• Executive System Director of Utilization…

    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 ... of healthcare resources in alignment with institutional goals. The Executive Director works closely with leaders from various departments-case management, physician… more
    UNC Health Care (10/29/25)
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  • Physician-Scientist, Director Of Clinical…

    University of Maryland, Baltimore (Baltimore, MD)
    …physician-scientist with expertise in clinical trial design and execution to serve as Director of Clinical Trial Innovation.* The UM -IHC is a large-scale ... life and longevity of the citizens of Maryland. The UM -IHC, located in North Bethesda, MD, is a collaborative...of Maryland College Park, and the University of Maryland Medical System, funded with initial grants from the State… more
    University of Maryland, Baltimore (10/14/25)
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  • Director , Utilization Management BH

    Commonwealth Care Alliance (Boston, MA)
    …dental and other vendors to assure integration, oversight, and efficiency of UM processes and functions. * Ensures compliance with all contract requirements, state ... the CMO and VPMA to develop and advance the UM program and leads and organizes the ongoing evaluation...Education: * Master's degree in Business or Health related field preferred Required Licensing: * active RN license required… more
    Commonwealth Care Alliance (10/02/25)
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  • Executive Director , Research…

    University of Miami (Coral Gables, FL)
    …this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Executive Director of the Office of Research Administration ... and management of ORA's mission for the Coral Gables, Rosenstiel, and Medical Campuses for Pre-award, Post-award, and the Strategic Initiatives divisions. The… more
    University of Miami (09/13/25)
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  • Director , Risk Management

    University of Miami (Miami, FL)
    …focused culture. Provide notification and documentation of potentially compensable events to Chief Medical Risk Officer, Director of Medical Claims and ... Risk Management has an exciting opportunity for a full-time Director , Risk Management to work on the UHealth campus.... Risk Management of UHT shall provide consultation to UM leadership that includes: Senior Management, Faculty and Staff,… more
    University of Miami (11/06/25)
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  • Clinical Nursing Director (CS Mott…

    University of Michigan (Ann Arbor, MI)
    CLINICAL NURSING DIRECTOR (CS Mott Children's Hospital: 10-West Pediatric Cardiothoracic Intensive Care Unit- PCTU) Apply Now **Job Summary** The Pediatric ... from state, regional, national, and international referrals. PCTU specializes in the medical and surgical care of infants, children, adolescents, and adults with… more
    University of Michigan (11/05/25)
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  • Tenure-Track Physician, Scientist…

    University of Maryland, Baltimore (Baltimore, MD)
    …Data/Adaptive Clinical Trials*at the University of Maryland-Institute for Health Computing ( UM -IHC) and*Assistant Director for Learning Health System and ... -IHC and may provide clinical service in their selected field . The role of* Director of Cancer Research...to win extramural funding and new public-private partnerships involving UM -IHC, respectively. UMGCCC: The role of*Assistant Director more
    University of Maryland, Baltimore (10/13/25)
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  • Supv Regional Care Mgmt- Integrated Care Mgmt…

    Sharp HealthCare (San Diego, CA)
    medical management activities to include tracking, trending and analyzing UM data. Works in collaboration with regional medical directors, ambulatory ... and hospital case management departments. Participates in the development of the annual UM plan and implementation of corrective action plans related to health plan… more
    Sharp HealthCare (10/07/25)
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  • Registered Nurse - Utilization Management / Float

    Veterans Affairs, Veterans Health Administration (Miami, FL)
    Summary The Miami VA medical Center is looking for recruit for Registered Nurse - Utilization Management / Float who is responsible and accountable for all elements ... supervisors and is accountable to the Chief Nurse of Operations, Deputy Associate Director of Patient Care Services and ultimately the Associate Director of… more
    Veterans Affairs, Veterans Health Administration (11/14/25)
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  • Research Associate

    University of Miami (Miami, FL)
    …in staff development and in-service training + Other duties as assigned by the UM COACH and PCIT Director Manuscript preparation: + Conduct literature reviews + ... information from planning meetings + Scores program metric measures + Enters UM COACH and PCIT related data into appropriate databases (eg, Children's Trust,… more
    University of Miami (10/25/25)
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  • Nurse Educator - Medical Simulation…

