- Prime Healthcare (Inglewood, CA)
- …status, ie full-time or part-time. Responsibilities We are seeking a strategic and compassionate Director of Case Management to lead our dynamic Case ... of staff and systems to effectively operate a comprehensive Case Management Program. The Director ...supervision to case managers, social workers and case management coordinators/discharge planners, utilization … more
- UNC Health Care (Morrisville, NC)
- …and well-being of the unique communities we serve. **Summary** : The **Executive System Director of Utilization Management (UM)** is a strategic and ... The Executive Director works closely with leaders from various departments- case management , physician advisors, revenue cycle, medical staff, nursing, and… more
- Commonwealth Care Alliance (Boston, MA)
- …responsibility for managing the effective utilization of healthcare services, case / disease management , program development/ management /evaluation and ... Mgmt * Directs, coordinates and evaluates efficiency and productivity of utilization management functions for physical health services and long term… more
- Elevance Health (Durham, NC)
- ** Utilization Management Medical Director - NC...The **Medical Director ** will be responsible for utilization review case management for North ... May serve as a resource to staff including Medical Director Associates. **How you will make an impact:** +...and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers… more
- Guthrie (Cortland, NY)
- Summary The LPN Utilization Management (UM) Reviewer, in collaboration with Care Coordination, Guthrie Clinic offices, other physician offices, and the Robert ... Hospital Business Office, is responsible for the coordination of Utilization Management (UM) processes and requirements of...with members of the healthcare team. + Proactively researches case findings related to payer audits of UM decisions… more
- Wellpath (Lemoyne, PA)
- …education, and point of care support. **How you make a difference** The Medical Director of Utilization Management leads and oversees utilization ... care and the appropriate utilization of medical services. The Medical Director of Utilization Management serves as a key liaison with external partners… more
- Houston Methodist (Houston, TX)
- …for all hospital-based Case Management Directors and the Central Utilization Review Director across the system. This position is responsible for the ... At Houston Methodist, the Sr Director Case Management position... initiatives. + Provides strategic vision and execution for case management and utilization review… 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...resource utilization . Provides training to staff on case management methods and techniques. Establishes monitoring… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Director Case Management & Social Services RN position is responsible for strategy, function and operations of the Case ... cost-effective utilization of the hospital's resources. The Director Case Mgmt Social Svcs position deploys...a voice for the department. + Sets direction for Case Management /Social Services which supports strategic and… more
- Select Medical (Lake Worth, FL)
- **Overview** **Critical Illness Recovery Hospital** ** Director of Case Management ** **$10,000 Sign On Bonus** **_Clinical license as a registered nurse or ... doing well by doing what is right. As the Director of Case Management **,**...resource management . + Demonstrating compliance with facility-wide Utilization Management policies and procedures. + Coordinating… more
- HCA Healthcare (Lewisville, TX)
- …**Introduction** Do you want to join an organization that invests in you as a Director Case Management ? At Medical City Lewisville, you come first. HCA ... make a difference. We are looking for a dedicated Director Case Management like you...to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all… more
- Bassett Healthcare (Cooperstown, NY)
- …What you'll do The director is responsible for the oversight of case management and logistics activities for the Bassett Healthcare Network hospitals, ... resources for the department. Oversees and works with the Director of Utilization Management to...requirement + At least 5 years of experience in Case Management , discharge planning, and/or Utilization… more
- Nuvance Health (Danbury, CT)
- …our entire community makes this a truly special place to work. Summary: The Director of Case Management provides strategic leadership and operational ... oversight for the hospital case management program. This role is responsible...care coordination, discharge planning, and transitions of care. The Director ensures compliance with regulatory requirements, promotes patient-centered care,… more
- Select Medical (Henderson, NV)
- **Overview** **Dignity Health Rehabilitation Hospital** _Partnership with Select Medical_ **Position:** Director of Case Management **Location:** Henderson, ... management criteria, and implementation of safe and appropriate discharge plans. The Director of Case management is also responsible for maintaining a… more
- Select Medical (Tucson, AZ)
- …- Tucson (Opening in January 2026)** _In Partnership with Select Medical_ **Position:** Director of Case Management **Location:** 355 North Wilmot Road, ... management criteria, and implementation of safe and appropriate discharge plans. The Director of Case management is also responsible for maintaining a… more
- Select Medical (Ozark, MO)
- …**Hospital Name: CoxHealth Rehabilitation Hospital** **Partnership with Select Medical** **Position: Director of Case Management ** **Location: Ozark, ... management criteria, and implementation of safe and appropriate discharge plans. The Director of Case management is also responsible for maintaining a… more
- Prime Healthcare (Port Huron, MI)
- …our commitment to creating a positive and supportive work environment. Responsibilities The Regional Director of Case Management will be responsible for the ... leadership and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …to the Medical Director for review. Refer to and work closely with Case Management to address member needs. Participates in rotating on-call schedule, as ... depending on customer and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of… more
- LA Care Health Plan (Los Angeles, CA)
- …observation) admission in the acute setting. Works with UM leadership, including the Utilization Management Medical Director , on requests where determination ... and determinations within required turnaround times specific to the case type. Identifies requests needing medical director ...setting. Previous experience to have a strong understanding of Utilization Management / Case Management … more
- Veterans Affairs, Veterans Health Administration (Miami, FL)
- …the Associate Director of Patient Care Services (ADPCS). The Utilization Management /Float (RN) follows procedures per established policies and guidelines. ... Center is looking for recruit for Registered Nurse - Utilization Management / Float who is responsible...the Chief Nurse of Operations, Deputy Associate Director of Patient Care Services and ultimately… more