- Hackensack Meridian Health (Belle Mead, NJ)
- …concerns to the treatment team, Director of Utilization Management, and the Medical Director . + Review charts at identified review points and attend ... collecting data pertaining to clinical status and justifying the medical necessity for continued treatment in inpatient level of...+ RN, BSN, or Bachelors degree in a clinical field with a health care focus + Minimum five… more
- CVS Health (Springfield, IL)
- …support to Account Management in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior authorization ... Fortune 6 company, has an outstanding opportunity for a Medical Director ( Medical Affairs). This...review activities and other quality oversight processes for internal Director UM decisions. If specifically assigned to… more
- University of Michigan (Ann Arbor, MI)
- Executive Director of Facilities Planning and Operations, U-M Health Apply Now **How to Apply** A cover letter is required for consideration for this position and ... and experience that directly relate to this position. **Job Summary** The Executive Director of Facilities and Operations, U-M Health (Executive Director ) is an… more
- University of Maryland, Baltimore (Baltimore, MD)
- …physician-scientist with expertise in clinical trial design and execution to serve as Director of Clinical Trial Innovation.* The UM -IHC is a large-scale ... life and longevity of the citizens of Maryland. The UM -IHC, located in North Bethesda, MD, is a collaborative...of Maryland College Park, and the University of Maryland Medical System, funded with initial grants from the State… more
- VNS Health (Manhattan, NY)
- …other evaluative measures to maintain high-quality care standards. + Plans leadership and medical director meetings as stipulated by the State BH contract ... company holidays + Health insurance plan for you and your loved ones, Medical , Dental, Vision, Life and Disability + Employer-matched retirement saving funds +… more
- Healthfirst (NY)
- …and business leader coaching. Metric types include compliance activities, CM and UM activities, clinical status outcomes, medical cost trend implications for ... CM and UM , staffing/ attrition recommendations, medical cost savings initiatives and tracking, new program design...degree and/or BS, BA in a health care related field ** **Experience in medical care management, utilization… more
- University of Miami (Medley, FL)
- …. The department of UHealthConnect has an exciting opportunity for a full-time Director , Contact Center Quality Management (QM) & Training. The Director , Contact ... experiences that drive brand loyalty and high customer satisfaction. The director creates and implements ongoing developmental programs that will ensure… more
- Dignity Health (Bakersfield, CA)
- …dedicated to providing quality managed care administrative and clinical services to medical groups hospitals health plans and employers with a business objective to ... benefits they want from a variety of options including medical dental and vision plans for the employee and...**within California** **.** Working in a collaborative environment, the Director will be a hands-on leader to the Enrollment… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Corporate Director of Clinical Utilization ... Paid Time Off + 401K retirement plan + Outstanding Medical + Dental + Vision Coverage + Tuition Reimbursement...Bachelor's degree in Nursing, Healthcare Administration, or another relevant field + A minimum of seven (7) years' experience… more
- Molina Healthcare (FL)
- …Molina enterprise Clinical Operations and Health Plan healthcare services leaders, and Medical Economics and Finance teams to drive, plan and manage a comprehensive ... Molina Health Plans. + Collaborate with other clinical COE leaders (Quality, UM , CM, BH, LTSS). + Lead teams in identifying, defining, sizing/validating,… more
- Elevance Health (Hermitage, PA)
- …Health Services** will be responsible for Behavioral Health Utilization Management (BH UM ), or Behavioral Health Case Management (BH CM) or a combination of ... make an impact:** + Serves as a resource for medical management programs. + Identifies and recommends revisions to...of care initiatives. + May attend meetings to review UM and/or CM process and discusses facility issues. +… more
- University of Miami (Miami, FL)
- …sarcoma global oncology initiatives. The incumbent in this position will work closely with Director , Sarcoma Med Research Program and will be a key member of bone ... Professor may lecture or conduct demonstrations and teach across UM schools. The Professor will partner and collaborate with...contribute towards the making of scientific advances in the field of work. + Demonstrates ability to teach in… more
- Covenant Health Inc. (Louisville, TN)
- …treatment and authorizes sessions per guidelines. + Works collaboratively with Medical Director and accesses consultation and involvement whenever appropriate ... Pay Period, Day Shift Peninsula Overview: Peninsula, a division of Parkwest Medical Center (http://www.treatedwell.com/) , has set a new standard for effective,… more
- University of Miami (Miami, FL)
- …as necessary. CORE QUALIFICATIONS Education: Bachelor's Degree in relevant field Certification and Licensing: Not Applicable Experience: Minimum 5 years ... both online and residential, reports directly to the Associate Dean and inaugural director of online MPH, and offers administrative support for the design and… more
- University of Miami (Miami, FL)
- …The incumbent in this position will work closely with the Chief of Myeloma and Director of the SCCC Myeloma Institute and will be a key member of myeloma-focused ... research. Also, together with the Chief of Myeloma and Director of the SCCC Myeloma Institute, the position will...larger grants (such as PO1, SPORE and SCOR) within UM and in collaboration with other institutions with the… more
- University of Miami (Miami, FL)
- …training packets containing appropriate measures/forms + Other duties as assigned by the UM PCIT Director and team leaders + Assist with manuscript preparation ... child maltreatment. + Scores program metric measures + Enters UM PCIT related data into appropriate databases/systems (eg, REDCap,...but not required. + Bachelor's degree in relevant field + Certification in relevant specialty or field… more
- University of Miami (Miami, FL)
- …efficiency, stewardship and effectiveness of organ placements and transplantation. + Keeps UM LAORA Clinical Operations Director and Organ Allocation and ... the transportation of recovered organs when necessary. + Provides familiarity with all medical aspects of organ donation and bring any questions to the attention of… more
- University of Michigan (Ann Arbor, MI)
- …is not eligible for sponsorship + this is a data, not a medical /computational position **Job Summary** The Development Research Analyst partners with a portfolio of ... The Development Research Analyst independently manages their own workload, assists the Director and the Assistant Director of Development Research, and… more
- University of Miami (Coral Gables, FL)
- …sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The University of Miami ( UM ) School of Nursing and Health Studies (SONHS) ... seeks to hire a tenured full Professor. UM is one of the top research universities and academic medical centers in the nation and is a member of the Association… more
- University of Miami (Miami, FL)
- …sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The University of Miami/UHealth Medical Training Lab is currently seeking a ... practices within a specialized area of nursing. The incumbent collaborates with medical practitioners to incorporate nursing processes into the plan of care for… more