- Sprenger Wellspring Silver Maple (Lorain, OH)
- …and required. Consistently collaborates with the physician to plan and implement the medical and nursing plan of care. Reviews the comprehensive plan of care with ... continuity of care and optimal patient/family outcomes. Demonstrates expertise in the utilization of all team members. Assists in the investigation and resolution of… more
- Elevance Health (Independence, OH)
- ** Utilization Management Medical Director - NC Medicaid** Location: This role enables associates to work virtually full-time, with the exception of ... Alternate locations may be considered. The ** Medical Director ** will be responsible for utilization review case management for North Carolina Medicaid.… more
- Elevance Health (Independence, OH)
- …responsibilities means that the medical director is directly involved in Utilization Management and Case Management . + Daily case reviews for both ... Director ** is responsible for serving as the Operational Medical Director for our care management...director provides clinical expertise in all aspects of utilization review and case management . Provides input… more
- Select Medical (Middleburg Heights, OH)
- …focus on resource management . + Demonstrating compliance with facility-wide Utilization Management policies and procedures. + Coordinating UR compliance with ... **Overview** **Critical Illness Recovery Hospital** ** Director of Case Management ** **_Clinical license...in social work and minimum three (3) years of medical case management or similar experience._** **Previous… more
- Molina Healthcare (Cleveland, OH)
- …, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management , risk management , risk ... resource management . + Develops and implements a Utilization Management program and action plan, which...activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. +… more
- Molina Healthcare (Cleveland, OH)
- …, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management , risk management , risk ... and chemical dependency services. Works closely with the Regional Medical Directors to standardized utilization management...**REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3… more
- Elevance Health (Independence, OH)
- …or healthcare leadership preferred. + Experience advising medical cost management , utilization management , payment integrity, or provider performance ... **Manager, Medical Director - Transformation Initiatives** Location:...+ **Cost of Care / Payment Integrity** + **Care Management / Utilization Management (CM/UM)… more
- Select Medical (Cleveland, OH)
- …significant PI findings pertaining to adverse drug reactions, drug usage evaluation, medical management of acute transfers and other CQI indicators. ... **Overview** **Cleveland Clinic Rehabilitation Hospital - Fairhill** ** Director of Quality Management ** **(DQM)** **Opening in October, the Cleveland Clinic… more
- Molina Healthcare (Cleveland, OH)
- …closely with regional medical directors to standardize behavioral health utilization management policies and procedures to improve quality outcomes and ... and clinical leadership for health plan and/or market specific utilization management and care management ...health portions of state contracts. * Assists behavioral health medical director lead trainers in the development… more
- Elevance Health (Valley View, OH)
- ** Medical Director -Long Term Support and Services** _Preferred Location: Ohio._ _Please note that per our policy t_ _his role enables associates to work ... health, behavioral health, long term services and supports, and psychosocial needs._ The ** Medical Director -Long Term Support and Services** is responsible for… more
- Elevance Health (Independence, OH)
- ** Medical Director - Commercial** Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... fine). Weekend rotation coverage 5-6 weekends a year.** The ** Medical Director ** will be part of the...be part of the Central Region team responsible for utilization review case management and appeals for… more
- Elevance Health (Independence, OH)
- ** Medical Director - Medical Policy** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... required by law. Alternate locations may be considered. The ** Medical Director - Medical Policy** is...+ Supports coordination with external entities that develop clinical utilization management guidelines used by Company Plans… more
- Philips (Orange Village, OH)
- **Zone Installations Director for Medical Devices - Midwest** As Zone Installations Director , you will be responsible for executing commercial projects and ... process with external customers (Hospitals) and internal stakeholders (Sales, Project Management , Service, and Supply Chain) to drive leading KPIs and convert… more
- Molina Healthcare (Cleveland, OH)
- …as a Molina Medical Director + Demonstrated experience in Utilization /Quality Program management + Previous leadership experience + Peer review, ... Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and… more
- Parker Hannifin Corporation (Cleveland, OH)
- Group Strategic Pricing Director Location : CLEVELAND, OH, United States Job Family : Marketing Job Type : Regular Posted : Aug 18, 2025 Job ID : 56279 Back to ... producers of flight control, hydraulic, fuel and inerting, fluid conveyance, thermal management , and engine systems and components for the aerospace industry. We… more
- Cleveland Clinic (Cleveland, OH)
- …one of the most respected healthcare organizations in the world. As the Director of Pharmacy - 340B, you will provide strategic leadership and operational oversight ... of Cleveland Clinic's enterprise-wide pharmacy department, with a strong focus on the management and compliance of the federal 340B Drug Pricing Program. In this… more
- Cleveland Clinic (Cleveland, OH)
- …one of the most respected healthcare organizations in the world. As the Director of Pharmacy - Pediatrics, you will provide strategic leadership and operational ... and monitor pharmaceutical care services. + Design quality programs evaluating drug utilization and pharmacy services. + Evaluate efficiency and safety of pharmacy… more
- nVent (Solon, OH)
- …for the segment, including supplier selection, contract negotiation, and performance management . + Build and maintain strong relationships with key suppliers and ... inventory to balance availability and cost efficiency. + Optimize resource utilization and mitigate supply chain risks. **Performance Reporting:** + Develop and… more
- Elevance Health (Independence, OH)
- …behavioral health, long term services and supports, and psychosocial needs._ ** Medical Management Clinician** **Location:** This role enables associates to ... hours may be necessary based on company needs. The ** Medical Management Clinician** responsible for ensuring appropriate,... medical necessity denial determination made by a Medical Director . + May work directly with… more
- Elevance Health (Seven Hills, OH)
- Medical Management Clinician Associate - 40... medical necessity denial determination made by a Medical Director . + Refers complex or non-routine ... be 12 hrs, 10 hours, or 8 hours. The ** Medical Management Clinician Associate** responsible for ensuring...a minimum of 2 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted… more
