- Independent Health (Buffalo, NY)
- …enjoying first-class perks, benefits and commitment to diversity and inclusion. **Overview** The Associate Medical Director , Utilization Management is ... responsible for assisting the Medical Director in the oversight of Utilization Management...programs, with focus on clinical accuracy and appropriateness. The Associate Medical Director (AMD) will… more
- Henry Ford Health System (Detroit, MI)
- The Medical Director of Utilization ...of the institution's resources. This position reports to the Associate Chief Medical Officer for Henry Ford ... utilization of hospital resources, and continued stays of inpatients. The Medical Director of utilization review will ensure the most efficient use… more
- CareFirst (Baltimore, MD)
- …location based on business needs and work activities/deliverables that week. The Director , Utilization Management provides strategic leadership of the ... is responsible for the design, assessment, implementation and outcomes of utilization management strategies using a multidisciplinary approach to enhance member… more
- Ascension Health (Tulsa, OK)
- **Details** + **Department:** Utilization Management + **Schedule:** FT, Monday-Friday, 8am-5pm + **Hospital:** Ascension St. John Medical Center + **Location:** ... Provide strategic direction and oversight of the day-to-day operations of utilization management function within the insurance plan. Responsibilities: + Ensure… more
- University of Colorado (Aurora, CO)
- **Clinical Pathology Medical Director ; Assistant Professor to Associate Professor** **Description** **University of Colorado Anschutz Medical Campus** ... **Department: Pathology** **Job Title:** **Clinical Pathology Medical Director ; Assistant Professor to Associate Professor** **Open Rank - Assistant… more
- University of Colorado (Aurora, CO)
- …Barbara Davis Center for Diabetes** **Job Title:** **Open Rank - Medical Director of the Adult Diabetes Division - Associate Professor - Professor** ... BDC Adult Diabetes Division related to the delivery of medical care and clinical services such as utilization...light rail service **Open Rank - Medical Director of the Adult Diabetes Division - Associate… more
- SUNY Upstate Medical University (Syracuse, NY)
- … Review Denials Review Unit (DRU) 3 Team Lead will assist the Director of Utilization Review and the Associate Director of Utilization Review with ... This UR DRU 3 Team Lead writes appeal letters using UR medical directors and the medical team for appeal statements. Ensures timely submission of appeal letters… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... safety net required to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations of… more
- Lancaster General Health (Lancaster, PA)
- **Summary** **Job Description** **POSITION SUMMARY:** The Associate Medical Director , Hospitalist Services is responsible for assisting the Medical ... of the LGHP Hospitalists practice. The Associate director will report to LGHP Medical ...provided by the Hospitalists, quality improvement, education of staff, medical and utilization review and feedback, and… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Summary: The Utilization Review Clinical Review (CR) 3 Team Lead will assist the Director of UR and Associate Director of UR with daily staff mentoring, ... of service for admission and continued stay at the time of medical record screening. Responds to Managed Care/Insurance Company inquiries regarding admission,… more
- Beth Israel Lahey Health (Burlington, MA)
- …healthcare services. Leverage health informatics and data analytics across campuses The Director will oversee the integration and utilization of health ... taking a job, you're making a difference in people's lives.** The Institute Director will develop the strategic plan, research priorities, and recruit and build a… more
- Dartmouth Health (Keene, NH)
- Overview Associate Medical Director - Cheshire Hospital Medicine Physician Advisor The Cheshire Medical Center’s Department of Hospital Medicine is a ... Management, Care Management, and Clinical Documentation. The PA supports Utilization Management by performing concurrent, evidence-based second-level medical … more
- Elevance Health (Cerritos, CA)
- … medical necessity of requests using clinical appropriateness guidelines. The ** Associate Medical Director , Clinical Operations (Surgery)** is responsible ... Demonstrate and maintain knowledge of applicable clinical criteria and relevant Carelon Medical Benefits Management policies pertaining to utilization review. +… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** The Medical Director brings a unique set of knowledge and skills to the business of Blue Cross North Carolina and frequently serves as an ... - $212,000 **What You'll Do** **The application of a Medical Director 's knowledge and clinical skills will...Educates and interacts with network and group providers and medical managers regarding utilization practices, guideline usage,… more
- Acacia Network (Bronx, NY)
- …care plan (interdisciplinary) team, identifying and referring requests for services to the Medical Director when guidelines are not met and reviewing residential ... Acacia Network Inc. Utilization Manager Bronx, : 5/30/2024 Job Description Job...from third party payers at pre-admission through discharge, ongoing medical necessity reviews and interdisciplinary team support with respect… more
- Teleflex (Morrisville, NC)
- Associate Global Medical Safety Director (Part Time/Remote US) **Date:** Oct 29, 2024 **Location:** Morrisville, NC, US **Company:** Teleflex **Expected ... medical safety across the global Teleflex portfolio reporting directly to the Global Medical Safety Director . As part of the Clinical and Medical Affairs… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- Under the direct supervision of the Chief Medical Officer (CMO), the Associate Medical Director , Family Medicine is responsible for the day-to-day ... discretion of the Chief Medical Officer, the Associate Medical Director may represent...and provides consultation within scope of responsibility. + Monitor utilization of services. + Performs other related duties as… more
- System One (King Of Prussia, PA)
- Title: Associate Medical Coding Director Full Time Permanent Opportunity - Direct with the client Onsite King Of Prussia, PA SUMMARY/JOB PURPOSE: The ... Associate Medical Coding Director is...Associate Medical Coding Director is responsible for the...trials. Knowledge/Skills: + Must have a strong understanding and utilization of medical terminology. + Experience in… more
- Henry Ford Health System (Detroit, MI)
- …Detroit, Michigan is seeking an Infectious Diseases physician to serve as the System Associate Medical Director of Epidemiology and Infection Prevention and ... and helping to develop and implement institutional policies and quality improvement initiatives. The Associate Medical Director will be a faculty member of… more