- Blue Shield of California (El Dorado Hills, CA)
- …review, transplant and NICU/HROB. The Manager, Utilization Management Nurse Management will report to the Director , Utilization Management . ... Job Description Your Role The Utilization Management team reviews inpatient stays...in terms of planning, cost in collaboration with department Director Participate in the development and implementation of the… more
- Blue Shield of California (San Diego, CA)
- Job Description Your Role The Behavioral Health (BH) Utilization Management (UM) team manages prior authorization and concurrent review for members seeking ... Qualifications Your Knowledge and Experience Requires practical knowledge of Utilization Management functions including prior authorization/concurrent review… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …the most diverse and collaborative groups within the organization. From healthcare provider interactions and developing and implementing regulatory strategies with ... a difference? The Position Position provides field coaching, mentorship and management to the field-based Medical Liaisons, and develops and implements strategies:… more
- Molina Healthcare (Long Beach, CA)
- …capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management , risk management , risk adjustment, disease ... utilization and effective resource management . Develops and implements a Utilization Management program and action plan, which includes strategies that… more
- Tal Healthcare (New York, NY)
- Job Description Our client, The Jewish Board, has retained Tal Healthcare to identify its next Executive Program Director of Mishkon I/DD. The Executive Program ... Contact us for more information. #LI-VS1 Meet Your Recruiter Valerie Swatz Director , Healthcare Recruitment Valerie Swatz has strong leadership experience in… 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 ... with brand/therapy area vision and message. Relationships Reports to Senior Director of Cardio Renal Marketing Responsible for providing interface with key… more
- Merck & Co. (Rahway, NJ)
- Job DescriptionRole Summary:The Executive Director , Value & Implementation (V&I) Outcomes Research position resides in the V&I organization, which includes Global ... cross-functional teams is a critical part of this role. The Executive Director has scientific and budgetary oversight for all outcomes research activities conducted… more
- Merck & Co. (North Wales, PA)
- …observational studies to characterize disease burden and epidemiology, treatment patterns, healthcare resource utilization and costs, physician and patient ... Job DescriptionRole Summary Under the guidance of an Executive Director , has primary responsibility for developing value evidence strategies, and planning/managing… more
- Merck & Co. (Rahway, NJ)
- …observational studies to characterize disease burden and epidemiology, treatment patterns, healthcare resource utilization and costs, physician and patient ... the guidance of a senior leader, an Associate Principal Scientist/Associate Director , has primary responsibility for planning/managing real world and economic… more
- Singing River Health System (Pascagoula, MS)
- …and/or transfer. Prefer ACM or CCM (Certified Case Manager), Certification in Utilization Review, Certified Professional in Healthcare Quality-CPHQ is a plus. ... Utilization Review Surgery Nurse - RN Pascagoula Hospital...Care that has relevance to the practice of Case Management preferred. Reports to: Director - Patient Resource… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …commercial or sales-related function A Minimum of 6 years successful account management experience within the healthcare market; relevant Novo Nordisk experience ... Access and Public Affairs team engages diverse stakeholders across political and healthcare landscapes to forge solutions that drive patient access to innovative… more
- Solaris HealthCare College Park (Winter Park, FL)
- …met by collecting, trending and reporting data Personnel Development Resource Utilization Fiscal Management Supervisory/People Management Responsibilities ... At Solaris HealthCare College Park, located at 730 Courtland St,...day! #2025 Purpose of Your Job Position The Assistant Director of Nursing with Administrative Duties assists in managing… more
- Merck & Co. (North Wales, PA)
- Job DescriptionRole SummaryThe Principal Scientist/ Director , Value & Implementation (V&I) Outcomes Research, position resides in the V&I organization, which includes ... characterize disease burden and epidemiology, treatment patterns, health-care resource utilization and costs, physician and patient satisfaction surveys, clinical… more
- Eisai, Inc (Nutley, NJ)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... 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… more
- Trio Healthcare (Richmond, VA)
- Travel Director of Nursing Trio Healthcare Must be...and data to aid planning and cash and risk management and to improve service utilization Must be ... DON experience in LTC #IND1 POSITION SUMMARY The TRAVEL DIRECTOR of NURSING (TDON) plans, organizes, develops, and directs...Must be able to develop and maintain computerized record management systems to store and process data such as… more
- Providence Health & Services (Olympia, WA)
- …inpatient admissions. Physician Relations: Build strong cooperative relationships with physicians. Utilization Management Oversight: Lead the Utilization ... Job Description Calling All Healthcare Visionaries! Are you a dynamic leader with...Role: Under the supervision of the North Division Executive Director of Care Management , the Director… more
- Spectrum Healthcare Resources (Salt Lake City, UT)
- …experience. Job Responsibilities: Provide program-wide clinical guidance across multiple medical management domains including Utilization Management , Case ... Job Description Spectrum Healthcare Resources is excited to offer a potential...to offer a potential career opportunity for a Medical Director -OBGYN supporting the TriCare/Department of Defense and Community Care… more
- Spectrum Healthcare Resources (Las Vegas, NV)
- …treatments. Job Responsibilities: Provide program-wide clinical guidance across multiple medical management domains including Utilization Management , Case ... Job Description Spectrum Healthcare Resources is excited to offer a potential...a potential career opportunity for a Behavioral Health Medical Director supporting the TriCare/Department of Defense and Community Care… more
- Family HealthCare Network (Fresno, CA)
- Job Description Description of Primary Responsibilities Assistant Allied Health Director provides management to departmental staff. Responsible for performance ... and maintenance, prevention of illness and disability, and application of holistic healthcare model with focus on addressing both protective factors and risk factors… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …certification (CCM, ACM, CCM-RN) preferred. Proven leadership experience in acute care, utilization review, case management . Strong working knowledge of hospital ... Position Summary Lead and oversee the hospital's case management department, ensuring patients receive high-quality, efficient, and coordinated care from admission… more
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