- Novo Nordisk Inc. (Plainsboro, NJ)
- …with us? The Position This position is responsible for promoting the utilization of the Novo Nordisk Inc., (NNI) Procurement Methodology through Category Management ... improvements and seeks agreement through consensus management. Relationships Reports to an Associate Director / Director within the NNI Procurement Team and will… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Corporate Director of Clinical ... to individual and Company performance. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/160505/ corporate - director -of- clinical - utilization -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime… more
- Universal Health Services (Harahan, LA)
- …and intensive outpatient). River Oaks Hospital is seeking a dynamic and talented UTILIZATION REVIEW DIRECTOR to direct and serve within the Utilization ... advocates for patient length of stay and level of care. Coordinates utilization review activities with other departments to ensure reimbursement for services… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Director of Clinical Case Management? At HCA Healthcare, you come first. HCA ... lives and you have the opportunity to make a difference. We are looking for a dedicated Director of Clinical Case Management like you to be a part of our team.… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Corporate Director Simulation Technology? At HCA Healthcare, you come first. HCA Healthcare ... make a difference. We are looking for a dedicated Corporate Director Simulation Technology like you to...organization + Provides leadership for day-to-day operations of the corporate clinical education team + Provides assistance… more
- YesCare Corp (Bartow, FL)
- …for ensuring the monthly report is sent to each site and participates in Utilization Review with Clinical Director and other personnel as required ... Below is a list of your responsibilities as a ** Utilization Management Coordinator** with YesCare: + Confirms admissions with...Reviews requests for outpatient services, codes, and forwards to Corporate UM Medical Director + Performs monthly… more
- Baptist Memorial (Memphis, TN)
- …education + Employee referral program Job Summary: Position: 85 - System Director -Supply Chain Facility: BMHCC Corporate Office Department: HS Supply Chain ... policy/procedure governing supplier business relationships. Working in collaboration with clinical leadership, analyze supply categories and supplier market share to… more
- Baptist Memorial (Memphis, TN)
- …* Build environment of continuous improvement in supply chain processes * Collaborate with Clinical Director , OR Director and other key stakeholders on ... education + Employee referral program Job Summary: Position: 19752 - System Director -Supply Chain Operations and Logistics Facility: BMHCC Corporate Office… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …that we serve through our Healthsource blog: https://healthsource.premera.com . As the ** Director of Pharmacy and Clinical Consulting** , you will participate ... and continued close partnership with functional areas across the company. The Director will oversee the development of pharmacy clinical quality and… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... preservice appeals. The Corporate Medical Director works on problems of...+ Excellent communication skills + 5 years of established clinical experience + Knowledge of the managed care industry… more
- Baptist Memorial (Memphis, TN)
- …risk management, utilization review, reimbursement, and oversight of all clinical patient care facilities with in Baptist Medical Group. Responsibilities * ... education + Employee referral program Job Summary: Position: 237 - Director -Nursing & Women's Oncology Services Facility: BMG- Corporate Department: MG… more
- e CancerCare (Fresno, CA)
- Purpose: The Director , Clinical Trials & Research, for CCARE Physicians, PC, is responsible and accountable for the daily operations and management of staff, of ... in the department. Promote clinical excellence through applied clinical knowledge, leadership, team recommendations and research utilization . Ensure… more
- Elevance Health (Richmond, VA)
- …office locations Work schedule: Monday - Friday, standard business hours.** The Medical Director Clinical Programs is responsible for designing and implementing ... care in support of the innovation and execution of corporate clinical interventions. + Provides clinical...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more
- Centene Corporation (Tallahassee, FL)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... + Engage with pharmacy leaders and health plan leaders to support clinical program implementation, evaluation and expansion based on trend management and total… more
- Sharp HealthCare (San Diego, CA)
- **Facility:** Corporate Offices **City** San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Master's ... Degree; California BBS Licensed Clinical Social Worker (LCSW) - CA Board of Behavioral...a staff resource and under the direction of the Director /Supervisor/Lead to develop and create department specific education. Consults… more
- Highmark Health (Charleston, WV)
- …success and works closely with all divisions and departments within the corporate structure to provide clinical consultation and support with regard ... as a resource for information and consultation on the issues related to utilization management, clinical services and medical affairs, including such issues as… more
- Magellan Health Services (Dallas, TX)
- …supervision of the use of the medical necessity criteria. + Along with the Corporate Clinical team, implements clinical practice standards and policies ... clinical quality improvement activity (QIA) in collaboration with the clinical lead senior medical director , and quality improvement staff. May… more
- Centene Corporation (PA)
- …and utilization management programs in accordance with regulatory, state, corporate , and accreditation requirements. + Assists the Chief Medical Director ... Assists in the development and implementation of physician education with respect to clinical issues and policies. + Identifies utilization review studies and… more
- Humana (Columbus, OH)
- …hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilization management experience ... a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- Humana (Columbus, OH)
- …hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilization management experience ... a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
