- GHR Healthcare (Atlanta, GA)
- …medically necessary services and refer cases that don't meet criteria to the Medical Director . Compliance & Advocacy: Ensure adherence to regulatory standards ... a detail-oriented RN with a knack for navigating complex medical cases? Do you thrive on making critical decisions...that impact patient care? Join us as a Care Management Coordinator and play a key role in evaluating… more
- NorthBay Health (Fairfield, CA)
- …NorthBay Health this Director provides oversight for all aspects of Care Management and Population Health which includes: Utilization Management , ... Utilization Review, Inpatient, Outpatient and Complex Case Management , Discharge Planning, Denial Management , and Social...area of responsibility. A minimum of 3 years of director level experience in Case Management and… more
- Community Hospital Corporation (Plano, TX)
- …trends and areas for improvement.Provide recommendations to enhance GPO utilization and cost savings.Strategic Account Management :Proactively address account ... Hospital Corporation (CHC), a DFW Top 100 Employer, is looking for a Strategic Account Director of Supply Chain - Facility Dedicated based out of our home office in… more
- The George Washington University (Washington, DC)
- …Development and Alumni Relations (DAR) Division is seeking an Associate Director of Development, Athletics.DAR is responsible for leading the university's alumni ... fans, and former student-athletes advancing the unit attainment.Reporting to the Executive Director of Development, this position will engage with a portfolio of… more
- Windstream (Harrisburg, PA)
- …in a world of infinite possibilities! About the Role: The Account Development Director will focus on business development, by selling Windstream's full suite of ... wallet share, increase customer satisfaction, reduce churn, and increase customer utilization of our strategic next-gen services. The Account Development Director… more
- Equiliem (Orange, CA)
- …Director , follows up with the requester by communicating the Medical Director 's decision and documents follow-ups in the utilization management ... Director , follows up with the requester by communicating the Medical Director 's decision and documents follow-ups in the utilization management … more
- University of Maryland Medical System (Baltimore, MD)
- …Description Renowned as the academic flagship of the University of Maryland Medical System, our Magnet(R)-designated facility is a nationally recognized, academic ... medical center with opportunities across the continuum of care....population of patients. Facilitates the development, implementation, and ongoing management of a model for professional practice that fosters… more
- Sourcing Square US (Denton, TX)
- …will sell and consume and how much inventory is needed to support utilization from retail operations and sales activities. 25% Support Procurement Category Manager ... including specialized product knowledge including trends, vendor sourcing, inventory management , spend analytics, and vendor agreements. 5% Assist the Procurement… more
- Engage Partners, Inc. (Orange, CA)
- …vision and strategy. Responsible for maintaining team productivity and contract utilization . In collaboration with management , develops and maintains good ... staff scheduling, outside agency relations, and other tasks as assigned by the Director , as well as other daily activities essential to incorporating the agencies… more
- Windstream (Murrysville, PA)
- …satisfaction with Windstream, reduce churn, and increase our customer base utilization of strategic next-gen services. The Sr. Account Development Manager will ... a full support team consisting of an Area Sales Director and Sales Engineering team. What You'll Do: Develop...sales, owning a customer base and driving full life-cycle management of sales, conversions, and renewals. Prior strategic account… more
- The George Washington University (Washington, DC)
- …university's values with the highest level of care.Facilities, Planning, Construction, and Management , a department in GW's Division of Safety and Facilities manages ... painters, HVAC technicians, locksmiths, and plumbers. Reporting to the Assistant Director , Facilities Operations Services, the Facility Zone Manager leads facilities… more
- Pacer Staffing (Atlanta, GA)
- …Documents activity and implements changes in the care plan maintained in the medical management system. Evaluates case management outcomes, assessing the ... presents cases involving high-profile or sensitive issues to the Medical Director for review. Functions as an...build group engagement. Technical Skills: Thorough knowledge of Case Management , Utilization Management , TRICARE policies… more
- Multi-Color Corporation (Niles, IL)
- …Improvement (CI) using Lean Principles. We need someone with exceptional influence, management skills and a proven record of successfully directing employees who are ... at MCC: Compensation: $120,000.00-$130,000.00 salary Generous benefits package including medical , dental, vision, disability, life insurance and 401(k) Paid… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …long term focus.Meets routinely with Clinical Coordinator, Nurse Manager, House Coordinators, Medical Director and Manager of Clinical Services to seek program ... a liaison for staff and the program to the Medical Director .Displays a team approach to problem...identify areas of further savings.Assist Clinical Coordinator with FTE utilization and management .Serves as primary liaison between… more
- Multi-Color Corporation (Mason, OH)
- …tracking for impact and cultural improvements.Perform relevant duties as assigned by Director of Quality and Operational Excellence. Talent Management : Maintains ... for the Quality OPEX Manager position is to drive daily adherence to the Quality Management System and serve as a Lean Subject Matter Expert (SME) for the Mason… more
- Roseland Community Hospital (Chicago, IL)
- Under direct supervision of the Director of Health Information Management and Care Transitions and as a part of a multidisciplinary team, the Clinical Social ... the patient and family to understand, accept and follow medical recommendations. 6. Provide services to help restore the...care. 8. Assist the patient and family in the utilization of appropriate community resources such as family and… more
- CVS Health (Columbus, OH)
- …urgent cases can be done from your laptop. **Fundamental Components:** * Utilization management - The medical director will perform concurrent and prior ... services to its membership. Aetna is looking for a medical director to be part of a...state licensure a plus. **Preferred Qualifications:** Previous Experience in Utilization Management / Claims Determination with another… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …and communicate potential or identified concerns to the treatment team, Director of Utilization Management , and the Medical Director . + Review charts ... and serve as a leader of positive change. The Utilization Management Coordinator utilizes clinical knowledge and...collecting data pertaining to clinical status and justifying the medical necessity for continued treatment in inpatient level of… more
- Kepro (Indianapolis, IN)
- …clinical and administrative medical oversight for Behavioral Health Utilization Management reviews. The Medical Director will be responsible for ... sector. Acentra is looking for a Part-Time Behavioral Health Medical Director to join our growing team....managed care strategies, integrating delivery systems, improving quality and utilization management programs, and coaching medical… more
- AmeriHealth Caritas (Newark, DE)
- …initiatives in collaboration with the Corporate Medical Director (s), Senior Medical Directors, Utilization Management and the CMO. The following ... + 5+ years of clinical practice. + Experience in Utilization Management as a Medical Director within a managed care organization desired. + Experience… more
