- 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
- Fallon Health (Worcester, MA)
- … to identify and prioritize the cost of care opportunities related to Utilization Management . + Works with VP/ Medical Director to set agenda related to UM ... With the general direction from the VP Sr. Medical Director Clinical Management and SVP/Chief Medical Officer...inpatient case management with out-patient case management and 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
- Centene Corporation (Richmond, VA)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Directs the utilization management team to ensure the appropriate application of ... manages Utilization Operations specific to the daily operations of Utilization Management including timeliness, quality and performance outcomes, provider… more
- Integra Partners (Troy, MI)
- …Medicaid, and all federally funded programs; no OIG sanctions + 5+ years of utilization management experience, including complex case review + Prior ... (Senior MD) serves as the clinical and strategic leader for Integra's Utilization Management (UM) and Credentialing programs. This is a full-time, 40+… more
- UTMB Health (Webster, TX)
- …efficient use of medically appropriate services. Integrates and coordinates utilization management activities, care coordination, discharge planning functions, ... UTMB TDCJ Hospital to specialty services hospitals. **_ESSENTIAL JOB FUNCTIONS_** **:** Utilization Management + Demonstrates thorough knowledge of Inter Qual… 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
- Integra Partners (Troy, MI)
- …of Durable Medical Equipment (DME) and related requests to support Integra's Utilization Management (UM) operations. This full-time, salaried role functions ... The Utilization Review Medical Director is responsible...or past OIG or state sanctions + Experience performing utilization management or clinical review activities +… 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 ... care and the appropriate utilization of medical services. The Medical Director of Utilization Management serves as a key liaison with external partners… 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
- Healthfirst (NY)
- …to maintain and improve department performance + Collect, analyze, and report on utilization trends, patterns, and impacts to identify areas for improvement + Lead ... closely with other Operations leaders including but not limited to Care Management , Clinical Eligibility, Behavioral Health, and Appeals and Grievances teams to… more
- Tenet Healthcare (Detroit, MI)
- Director - Case Management -...Oversees hospital utilization performance improvement and operational management of the site Case Management ... services. Integrates national standards for case management scope of services including: * Utilization ... utilization of resources * Provides education to case management staff, physicians, and the healthcare… more
- Select Medical (San Diego, CA)
- **Overview** **Select Specialty Hospital** **Critical Illness Recovery Hospital (LTACH)** ** Director of Case Management ** **Full Time: Monday - Friday ... 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
- Select Medical (Madison, WI)
- **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 (Inverness, FL)
- …**Introduction** Do you want to join an organization that invests in you as a Director Case Management ? At HCA Florida Citrus Hospital, you come first. ... 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
- HCA Healthcare (Atlantis, FL)
- …with purpose and integrity. We care like family! Jump-start your career as a Director Case Management today with HCA Florida JFK Hospital. **Benefits** ... vary by location._** Come join our team as a Director Case Management . We care...to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all… more
- Adecco US, Inc. (Nashville, TN)
- ** Case Management Director ** **Position Title:** Director of Case Management **Location:** Nashville, TN **Position Type:** Full-Time | Day Shift ... case -by- case basis) **Position Overview** The Director of Case Management is...partners to promote continuity of care, optimize clinical resource utilization , and achieve key performance outcomes. This position requires… 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 (Phoenix, AZ)
- …**Hospital Name: Banner Rehabilitation Hospital** **Partnership with Select Medical** **Position:** Director of Case Management **Location:** Phoenix, AZ ... management criteria, and implementation of safe and appropriate discharge plans. The Director of Case management is also responsible for maintaining a… 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