• Corporate Director

    Prime Healthcare (Ontario, CA)
    …Responsibilities The Corporate Director of Clinical ... to individual and Company performance. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/160505/ corporate - director -of- clinical - utilization -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime… more
    Prime Healthcare (04/29/24)
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  • Director - Utilization Review / Mgmt

    Universal Health Services (Harahan, LA)
    …and intensive outpatient). River Oaks Hospital is seeking a dynamic and talented UTILIZATION REVIEW DIRECTOR to direct and serve within the Utilization ... advocates for patient length of stay and level of care. Coordinates utilization review activities with other departments to ensure reimbursement for services… more
    Universal Health Services (03/29/24)
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  • Director of Clinical Case Management

    HCA Healthcare (Nashville, TN)
    …**Introduction** Do you want to join an organization that invests in you as a Director of Clinical Case Management? At HCA Healthcare, you come first. HCA ... lives and you have the opportunity to make a difference. We are looking for a dedicated Director of Clinical Case Management like you to be a part of our team.… more
    HCA Healthcare (04/05/24)
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  • Director of Clinical Informatics

    Peak Vista (Colorado Springs, CO)
    Director of Clinical Informatics Summary Title: Director of Clinical Informatics ID:0318-5055 Department Location:3205/3207 N. Academy, Colorado Springs, ... the Electronic Health Record (EHR), practice management application and associated clinical solutions. The Director will oversee the implementation, deployment,… more
    Peak Vista (03/05/24)
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  • Market Clinical Resource Director

    HCA Healthcare (Portsmouth, NH)
    …Do you want to join an organization that invests in you as a Market Clinical Resource Director ? At Portsmouth Regional Hospital, you come first. HCA Healthcare ... a difference. We are looking for a dedicated Market Clinical Resource Director like you to be...teams and supply chain leadership. + Interacts with HealthTrust corporate supply chain, HCA Clinical Services Groups,… more
    HCA Healthcare (03/26/24)
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  • Associate Director , Corporate

    CSL Behring (King Of Prussia, PA)
    The Associate Director , Corporate Accounts is responsible for managing all aspects of CSL's business & portfolio brands within a defined group of Specialty ... while adhering to CSL Behring Core Values. The Associate Director , Corporate Accounts is a member of...strategic account plans to enhance the positioning & increase utilization of CSL Behring products. Provides timely feedback with… more
    CSL Behring (03/29/24)
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  • System Director -Supply Chain - HS Supply…

    Baptist Memorial (Memphis, TN)
    …education + Employee referral program Job Summary: Position: 85 - System Director -Supply Chain Facility: BMHCC Corporate Office Department: HS Supply Chain ... policy/procedure governing supplier business relationships. Working in collaboration with clinical leadership, analyze supply categories and supplier market share to… more
    Baptist Memorial (05/08/24)
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  • Director of Clinical Reimbursement…

    Brookdale Senior Living (Brentwood, TN)
    Overview Brookdale seeks experienced Director of Clinical Reimbursement to support our SNF Portfolio. This opportunity is based out of our Brentwood, TN ... corporate office. Voted by Newsweek in 2024 as one...with us for at least a year. Responsibilities The Director of Clinical Reimbursement is responsible for… more
    Brookdale Senior Living (04/17/24)
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  • Director , Pharmacy and Clinical

    Premera Blue Cross (Mountlake Terrace, WA)
    …that we serve through our Healthsource blog: https://healthsource.premera.com . As the ** Director of Pharmacy and Clinical Consulting** , you will participate ... and continued close partnership with functional areas across the company. The Director will oversee the development of pharmacy clinical quality and… more
    Premera Blue Cross (05/09/24)
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  • Medicare Grievances and Appeals Corporate

    Humana (Columbus, OH)
    **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... preservice appeals. The Corporate Medical Director works on problems of...+ Excellent communication skills + 5 years of established clinical experience + Knowledge of the managed care industry… more
    Humana (05/02/24)
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  • Utilization Review Nurse

