- Elevance Health (Cary, NC)
- …within 50 miles of one of our Elevance Health locations.** The Medical Director is responsible for the administration of physical and/or behavioral health ... opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for...of the US. + Minimum of 10 years of physical medicine and rehabilitation clinical experience; or any combination… more
- Elevance Health (Rancho Cordova, CA)
- …plans, and are flexible enough to fit any size business. The ** Medical Director ** is responsible for the administration of physical and/or behavioral health ... Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency. Preferred Skills,… more
- City and County of San Francisco (San Francisco, CA)
- …specifically in the Mental Health Service Center + Supervises medical staff, including UM Medical Director , OCC Nurse Practitioner, and the medical ... health services, including psychiatric services. The Behavioral Health Services (BHS) Deputy Medical Director of Managed Care provides effective leadership and… more
- CVS Health (Columbus, OH)
- …resistant illnesses through peer review and educational interventions.* Work with medical director teams focusing on inpatient care management, clinical ... needed* Outward facing position to interact and collaborate with medical / physical professional associates, the local...Actively participate in State Fair Hearings as needed. Understand UM and participate in UM front line… more
- WellSense (Boston, MA)
- …in collaboration with the Senior Director of Strategy and Operations, the BH Medical Director , the Senior Vice President of BH to determine the most ... and Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, we provide plans and services...a cost effective manner and ensures integration with the physical health teams. Additionally, the Senior Director … more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- Provides clinical leadership and serves as an internal medical consultant to various divisions and committees to support the development, implementation and ... monitoring of medical management and quality improvement activities\. **Job Description:** **Job...physician review to ensure timeliness, accuracy and reliability of UM and Appeals reviews\. + Lead and serve on… more
- CVS Health (Overland Park, KS)
- …at least five (5) years clinical experience with Geriatrics and LTSS population. + The LTSS Medical Director must live in the state of Kansas or be willing to ... relocate to Kansas and obtain a Kansas medical license. The LTSS Director will be...directs healthcare services for individuals of any age with physical , intellectual, and/or developmental disabilities. + The LTSS MD… more
- Universal Health Services (Bradenton, FL)
- Responsibilities Palm Shores Behavioral Health is currently seeking a Director of Admissions and Utilization Management Palm Shores Behavioral Health Center provides ... We are a proud provider of the Patriot Support Program. The Director of Admissions/Utilization Management is responsible for the patient intake process;… more
- LA Care Health Plan (Los Angeles, CA)
- …includes liasing with internal Behavioral Health units, the Medical Director of Behavioral Health, attendance at UM Committee, Delegation Oversight ... RN II is responsible for ensuring that delegates contracted to perform Utilization Management ( UM ) functions on behalf of LA Care (LAC) is in compliance with all … more
- LA Care Health Plan (Los Angeles, CA)
- …the needs of LA Care's culturally diverse membership. The position supports the UM Manager/ Director . This role also assists UM Educator/Manager/ Director ... required to achieve that purpose. Job Summary The Supervisor of Utilization Management ( UM ) RN is responsible for executing the day-to-day operations of the UM… more
- LA Care Health Plan (Los Angeles, CA)
- …setting. Works with UM leadership, including the Utilization Management Medical Director , on requests where determination requires extended review. ... based on clinical data presented and established criteria/guidelines, escalating to the medical director if needed. Triages and assesses members for admission… more
- LA Care Health Plan (Los Angeles, CA)
- …cost cases and reports are maintained and referred to the Physician Advisor/ UM Director . Documents in platform/system of record. Utilizes designated software ... experience in a hospital or HMO setting . Preferred: Managed Care experience performing UM and CM at a medical group or management services organization.… more
- Commonwealth Care Alliance (Boston, MA)
- …productivity standards. The Team Leader works in close collaboration with the manager and Director of the UM team. **What You'll Be Doing:** + Provide oversight, ... Role is Important to Us:** Supervisor & The Team Leader reports to the UM Manager. The Team Leader provides management,oversight and mentorship to team members and… more
- University of Michigan (Ann Arbor, MI)
- Physical Therapy Resident Apply Now **Summary** MedSport, Michigan Medicine Sports Medicine Program in Ann Arbor Michigan is offering a Post-Professional Physical ... for the reduction-in-force policy. The resident will provide clinical care as a licensed physical therapist 40 hours per week. You will work closely with Physical… more
- LA Care Health Plan (Los Angeles, CA)
- …Managed Long Term Supportive Services (MLTSS) teams alongside a clinical dyad partner (Senior Medical Director II). The role extends to all lines of business ... outcomes for its members. This individual reports directly to the Chief Medical Officer (CMO) and is responsible for operational and administrative management of… more
- University of Miami (Coral Gables, FL)
- …The De par tme nt ofT ea ch ing andLear nin g (TAL) , University of Miami ( UM ) Sc hool of Edu c at i on and Human Development (SEHD), is conducting ase arch for ... successful candidate may accede to the position of Program Director and be responsible for ongoing program development and...her du t ies as outlin ed in the UM Facu l ty M an ual The position… more
- University of Miami (Miami, FL)
- …. The University of Miami is currently seeking a Supervisor, Medical Technologists to work at the UM Hospital in ... The incumbent will supervise laboratory personnel and schedules. The Supervisor, Medical Technologists will participate and assign weekly responsibilities to staff… more
- Trinity Health (Maywood, IL)
- …grow your career and make a lasting impact. Under the direction of the Director /Manager oversees the daily caseloads of the UR/ UM teams. This includes ... facilitate transition to the most appropriate level of care. Evaluates medical necessity of preauthorization requests utilizing defined criteria. Collects, analyzes… more
- Fallon Health (Worcester, MA)
- …Operations, SE Senior Director of Nursing & Quality, and SE VP/ Medical Director , respectively, according to category (ie, Operations & Administration, ... encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status and other… more
- University of Miami (Miami, FL)
- …processes are in place. Assists the laboratory leadership and Medical Director to secure and maintain the physical facilities, equipment, and supplies, ... address client's needs and testing workflows. Assists the laboratory leadership and Medical Director to develop and implement training and supporting operational… more