- Mount Sinai Health System (New York, NY)
- **Job Description** The Assistant Director of Case Management supports the Director of Case Management with the overall operation of the Case ... efficient care to patients, the delivery of comprehensive front-line Case Management services, including utilization ... processes and throughput. In the absence of the Director of Case Management , the… more
- Prime Healthcare (Inglewood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/209416/ director -of- case - management utilization - ... https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities We are seeking a strategic and compassionate Director of Case Management to… more
- UTMB Health (Friendswood, TX)
- …resource utilization to Director and/or Assistant Director of Utilization Review/ Case Management . + Maintains a documentation system of all ... ensure optimal quality, cost, and service/outcomes. Supports and actualizes the UTMB Utilization Review/ Case Management program by utilizing clinical… more
- Intermountain Health (Las Vegas, NV)
- …through an accredited institution. Education is verified. Three years of experience leading Utilization Management case management requiring knowledge of ... **Job Description:** The Utilization Review Care Management Director is responsible for providing leadership and administrative direction for Utilization … more
- WellSpan Health (York, PA)
- …WellSpan's geographic footprint._** **General Summary** Performs a variety of reviews and applies utilization and case management techniques to determine the ... for which criteria are not met to the Medical Director . + Demonstrates a working knowledge of managed care...+ 3 years Relevant experience. Required + Experience in utilization management , case management… more
- AmeriHealth Caritas (Newtown Square, PA)
- …Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Medical Director , Utilization Management provides organizational leadership ... and practice initiatives in collaboration with the Corporate Medical Director (s), Utilization Management and the...+ Assists IHCM Managers in assessing members' need for case management services + Attends case… more
- Commonwealth Care Alliance (Boston, MA)
- … will be responsible for providing leadership and subject matter expertise to our utilization management (UM) group. This role is a key role in helping ... other medical management team members. + Support the development of utilization management policy initiatives. + Support the development and implementation… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Corporate Director of Clinical ... or another relevant field + A minimum of seven (7) years' experience in Clinical Utilization Review or Case Management with a large Health Plan +… more
- Integra Partners (Troy, MI)
- …rendering the criteria inappropriate, the Utilization Management Nurse will route the case to the UR Medical Director . The UR Medical Director will ... is seeking a full-time Utilization Review Medical Director to support our Utilization Management...requests + Familiarity with electronic UM systems and queue-based case management preferred + Analytical ability and… more
- Intermountain Health (Las Vegas, NV)
- … management , claims, network management , and finance. As the Medical Director for Utilization Management , you are responsible, in partnership with ... skills. + Demonstrated timely documentation and reporting. + Demonstrated knowledge of case management , utilization management , quality management ,… more
- Wellpath (Lemoyne, PA)
- …education, and point of care support. **How you make a difference** The Medical Director of Utilization Management leads and oversees utilization ... care and the appropriate utilization of medical services. The Medical Director of Utilization Management serves as a key liaison with external partners… more
- HonorHealth (AZ)
- …of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Case Management Director is accountable and responsible for ... Oversees clinical operations for managed care plan contracts including utilization management , case management...and vendors, as required. Works closely with the Medical Director , Utilization Management , Nursing, the… more
- Tenet Healthcare (Detroit, MI)
- … model, staffing and skill mix, complex Case Management , and centralized utilization review · Participate in new hospital Director of Case ... - Troy and six ambulatory sites. SUMMARY: The Group Director Case Management is responsible...operational management of the Case Management Department in order to promote effective utilization… more
- Brockton Hospital (Brockton, MA)
- PURPOSE OF POSITION: The Director of Case Management is responsible for planning, directing, and managing of the activities of the Case Management ... solves problems, referring exceptional issues to Vice President. The Director of Case Management is...resource utilization . Provides training to staff on case management methods and techniques. Establishes monitoring… more
- RWJBarnabas Health (Newark, NJ)
- …Location: Newark Beth Israel Medical Ctr, 201 LYONS AVENUE, NEWARK, NJ 07112-2027 Job Title: Director Of Case Management Location: Newark Beth Israel Med Ctr ... educational background, skills and professional experience. Job Overview: The Director of Case Management oversees...have at least 3 years of recent experience in Case Management , Utilization Review, or… more
- LifePoint Health (Gallatin, TN)
- …use of hospital services, hospital admissions and extended hospitals stays. Reports to: Director - Case Management Minimum Education Associate's, Bachelor's ... required Minimum Work Experience Three years' experience in acute care, case management or related healthcare field. **Job:** **Nursing* **Organization:**… more
- Houston Methodist (Houston, TX)
- …promoting the most cost-effective utilization of the hospital's resources. The Director Case Mgmt Social Svcs position deploys population-focused teams to ... At Houston Methodist, the Director Case Mgmt Social Svcs position...in the areas of care coordination, evidence- based practice, utilization management , and service excellence. Disseminates information… more
- Nuvance Health (Norwalk, CT)
- … and high-risk case management . Works collaboratively with the Director of transitions to ensure optimum utilization of Social Work Skills. Responsible ... *$30K SIGN ON BONUS - FOR ELIGIBLE EXTERNAL CANDIDATES* Director , Acute Care Hospital Case Management...Commission, State and Federal Regulations relative to Discharge Planning, Utilization Management and Continuum of Care. Creates… more
- Select Medical (Camp Hill, PA)
- **Overview** **Critical Illness Recovery Hospital** ** Director of Case Management ** **_Clinical license as a registered nurse or respiratory therapist or ... doing well by doing what is right. As the Director of Case Management **,**...resource management . + Demonstrating compliance with facility-wide Utilization Management policies and procedures. + Coordinating… more
- HCA Healthcare (Kissimmee, FL)
- …with purpose and integrity. We care like family! Jump-start your career as a Director Case Management today with HCA Florida Osceola Hospital. **Benefits** ... vary by location._** Come join our team as a(an) Director Case Management . We care...to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all… more
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