering (CSE) is responsible for managing CSE Delivery… more
- Avnet (Sacramento, CA)
- …marcom teams and across all Avnet businesses + Provides leadership and management direction for ideation, development and execution of initiatives across Hackster's ... and emerging opportunities for potential growth areas + Work closely with Director of Engineering to ensure website strategy alignment and creating a roadmap… more
- Marriott (Sacramento, CA)
- …States **Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The Senior Director , Brand & Marketing, ... maintain marketing calendar and budget, supervise content creation; + Agency Management : manage one or more agencies overseeing the website, branded content,… more
- Sutter Health (Sacramento, CA)
- …care units for cardiac and neurological patients. The Oncology Nursing Director provides administrative and nursing leadership in an assigned inpatient setting ... patient care. Establishes overall operating and capital budget with input from management team, ensuring financial targets are achieved and variances are addressed… more
- CVS Health (Sacramento, CA)
- …consistent responses to members and providers. In addition you will oversee utilization review/quality assurance, directing case management In this role you'll ... **This is a remote based (work from home) role.** In the Medical Director role you will provide oversight for medical policy implementation. You'll participate in… more