    University of Miami (Miami, FL)
    …sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The University of Miami/UHealth Medical Training Lab at the Gordon Center is ... currently seeking a full time Nurse Educator - Medical Simulation and Education Lab to work in Miami,...as necessary. Core Qualifications Education: Bachelor's degree in relevant field Master's degree in Nursing or Simulation Education preferred.… more
    University of Miami (10/23/25)
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  • Utilization Management Coordinator

    Saint Francis Health System (Tulsa, OK)
    …for individual patient situations, reporting them promptly to the Process Improvement/Quality Director , to appropriate clinicians and to the UM Manager. Reviews ... and their receipt of necessary services and appropriate discharge planning. UM Coordinators participate in treatment teams, communicating with providers the details… more
    Saint Francis Health System (11/14/25)
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  • Chief Medical Officer, Ambetter

    Centene Corporation (Austin, TX)
    …one who changes everything for our 28 million members. **Position Purpose:** Chief Medical Director , Product provides strategic and clinical leadership to the ... field preferred. 7+ years relevant experience required. Previous experience as Medical Director preferred. Board Certification through American Board of … more
    Centene Corporation (10/08/25)
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  • Medical Assistant Associate/Assistant…

    University of Michigan (Ann Arbor, MI)
    …**SUPERVISION RECEIVED** General supervision is received from Administrative Manager, Medical Director or Nurse Manager. **PHYSICAL REQUIREMENTS** This ... of experience. **Desired Qualifications + Additional formal education in a health care field . + Certification as a Medical Assistant **Modes of Work** Positions… more
    University of Michigan (10/18/25)
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  • GME Program Administrator

    University of Miami (Miami, FL)
    …the program's overall success. + Serves as a liaison between the Program Director (s), administrative leadership, UM /JMH Graduate Medical Education (GME) ... The incumbent oversees and coordinates the daily operations of assigned medical residency or fellowship program(s). The GME Program Administrator (A) supports… more
    University of Miami (09/26/25)
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  • Biochemistry & Molecular Biology- Assoc. Professor

    University of Miami (Miami, FL)
    …Lives The University of Miami is among the top research universities and academic medical centers in the nation, and one of the largest private employers in South ... students. The incumbent may lecture or conduct demonstrations and teach across UM schools. The Associate Professor, tenure earing, will partner and collaborate with… more
    University of Miami (10/14/25)
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  • Doctorate Level Mental Health Clinician/Masters…

    University of Michigan (Ann Arbor, MI)
    …and clinical services (counseling individual, group, relationships; 14 different medical services and specialties, nursing, pharmacy, diagnostic services), mental ... This position is intended to provide counseling services to undergraduate and graduate UM students and may include other services like mental health outreach, group… more
    University of Michigan (11/15/25)
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  • Utilization Review Clinician (Santa Rosa)

    Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
    …RANGE: LVN/LPT $31.50-37.50 Per Hour RN/LCSW/LMFT/LPCC $54.00-64.00 Per Hour REPORTS TO: Director of Utilization Review DESCRIPTION OF POSITION: Work as member of ... in a clear, concise, organized and timely manner. + Medical Necessity: Attend Treatment Team on a daily basis...hospital colleagues in a timely, positive manner to resolve UM and patient status issues. Document UM ,… more
    Sacramento Behavioral Healthcare Hospital (10/24/25)
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  • Manager, Research Laboratory

    University of Miami (Miami, FL)
    …position will serve as the SCCC Manager of research administration for the Director of the Sylvester Comprehensive Cancer Center, Dr. Stephen Nimer. This position ... procedures, and that technical/research personnel is informed of and comply with UM fiscal and personnel policies and procedures; maintains appropriate files and… more
    University of Miami (11/11/25)
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  • Registered Nurse (Non-Practicing) (Bethesda, MD)

    Ivyhill Technologies LLC (Bethesda, MD)
    …duty and reserve/guard referrals under the supplemental health care program. Coordinate with Medical Director , Product Line leaders, and/or RM leadership for all ... (RM) information management systems. Will conduct reviews for capacity, capability, medical necessary, deferral to network, and right of first refusal activities.… more
    Ivyhill Technologies LLC (09/08/25)
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