- UPMC Senior Communities (Pittsburgh, PA)
- The Medical Director , Utilization Management is responsible for assuring physician commitment and delivery of comprehensive high-quality health care to ... Life Changing Medicine happen. Responsibilities: Actively participates in the daily utilization management and quality improvement review processes, including… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …to make a difference? The Position Position provides field coaching, mentorship and management to the field-based Medical Liaisons, and develops and implements ... any time throughout the annual performance cycle. Relationships Reports to Executive Director or Vice President Medical Affairs. Has direct supervisory… more
- Merck & Co. (Rahway, NJ)
- …Work Arrangements:HybridShift:Valid Driving License:Hazardous Material(s):Required Skills:Communication, Data Management , Medical Affairs, Parasitology, People ... the guidance of a senior leader, an Associate Principal Scientist/Associate Director , has primary responsibility for planning/managing real world and economic… more
- Eisai, Inc (Nutley, NJ)
- …difference. 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 ... for internal medical training content. Train new hires on EMAC organization/ utilization .Provide input into and collaborate with regional and global medical … more
- Merck & Co. (North Wales, PA)
- …Health Economics, Health Outcomes Research, Health Technology Assessment (HTA), Management Process, Marketing Strategies, Medical Affairs, Neuroanatomy, Outcomes ... Job DescriptionRole SummaryThe Principal Scientist/ Director , Value & Implementation (V&I) Outcomes Research, position...position resides in the V&I organization, which includes Global Medical and Scientific Affairs as well as Outcomes Research,… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …pull you in? Are you ready to experiment with us? The Position The Associate Director of Nephrology Key Opinion Leader Marketing will be a pivotal driver in shaping ... in NNI KOL strategies, set high standards, and cultivate KOL and Medical Society relationships. This role will drive collaboration across functions to optimize… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …need them most, by creating an environment where innovation and chronic disease management drive optimal health outcomes. Are you ready to realize your potential? ... customers. Relationships This position reports into a Vice President or Sr. Director within the National Account Market Access Teams. Internally, this position has… more
- Wellstar Health System (Marietta, GA)
- …Executive Director of Physician Advisor, as well as Denials Medical Director to impact utilization management and retrospective denials, but will not ... industry, and in people's lives. Job Summary: The Executive Director , MD Physician Advisor reports to and is accountable...experience Required and Some exposure to Utilization Management with a focus on clinical documentation, medical… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …of stay), concurrent review, and transitions to prevent readmissions. Liaise with medical staff, utilization review, social services, payors, and community ... certification (CCM, ACM, CCM-RN) preferred. Proven leadership experience in acute care, utilization review, case management . Strong working knowledge of hospital… 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: ... and Professional Associations. Internally, this position will collaborate with STARS Medical Liaisons, and STARS Account Managers. Essential Functions Attention to… more
- NYC Health Hospitals (New York, NY)
- …Duties & Responsibilities Purpose of Position: Under general supervision of the Director of Utilization Management , assists with the planning, ... Lincoln Medical and Mental Health Center is one of...managerial functions and processes of the Utilization Management Department in the absence of the director… 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 ... direction and daily administration of the agency, including grant management , financial oversight, staff supervision, community relationships, program delivery, and… more
- Riverside County, CA (Moreno Valley, CA)
- …of Riverside - Riverside University Health System- Medical Center is seeking an Assistant Director of Case Management and Utilization Review to join our ... medical necessity, admission/discharge/ transfer process, and other utilization management activities; develop performance improvement plans; monitor… more
- Cleveland Clinic Rehabilitation Hospital - Fairhill (Cleveland, OH)
- …allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and ... Overview Hospital Name: Cleveland Clinic Rehabilitation Hospital - Fairhill Position: Director of Case Management Location: Cleveland, OH Hours: 40 hours/week… more
- Offshore Staffing, Inc. (Houston, TX)
- …of the following: Care Facilitation, Utilization Management , Case Management and Discharge Planning. The Director is responsible for developing systems ... financial and quality data related to utilization management , quality improvement and performance improvement. The Director...functions (hiring, firing, etc.) in conjunction with the Executive Director of Medical Management . Writes… more
- Odell Medical Search (Los Angeles, CA)
- Role you will play: The Director of Case Management is responsible for the development of staff and systems to effectively operate a comprehensive Case ... leadership and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and … more
- SaVida Health (Nashville, TN)
- …care model includes medical care, counseling, comprehensive toxicology testing, case management and medical management of psychiatric medications. SaVida ... DIRECTOR OF BILLING AND MANAGED SERVICES ABOUT THE...processes, including billing, collections, credentialing, provider enrollment, payor data management , and offshore vendor performance. The position is expected… more
- AHMC Healthcare (San Gabriel, CA)
- …heads, medical staff & hospital staff, relating to Case Management . *Initiates problem investigations in response to concerns received for investigation & ... for the overall administration and direction of the Case Management /Social Services Department, including planning, organizing, controlling, and directing all… more
- Medstar Health (Washington, DC)
- Palliative Care Medical Director /Attending Physician - MedStar Southern Maryland Hospital Center MedStar Health offers a uniquely rewarding career in a major ... expert. MedStar Health Palliative Care is recruiting for a Palliative Care Medical Director /Attending Physician for MedStar Southern Maryland Hospital Center.… more
- ChristianaCare (Wilmington, DE)
- …a nationally recognized leader in healthcare, is actively recruiting a full-time Medical Director for CareVio located at our Avenue North location ... in Wilmington, DE. Duties and Responsibilities: The Medical Director for CareVio will have primary...quality within CareVio programming as it relates to case management , care coordination and clinical integration of Population Health… more