    University of Utah Health (Salt Lake City, UT)
    …to UR committee any case that surpasses expected LOS, expected cost, or over/under- utilization of resources. + Performs verbal/fax clinical review with payer as ... and administer medications within their scope of practice and according to state law. Corporate Overview: The University of Utah is a Level 1 Trauma Center and is… more
    University of Utah Health (04/24/24)
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  • Director -Nursing & Women's Oncology…

    Baptist Memorial (Memphis, TN)
    …risk management, utilization review, reimbursement, and oversight of all clinical patient care facilities with in Baptist Medical Group. Responsibilities * ... education + Employee referral program Job Summary: Position: 237 - Director -Nursing & Women's Oncology Services Facility: BMG- Corporate Department: MG… more
    Baptist Memorial (04/18/24)
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  • Senior Director Clinical Trials…

    e CancerCare (Fresno, CA)
    Purpose: The Director , Clinical Trials & Research, for CCARE Physicians, PC, is responsible and accountable for the daily operations and management of staff, of ... in the department. Promote clinical excellence through applied clinical knowledge, leadership, team recommendations and research utilization . Ensure… more
    e CancerCare (02/16/24)
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  • Market Director Corporate

    CommonSpirit Health (Bryan, TX)
    …both inside our hospitals and out in the community. **Responsibilities** The Market Director CRO, as a member of the market leadership team, promotes the highest ... standards of Corporate Responsibility (CRP). They are the resource and triage... Responsibility and functional leadership to develop and assess clinical , billing and outlier risks through analysis of billing… more
    CommonSpirit Health (05/11/24)
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  • Dir - Utilization Review / Mgmt

    Universal Health Services (Memphis, TN)
    …our team and love what you do! We are currently hiring a full time Director of Utilization Management (UM) for Compass Intervention Center! The UM Director ... and evaluation of department policies and procedures are in compliance with all corporate , Joint Commission, federal, state and local regulations. The UM Director more
    Universal Health Services (03/29/24)
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  • Director , Clinical Operations

    Daiichi Sankyo Inc. (Somerset County, NJ)
    …multiple direct reports. **Responsibilities** + Operational StrategyAlign with the Head of Clinical Development Operations or Senior Director , Clinical ... areas centered around rare diseases and immune disorders. **Summary** Senior clinical operational leader accountable for operational planning and execution of FIH,… more
    Daiichi Sankyo Inc. (03/09/24)
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  • Corporate Director , Sourcing…

    Emory Healthcare/Emory University (Atlanta, GA)
    …Emory Healthcare seeks an innovative, progress-driven leader to serve as the Corporate Director , Sourcing and Contracting. **Description** + Leads a sourcing ... and contracting process to enable the achievement of established goals and the utilization of preferred contract terms. + Manages and maintains a repository of… more
    Emory Healthcare/Emory University (05/03/24)
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  • Case Manager (LVN) - Utilization Mgmt…

    Sharp HealthCare (San Diego, CA)
    **Facility:** Corporate Offices **City** San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** California ... and employer business practices. **What You Will Do** The CMI performs clinical /medical necessity reviews and authorizes medical services that meet medical criteria.… more
    Sharp HealthCare (02/27/24)
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  • UM Resource Coord LVN - Utilization Mgmt…

    Sharp HealthCare (San Diego, CA)
    **Facility:** Corporate Offices **City** San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** California ... with appropriate reading level and regulatory agency requirements. Performs clinical /medical necessity reviews and authorizes medical services that meet medical… more
    Sharp HealthCare (03/02/24)
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  • Senior Director , Corporate Real…

    United Therapeutics (Durham, NC)
    …successfully gained FDA approval for five medicines, we are always conducting new clinical trials, and we are working to create an unlimited supply of manufactured ... with superior financial performance and our communities with earth-sensitive energy utilization . Our company was founded by an entrepreneur whose daughter was… more
    United Therapeutics (05/01/24)
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