- UT Health Tyler (Tyler, TX)
- …Quitman, UT Health Air1/EMS, UT Health East Texas Rehabilitation Hospital, UT Health Long Term Acute Care , UT Health Hope Cancer Center and UT Health East Texas ... or DMAIC) Experience working in a complex health system (hospitals, ambulatory clinics, post- acute care , etc.) Experience with external entities that drive and… more
- Universal Health Services (King Of Prussia, PA)
- …Rico and the United Kingdom. UHS is currently recruiting for our Regional Director of Managed Care for the acute division in our Texas / Oklahoma region. ... 94,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and… more
- Universal Health Services (Denison, TX)
- …Rico and the United Kingdom. UHS is currently searching for a Director of Managed Care for our acute locations. The position could be located anywhere ... employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient...local and corporate Decision Support staff and the Regional Director , Managed Care . + Lead… more
- HCA Healthcare (Webster, TX)
- …incentive eligible. **Introduction** Are you ready to manage in a new era as a Director Acute Inpatient where building a healthier tomorrow is more than a job? ... at an HCA Healthcare facility. Be an impact as Director Acute Inpatient where your passion for...are responsible for the management and provision of nursing care rendered in the departments managed . You… more
- HCA Healthcare (Conroe, TX)
- …incentive eligible. **Introduction** Are you ready to manage in a new era as a Director Acute Inpatient where building a healthier tomorrow is more than a job? ... at an HCA Healthcare facility. Be an impact as Director Acute Inpatient where your passion for...are responsible for the management and provision of nursing care rendered in the departments managed . You… more
- Elevance Health (Columbus, OH)
- …Carelon Medical Benefits Management is looking to hire a **National Solution Medical Director for Post Acute Care Solutions** . This high-performing ... in Administrative Medicine, Business Strategy, Product Strategy. + Experience with Managed Care , Utilization Management, Prior Auth, and Benefits Management… more
- ChenMed (Richmond, VA)
- …(TCP) and implements actions as appropriate. + Builds relationships with preferred acute care providers (hospitalists, specialists, etc.). + Directs referrals to ... other case managers and nurses, acute and post- acute facilities, home health care companies, and...Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired. We're ChenMed… more
- Sutter Health (Castro Valley, CA)
- …for Care Coordination and Care Transitions Planning throughout the acute care patient experience. This position works in collaboration with the ... - BLS Required **EXPERIENCE** + 2 years experience In acute medical/surgical/ED/critical care nursing area Required +... care delivery and case management within a managed care environment. + Comprehensive knowledge of… more
- Nuvance Health (Norwalk, CT)
- …physician practices locations, including The Heart Center, a leading provider of cardiology care . Non- acute care is offered through various affiliates, ... Guidelines. Desired: Registered Nurse with management experience Responsibilities: 1. Director Care Coordination- Major Responsibilities Criteria A: Provides… more
- Banner Health (AZ)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... This position, under the direction of the Revenue Integrity Director , is responsible for managing, coordinating, and implementing charge...healthcare related work in a clinical, medical office or acute care setting. Must be knowledgeable of… more
- AdventHealth (Maitland, FL)
- …statistical trending and/or changes related to denial prevention measures for our contracted managed care payers. The Medical Director is responsible for ... of the Case Management, Revenue Cycle, Patient Financial Services, Patient Access, AHS Managed Care departments and applicable Medical Staff of specific updates,… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …School of Medicine and Grady Health System announces an opening for Grady Emergency Care Center Medical Director . Grady Memorial Hospital's Emergency Care ... to patients within the ECC meets the standards of care . The medical director will work cooperatively...Department in the nation by leading the transformation in acute and emergency care delivery. This will… more
- Comunilife (New York, NY)
- …external networking/communication with contracted entities (hospitals and Managed Care Organizations). The Senior Program Director reviews and manages ... Program Director -Respite Care Job Details Job Location...and economically disadvantaged populations, especially those with chronic and/or acute medical issues. + Developing and implementing strengths-based assessments… more
- HCA Healthcare (Nashville, TN)
- …owned-leased and managed as well as strategic independent accounts, the Director of implementation participates in customer facing events including acting as a ... is incentive eligible. **Introduction** Do you have the career opportunities as a Director Implementation you want with your current employer? We have an exciting… more
- Humana (Columbus, OH)
- … care management. The clinical scenarios predominantly arise from inpatient or post- acute care environments. Has discussions with external physicians by phone ... as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, ...size of region or line of business. The Medical Director conducts Utilization Management of the care … more
- Alameda Health System (Oakland, CA)
- …of the inpatient Care Management across all AHS facilities, including post acute care facility for ensuring efficient patient flow, beginning when a patient ... Director , Inpatient System Care Management +...and other regulatory agencies and overall hospital policies; integrates managed care contract criteria into overall Case… more
- Humana (Columbus, OH)
- … care management. The clinical scenarios predominantly arise from inpatient or post- acute care environments. Has discussions with external physicians by phone ... as inpatient rehabilitation). **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, ...size of region or line of business. The Medical Director conducts Utilization Management of the care … more
- ChenMed (Detroit, MI)
- …knowledge and skills: + Excellent clinical skills. + Knowledge and experience in a managed care delivery system. + Knowledge of clinical outcomes and quality ... + Responsible for assessment, diagnosis, treatment, management, education, health promotion and care coordination and documentation for patients with acute and… more
- ChenMed (Columbia, SC)
- …knowledge and skills: + Excellent clinical skills. + Knowledge and experience in a managed care delivery system. + Knowledge of clinical outcomes and quality ... + Responsible for assessment, diagnosis, treatment, management, education, health promotion and care coordination and documentation for patients with acute and… more
- Providence (Irvine, CA)
- **Description** **THE ROLE** The Regional Contracting Director is the managed care leader for Providence Health & Services. The leader is responsible to ... our Acute , physician group, and ancillary entity relations with respect to managed care , and in the development, implementation and monitoring of managed… more
