- UHS (Bethlehem, PA)
- …a multi-disciplinary team while working in a state-of-the-art facility, including EPIC. The Utilization Review Director is responsible for overseeing the ... standards. The Director provides guidance to the utilization review staff, advises on improving productivity, and maintains reporting standards, supporting… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …time throughout the annual performance cycle. Relationships Reports to Executive Director or Vice President Medical Affairs. Has direct supervisory responsibility ... and people resources, supporting appropriate use of NNI products and greater utilization of its services Takes a leadership role in coordinating activities at… more
- Eisai, Inc (Nutley, NJ)
- …If this is your profile, we want to hear from you. The Associate Director (AD), Global Medical Affairs Training and Education is responsible for the planning and ... and MSL managers. Develop congress abstract tracker, assign MSL coverage, review MSL reporting responsibilities, collate and distribute Congress Report, execute pre-… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …customers. Relationships This position reports into a Vice President or Sr. Director within the National Account Market Access Teams. Internally, this position has ... their placement in the treatment continuum as well as appropriate utilization and treatment guidelines Proactively leverages detailed knowledge of all applicable… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- … review , and transitions to prevent readmissions. Liaise with medical staff, utilization review , social services, payors, and community providers. Track and ... rounds. Manage department budget, staffing, and training needs. Function as Utilization Review /Denials Manager as required. Qualifications Registered Nurse (RN)… more
- Novo Nordisk Inc. (Boston, MA)
- …the business potential o the territory. Relationships Reports to the Regional Director - Rare Endocrine. External relationships include those with the following: ... Kit, consistent with AMCP guidelines and NNI policies Supports the Regional Director - Rare Endocrine in planning and implementing regional functions/POA meetings… more
- Your Safe Haven (Bedford, PA)
- Executive Director Employment Status: Exempt (Minimum 35 hours/Week) Starting Salary Range : $61,000 - $70,000 Overall Responsibility: Provides leadership to fulfill ... standards. Duties & Responsibilities: Financial Management & Grant Administration Provide input, review , and manage the annual budget and ensure fiscal integrity. *… more
- AmeriHealth Caritas Health Plan (Philadelphia, PA)
- …judgment, and meaningful collaboration. Lead with Clinical Insight. Whether you're an experienced utilization review nurse, a sharp case manager, or a behavioral ... EMR systems and meet quality and productivity metrics. Escalate complex cases for Medical Director review as needed. We're Hiring for: General UM (RN): Mon-Fri,… more
- Baptist Health Care (Pensacola, FL)
- Job Description The Director of Interfacility Transport is responsible for the strategic leadership, operational oversight, and financial management of the hospital ... collect and report data/metrics/analytics and quality improvement processes. The Director of Interfacility Transport will anticipate and estimate the future… more
- EvergreenHealth (Kirkland, WA)
- …provides intervention to facilitate patient care in an optimal timeline. Oversees utilization review process including education, support, and training of team ... for equipment, and arrange for additional services in the community. Utilization Management/Case Management Nurses provide clinical information to our payers and… more
- Athari (New York, NY)
- Under the supervision of the Senior Director of Integrated Care Management (ICM), the Director of ICM (Medicare) provides clinical and administrative oversight ... non-clinical staff, ensuring adherence to the care management process. Most broadly, the Director ensures members are receiving the care they need and that staff are… more
- AEG (Fort Lauderdale, FL)
- Job Title: Director of Ticket Sales Organization: Fort Lauderdale United FC Department: Ticketing Reports To: CRO or President Classification: Full-time COMPANY ... Florida, formerly home to the Miami Dolphins training facility. JOB DESCRIPTION The Director of Ticket Sales is responsible for building and leading the team's… more
- Kaiser Permanente (Sacramento, CA)
- …Experience Minimum three (3) years of home care nursing experience or quality utilization review experience. Education Bachelors degree in nursing or related ... of important aspects of patient care through ongoing chart review with pre-established criteria. Reports all occurrences which may...reports for state, federal, and local agencies. Assists the director of quality and utilization management for… more
- Odell Medical Search (Los Angeles, CA)
- …to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization technicians. Assesses ... Role you will play: The Director of Case Management is responsible for the...assessment and evaluation of data/statistics obtained from an on-going review process. 5. Experience and knowledge in basic to… more
- Healogics (Melrose Park, IL)
- …that would benefit through our out-patient clinic partnerships The Clinical Program Director is responsible for the management and the strategic growth of the ... community education, and clinical functions oversight. The Clinical Program Director is also responsible for maintaining collaborative and consultative client… more
- Henry Street Settlement (New York, NY)
- …+ full benefits package Job Summary: Henry Street Settlement seeks a Director of Information & Technology to provide strategic leadership and hands-on management ... ensure the integrity and security of technology assets. The Director will lead and manage the IT team, ensuring...the organization's workforce, design to ensure full and appropriate utilization of IT resources and for the development of… more
- Catholic Guardian Services (Bronx, NY)
- …Foster Care Description Catholic Guardian Services Job Description Title: Senior Director of Social Services, Family Foster Care Programs Reports to: Assistant ... Executive Director Major Duties & Responsibilities: Responsible for the administration...accordance with principles of good social work practice and utilization of the Solution-Based Casework (SBC) evidence-informed model of… more
- Telligen (Boston, MA)
- The Medical Director is responsible for guiding the clinical aspects of Telligen's population health management programs and the clinical decision-making aspects of ... given are appropriate and necessary. Serves as the medical expert with peer review and appeals processes. Works closely with assigned teams to meet critical… more
- Front Row (New York, NY)
- …every lifecycle stage and in any global market. About the Role: The director of performance marketing will be responsible for the continued leadership, management ... with cross-functional teams to develop and implement scalable processes. Regularly review and optimize internal processes, projects, and meetings to enhance team… more
- Baker Tilly (Chicago, IL)
- …invited, by Baker Tilly's Talent Attraction team, to submit candidates for review via our applicant tracking system. Job Description: Responsibilities Are you ... consider joining Baker Tilly (BT) as an International Tax Director . In this role you will be focused...What You Will Do: Oversee tax-planning responsibilities for clients, review complex tax research on a wide range of… more
