- CHRISTUS Health (Corpus Christi, TX)
- …high-quality, cost-effective care to patients. Responsible in assisting the Director for analyzing, planning, implementing, evaluating, and communicating processes ... feedback and assistance concerning customer satisfaction, staff development, and associate performance and satisfaction. The Supervisor is responsible for the… more
- 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
- 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
- LA Care Health Plan (Los Angeles, CA)
- …observation) admission in the acute setting. Works with UM leadership, including the Utilization Management Medical Director , on requests where determination ... Utilization Management Admissions Liaison RN II (After Hours...clinical data presented and established criteria/guidelines, escalating to the medical director if needed. Triages and assesses… 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
- 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
- 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
- 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
- Commonwealth Care Alliance (Boston, MA)
- …in the area of service decisions and organizational determinations.The Manager, Utilization Management reports to the Director of Clinical Effectiveness. ... Effectiveness (Authorization) Unit is primarily responsible for the evaluation of the medical necessity, appropriateness, and efficiency of the use of health care… more
- Elevance Health (Tampa, FL)
- …in the state of Florida. Residency in Florida not required.** The **Behavioral Health Medical Director Associate - Psychiatrist - Florida** is responsible ... clinical and/or quality activities under the guidance of a Medical Director . May be responsible for supporting...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… 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
- 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
- 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
- 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
- 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
- JPMorgan Chase (New York, NY)
- JPMorganChase Benefits team is seeking a dynamic and accomplished ** Associate Medical Director ** to impact our US Health and Wellness Center operations and ... of medical expertise, exceptional leadership, and a keen business acumen. As the Associate Medical Director , you will support the Global Corporate … more
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