- NHS Management (Prattville, AL)
- …transmission. Reports any evidence of late assessments to the facility Administrator, Director of Nursing, Regional Administrator, Director of Medicare and ... and diagnoses that support skilled services. Reports discrepancies to the Administrator, Director of Nursing, Regional Administrator, Director of Medicare and… more
- Shannon Health (San Angelo, TX)
- …work policies and procedures. Speed and consistency of output and time utilization of job duties. Computer Knowledge & Electronic Equipment Use: Demonstrates ability ... perform job duties, including electronic documentation, and order entry. Resource Utilization : Consistently utilizes and maintains supplies and equipment to minimize… more
- Geisinger (Danville, PA)
- …total patient care and employee satisfaction. Collaborates with the department Director and operational leadership to assure a coordinated effort in instituting ... and confers with the medical staff members, Operations Manager and Department Director on matters concerning the department and AP staff. Creates and evaluates… more
- HCA HealthONE Rose (Denver, CO)
- …needs and available resources on unit. Communicates directly with the director /manager on unit and staff performance issues needing attention. Maintains effective ... utilization and maintenance of manpower, equipment, and supplies. Other duties as assigned. Position Requirements: Current licensure in the State of Colorado as a… more
- NHS Management (Birmingham, AL)
- …patient care, supervising, directing and developing nurse staff, and reporting to the Director of Nursing to ensure quality patient care within a long-term care ... subordinate nurses engaged in quality assurance, infection control, and utilization review activities. Receives physicians' instructions regarding resident care and… more
- NHS Management (Fayetteville, AR)
- …patient care, supervising, directing and developing nurse staff, and reporting to the Director of Nursing to ensure quality patient care within a long-term care ... subordinate nurses engaged in quality assurance, infection control, and utilization review activities. Receives physicians' instructions regarding resident care and… more
- NHS Management (Madison, AL)
- …patient care, supervising, directing and developing nurse staff, and reporting to the Director of Nursing to ensure quality patient care within a long-term care ... subordinate nurses engaged in quality assurance, infection control, and utilization review activities. Receives physicians' instructions regarding resident care and… more
- NHS Management (Athens, AL)
- …leadership, supervision, and guidance to nursing staff while partnering with the Director of Nursing to ensure high-quality resident care. The Weekend Supervisor ... care standards through oversight of quality assurance, infection control, and utilization review activities Receive and communicate physician instructions related to… more
- NHS Management (Athens, AL)
- …patient care, supervising, directing and developing nurse staff, and reporting to the Director of Nursing to ensure quality patient care within a long-term care ... subordinate nurses engaged in quality assurance, infection control, and utilization review activities. Receives physicians' instructions regarding resident care and… more
- Unknown (Philadelphia, PA)
- …education, healthcare management, or business, with a Master's degree and campus director /president experience highly preferred. A minimum of 5 years in a leadership ... services business, with a focus on marketing, service quality, and asset utilization , is essential. The role also requires the ability to analyze operational… more
- Alameda Health System (Oakland, CA)
- Director , Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req #:40826-30155 + ... plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds a critical...Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight,… more
- Wellpath (Cleveland, OH)
- …education, and point of care support. **How you make a difference** The Medical Director of Utilization Management leads and oversees utilization review, ... efforts to ensure quality patient care and the appropriate utilization of medical services. The Medical Director of Utilization Management serves as a key… 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 ... leader responsible for designing, implementing, and standardizing utilization management functions across a large healthcare system, including a complex academic… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Senior Director of Health Services - Utilization Management Location: Hybrid | ... join us. The Impact You Will Have The Senior Director of Health Services, Utilization Management is responsible for the design, strategic planning, evolution,… more
- Fallon Health (Worcester, MA)
- … Director to identify and prioritize the cost of care opportunities related to Utilization Management. + Works with VP/ Medical Director to set agenda related ... of purpose:** With the general direction from the VP Sr. Medical Director Clinical Management and SVP/Chief Medical Officer will provide strategic leadership and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The **Program Director (Licensed)** is responsible for leading and sustaining a Utilization Management Initiative supporting ACO and ... **Experience Requirements** + 7+ years of experience in care management, utilization management, population health, or value-based care. + Demonstrated experience… more
- Centene Corporation (Richmond, VA)
- …a fresh perspective on workplace flexibility. **Position Purpose:** Directs the utilization management team to ensure the appropriate application of policy ... and processes to help support best member outcomes. Oversees and manages Utilization Operations specific to the daily operations of Utilization Management… more
- Insight Global (New York, NY)
- …turn-around times for clinical reviews. * Collaborate with other departments on Utilization Management Operations. * Lead key projects and drive initiatives to ... medicine is required. * 3+ years of clinical practice * 2+ years of utilization review experience in a managed care plan (health care industry) referred Experience… more
- Healthfirst (NY)
- …to maintain and improve department performance + Collect, analyze, and report on utilization trends, patterns, and impacts to identify areas for improvement + Lead ... Clinical Eligibility, Behavioral Health, and Appeals and Grievances teams to align utilization decisions + Partner with technology and data teams to refine data… more
- Integra Partners (Troy, MI)
- …operational needs require. The Senior MD provides clinical oversight to the Utilization Review Medical Director (s), ensures consistent application of criteria, ... Integra's clinical position to internal and external stakeholders. The Senior Utilization Review Medical Director 's responsibilities include but are not… more
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