- Centene Corporation (Jefferson City, MO)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... on workplace flexibility. **Position Purpose:** Lead a team of medical directors and supervises MD's responsible for utilization management...and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be… more
- UNC Health Care (Morrisville, NC)
- …well-being of the unique communities we serve. **Summary** : The **Executive System Director of Utilization Management ( UM )** is a strategic and operational ... of healthcare resources in alignment with institutional goals. The Executive Director works closely with leaders from various departments-case management, physician… more
- University of Maryland, Baltimore (Baltimore, MD)
- …physician-scientist with expertise in clinical trial design and execution to serve as Director of Clinical Trial Innovation.* The UM -IHC is a large-scale ... life and longevity of the citizens of Maryland. The UM -IHC, located in North Bethesda, MD, is a collaborative...of Maryland College Park, and the University of Maryland Medical System, funded with initial grants from the State… more
- Commonwealth Care Alliance (Boston, MA)
- …dental and other vendors to assure integration, oversight, and efficiency of UM processes and functions. * Ensures compliance with all contract requirements, state ... the CMO and VPMA to develop and advance the UM program and leads and organizes the ongoing evaluation...Education: * Master's degree in Business or Health related field preferred Required Licensing: * active RN license required… more
- University of Miami (Coral Gables, FL)
- …this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Executive Director of the Office of Research Administration ... and management of ORA's mission for the Coral Gables, Rosenstiel, and Medical Campuses for Pre-award, Post-award, and the Strategic Initiatives divisions. The… more
- University of Michigan (Ann Arbor, MI)
- …Chief Nursing Officer (ACNO) for Primary Care and Post Acute + Partners with the Medical Director for Care Management + Work closely with Finance and Revenue ... SENIOR DIRECTOR (Care Management and Social Work) Apply Now...a senior leader, this individual partners with executive leadership, medical staff, and other healthcare teams to align departmental… more
- University of Michigan (Ann Arbor, MI)
- CLINICAL NURSING DIRECTOR (CS Mott Children's Hospital: 10-West Pediatric Cardiothoracic Intensive Care Unit- PCTU) Apply Now **Job Summary** The Pediatric ... from state, regional, national, and international referrals. PCTU specializes in the medical and surgical care of infants, children, adolescents, and adults with… more
- University of Michigan (Ann Arbor, MI)
- Pharmacy Analytics Director Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the first page of ... experience that directly relate to this position. **Job Summary** The Pharmacy Analytics Director position at University of Michigan Health (UMH) is a key enterprise… more
- University of Michigan (Ann Arbor, MI)
- Director (Cell and Gene Therapy Program) Apply Now **Job Summary** The Director of the Cell and Gene Therapy Program holds enterprise-wide accountability for the ... deliver innovative, high-quality care. At the enterprise level, the Director drives the development and execution of care delivery...world and has been the site of many groundbreaking medical and technological advancements since the opening of the… more
- University of Maryland, Baltimore (Baltimore, MD)
- …Data/Adaptive Clinical Trials*at the University of Maryland-Institute for Health Computing ( UM -IHC) and*Assistant Director for Learning Health System and ... -IHC and may provide clinical service in their selected field . The role of* Director of Cancer Research...to win extramural funding and new public-private partnerships involving UM -IHC, respectively. UMGCCC: The role of*Assistant Director … more
- Sharp HealthCare (San Diego, CA)
- … medical management activities to include tracking, trending and analyzing UM data. Works in collaboration with regional medical directors, ambulatory ... and hospital case management departments. Participates in the development of the annual UM plan and implementation of corrective action plans related to health plan… more
- Integra Partners (Troy, MI)
- …accreditation standards and achieve high-quality outcomes. The position will report to the Director of Medical Management and work closely with other departments ... coordinating and maintaining accreditation activities for the Utilization Management ( UM ) and Credentialing departments. This includes supporting NCQA accreditation,… more
- University of Miami (Miami, FL)
- …in staff development and in-service training + Other duties as assigned by the UM COACH and PCIT Director Manuscript preparation: + Conduct literature reviews + ... information from planning meetings + Scores program metric measures + Enters UM COACH and PCIT related data into appropriate databases (eg, Children's Trust,… more
- Veterans Affairs, Veterans Health Administration (Miami, FL)
- Summary The Miami VA medical Center is looking for recruit for Registered Nurse - Utilization Management / Float who is responsible and accountable for all elements ... supervisors and is accountable to the Chief Nurse of Operations, Deputy Associate Director of Patient Care Services and ultimately the Associate Director of… more
- University of Miami (Miami, FL)
- …sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The University of Miami/UHealth Medical Training Lab at the Gordon Center is ... currently seeking a full time Nurse Educator - Medical Simulation and Education Lab to work in Miami,...as necessary. Core Qualifications Education: Bachelor's degree in relevant field Master's degree in Nursing or Simulation Education preferred.… more
- Saint Francis Health System (Tulsa, OK)
- …for individual patient situations, reporting them promptly to the Process Improvement/Quality Director , to appropriate clinicians and to the UM Manager. Reviews ... and their receipt of necessary services and appropriate discharge planning. UM Coordinators participate in treatment teams, communicating with providers the details… more
- University of Southern California (Alhambra, CA)
- …Care Management Coordinators. 4. Makes appropriate referrals to supervisor or Medical Director , communicating accurate clinical information. 5. Participates in ... relationship with care team members, including pharmacy, behavioral health, field team, office staff, and facility staff. 11. Completes...(MCG and/or InterQual) competency testing as requested by department director or Medical Director . +… more
- University of Michigan (Ann Arbor, MI)
- …**SUPERVISION RECEIVED** General supervision is received from Administrative Manager, Medical Director or Nurse Manager. **PHYSICAL REQUIREMENTS** This ... of experience. **Desired Qualifications + Additional formal education in a health care field . + Certification as a Medical Assistant **Modes of Work** Positions… more
- University of Miami (Miami, FL)
- …the program's overall success. + Serves as a liaison between the Program Director (s), administrative leadership, UM /JMH Graduate Medical Education (GME) ... The incumbent oversees and coordinates the daily operations of assigned medical residency or fellowship program(s). The GME Program Administrator (A) supports… more
- University of Miami (Miami, FL)
- …Lives The University of Miami is among the top research universities and academic medical centers in the nation, and one of the largest private employers in South ... students. The incumbent may lecture or conduct demonstrations and teach across UM schools. The Associate Professor, tenure earing, will partner and collaborate with… more