- Mount Sinai Health System (New York, NY)
- **Job Description** The Assistant Director of Case Management supports the Director of Case Management with the overall operation of the Case ... efficient care to patients, the delivery of comprehensive front-line Case Management services, including utilization ... processes and throughput. In the absence of the Director of Case Management , the… more
- Prime Healthcare (Inglewood, CA)
- …Status Full Time Shift Days Connect With Us! (https://careers-primehealthcare.icims.com/jobs/209416/ director -of- case - management utilization - management ... https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities We are seeking a strategic and compassionate Director of Case Management to… more
- UTMB Health (Friendswood, TX)
- …resource utilization to Director and/or Assistant Director of Utilization Review/ Case Management . + Maintains a documentation system of all ... ensure optimal quality, cost, and service/outcomes. Supports and actualizes the UTMB Utilization Review/ Case Management program by utilizing clinical… more
- Intermountain Health (Las Vegas, NV)
- …through an accredited institution. Education is verified. Three years of experience leading Utilization Management case management requiring knowledge of ... **Job Description:** The Utilization Review Care Management Director is responsible for providing leadership and administrative direction for Utilization … more
- WellSpan Health (York, PA)
- …WellSpan's geographic footprint._** **General Summary** Performs a variety of reviews and applies utilization and case management techniques to determine the ... for which criteria are not met to the Medical Director . + Demonstrates a working knowledge of managed care...+ 3 years Relevant experience. Required + Experience in utilization management , case management… more
- Elevance Health (Buffalo, NY)
- RN Utilization Management - Case ...treatment is medically necessary and provides consultation to Medical Director on cases that are unclear or do not ... in line with diagnosis. + Provide consultation to Medical Director on particularly peculiar or complex cases as the...and Experiences:** + A combination of utilization review/ utilization management and Case … more
- Commonwealth Care Alliance (Boston, MA)
- … will be responsible for providing leadership and subject matter expertise to our utilization management (UM) group. This role is a key role in helping ... other medical management team members. + Support the development of utilization management policy initiatives. + Support the development and implementation… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Corporate Director of Clinical ... or another relevant field + A minimum of seven (7) years' experience in Clinical Utilization Review or Case Management with a large Health Plan +… more
- Integra Partners (Troy, MI)
- …rendering the criteria inappropriate, the Utilization Management Nurse will route the case to the UR Medical Director . The UR Medical Director will ... is seeking a full-time Utilization Review Medical Director to support our Utilization Management...requests + Familiarity with electronic UM systems and queue-based case management preferred + Analytical ability and… 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
- HonorHealth (AZ)
- …of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Case Management Director is accountable and responsible for ... Oversees clinical operations for managed care plan contracts including utilization management , case management...and vendors, as required. Works closely with the Medical Director , Utilization Management , Nursing, the… more
- Tenet Healthcare (Detroit, MI)
- … model, staffing and skill mix, complex Case Management , and centralized utilization review · Participate in new hospital Director of Case ... - Troy and six ambulatory sites. SUMMARY: The Group Director Case Management is responsible...operational management of the Case Management Department in order to promote effective utilization… 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
- LifePoint Health (Gallatin, TN)
- …use of hospital services, hospital admissions and extended hospitals stays. Reports to: Director - Case Management Minimum Education Associate's, Bachelor's ... required Minimum Work Experience Three years' experience in acute care, case management or related healthcare field. **Job:** **Nursing* **Organization:**… more
- RWJBarnabas Health (Newark, NJ)
- …Location: Newark Beth Israel Medical Ctr, 201 LYONS AVENUE, NEWARK, NJ 07112-2027 Job Title: Director Of Case Management Location: Newark Beth Israel Med Ctr ... educational background, skills and professional experience. Job Overview: The Director of Case Management oversees...have at least 3 years of recent experience in Case Management , Utilization Review, or… more
- Houston Methodist (Houston, TX)
- …promoting the most cost-effective utilization of the hospital's resources. The Director Case Mgmt Social Svcs position deploys population-focused teams to ... At Houston Methodist, the Director Case Mgmt Social Svcs position...in the areas of care coordination, evidence- based practice, utilization management , and service excellence. Disseminates information… more
- Select Medical (Memphis, TN)
- **Overview** **Critical Illness Recovery Hospital** ** Director of Case Management ** Position Will Begin In August 2025 **$15,000 Sign On Bonus** **_Clinical ... 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 (Kissimmee, FL)
- …with purpose and integrity. We care like family! Jump-start your career as a Director Case Management today with HCA Florida Osceola Hospital. **Benefits** ... vary by location._** Come join our team as a(an) Director Case Management . We care...to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all… more
- HCA Healthcare (Plano, TX)
- …eligible. **Introduction** Do you want to join an organization that invests in you as a Director Case Management ? At Medical City Plano, 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
- Ascension Health (Indianapolis, IN)
- …Join Ascension St. Vincent, a leader in compassionate, mission-driven healthcare, as our next ** Director of Case Management ** . This key leadership role will ... the Director , you will lead a dynamic Case Management and Social Services team, driving...understanding of: + Discharge planning + Medicare/Medicaid regulations + Utilization review and management + Behavioral health… more