- Harbor Health Services, Inc. (Mattapan, MA)
- …MA and cares for more than 580 participants. We are currently seeking a Director of Utilization Management & Quality Programs. Harbor Health offers an excellent, ... Senior Director of Health Plan Operations, the Director of Utilization Management and Quality Programs...CMS and other regulatory entities. Collaborates with Senior Medical Director to resolve complex medical review issues… more
- University of California Santa Cruz (Santa Cruz, CA)
- …pharmacy offering prescription and over-the-counter products. Counseling and Psychological Services, Case Management , and Psychiatry services are available for ... Director of Health Promotion Location: Job ID: 82567...comprehension Demonstrated skills in decision-making, analysis, critical thinking, project management , and organizational leadership-sufficient to lead complex … more
- Usaa (Charlotte, NC)
- …financial crimes concepts, including transaction monitoring, AML and Fraud investigations, and case management systems. Mastery of AML, Fraud, CTR, OFAC, PEP/NN, ... assists with problem resolution. Responsible for direct report performance management , talent development, and career progression planning. Accountable for teamwork… more
- Usaa (Charlotte, NC)
- …special and impactful. The Opportunity USAA is seeking an IT/Info Security Risk Management & Governance for Executive team. This Executive should have expertise in ... aggregate risks across the business while advancing the Enterprise Risk Management function for aggregation, quantification, and qualification of risks. Sets… more
- UnitedHealthcare (New Orleans, LA)
- …high-speed internet service Preferred Qualifications: Bachelor's degree Certification in Case Management (CCM) Field-based work experience Experience with ... of care to the most appropriate level Consult with the United HealthCare Medical Director as needed for complex cases and make appropriate referrals to sister… more
- University Health (Seguin, TX)
- …, 2025. MORE ABOUT THE PROGRAM: Objectives * Gain understanding of the management of complex critical illness including: shock, sepsis, traumatic injury, ... or recently graduated, letters should be from your clinical coordinator or program director . If you are currently in practice, letters should be from your most… more
- Lilly (Indianapolis, IN)
- …to make life better for people around the world. **Job Responsibilities:** The Sr. Director PV Case Management ICSR provides technical leadership for the ... managing key ICSR vendor relationships. In addition, the Sr. Director leads global projects involving complex safety...leadership for complex projects aimed at advancing case management tools, systems, ICSR standards and… 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...making + Must be able to communicate and convey complex information in a professional and courteous manner +… more
- Select Medical (Phoenix, AZ)
- **Overview** **Select Specialty Hospital** **Critical Illness Recovery Hospital (LTACH)** ** Director of Case Management ** **Full Time: Monday - Friday ... mangement ( discharge planning ) experience with medically complex patients in a hospital critical care setting and...doing well by doing what is right. As the Director of Case Management **,**… more
- Select Medical (Madison, WI)
- **Overview** **Critical Illness Recovery Hospital** ** Director of Case Management ** $10,000 Sign On Bonus **_Clinical license as a registered nurse or ... mangement ( discharge planning ) experience with medically complex patients in a hospital critical care setting and...doing well by doing what is right. As the Director of Case Management **,**… more
- Tenet Healthcare (Detroit, MI)
- Director - Case Management -...and hospital leadership to ensure Patient Care Conferences and Complex Case Review processes are in place to ... employment status Summary Description Oversees hospital utilization performance improvement and operational management of the site Case Management Department… more
- CSL Behring (King Of Prussia, PA)
- …therapies that make a meaningful difference worldwide. We are looking for a **Associate Director ,** ** Case Management Intake & Submissions** to join our R&D ... an onsite and remote work schedule_ _. #LI-hybrid_ **The Role:** Reporting to the Sr. Director , Global Case Management , you will: + Oversee intake and triage… more
- Alight (IL)
- ** Case Management Associate Engineering Director ** **Are you an experienced team leader with a drive to succeed?** **Do you enjoy leading and motivating ... + Defining the technical vision and strategy for our Customer Care Case Management application. + Collaborating with Customer Care Technology leaders… more
- Lilly (Indianapolis, IN)
- …determined to make life better for people around the world. **Purpose:** The Case Management Medical Review Scientist is responsible for conducting comprehensive ... reports, and for collaborating cross functionally and providing technical leadership within Case Management and across Global Patient Safety (GPS). **Primary… more
- City of New York (New York, NY)
- …behavioral health and incidents data to identify clients in need; using DHS case management data, oversee and create analytical programs to identify clients ... one City Research Scientist IVA to function as the Complex Care Program Director who will. Report...- Oversee the development of indicators, tracking system, data management , and complex data analysis, for data-driven… more
- Beth Israel Lahey Health (Burlington, MA)
- …difficult and complex discharges. Under the general direction of the Manager and Director of the Case Management , and within the Lahey Clinic ... performs duties relative to utilization and discharge planning. The Complex Case Manager acts as an educational...committees representing patient issues and department functions such as case management , utilization and CQI as requested.… more
- AIG (Jersey City, NJ)
- Claims Complex Director - Healthcare Professional Liability (HPL) Join us as a Claims Complex Director to take on key responsibilities within a ... partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, negotiating complex settlements, and… more
- AIG (Atlanta, GA)
- …we are reimagining the way we help customers to manage risk. Join us as a Complex Claims Director , TPA Oversight to play your part in that transformation. It's ... and efficiency. How you will create an impact As Complex Claims Director - TPA Oversight, you...accuracy throughout the life of the claim. + Refer case as appropriate to supervisor and management .… more
- Humana (Raleigh, NC)
- …metrics. + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. ... prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or… more
- University of Michigan (Ann Arbor, MI)
- …Title** SENIOR DIRECTOR (Care Management and Social Work) **Job Title** Case Management Director **Work Location** Michigan Medicine - Ann Arbor Ann ... SENIOR DIRECTOR (Care Management and Social Work)...five (5) years progressive leadership experience in acute care, case management , social work, utilization review, or… more
