• Dir ., Utilization Management

    Stanford Health Care (Palo Alto, CA)
    …assistance! **This is an onsite Stanford Health Care job.** **A Brief Overview** The Dir - Utilization Management (UM) leads and shapes the UM Strategy, while ... process redesign work necessary to implement improvements. + Directs the utilization management , concurrent review, prior authorizations medical claims review,… more
    Stanford Health Care (07/30/24)
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  • Dir of Care Coordination

    Diversicare Healthcare Services & Diversicare Ther (Tupelo, MS)
    …current license in respective field. 2. Knowledge of healthcare reimbursement, utilization management , and discharge planning. 3. Experience providing strategic ... of insurers 9. Must have understanding of regulatory requirements 10. Previous case management experience preferred (EOE) **Job ID** _2024-58159_ **Type**… more
    Diversicare Healthcare Services & Diversicare Ther (09/06/24)
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  • Medical Director Substance Abuse Disorder…

    AmeriHealth Caritas (Manchester, NH)
    …requests. The Med. Dir . SUD/BH will make recommendations regarding ACNH utilization management programs based on member and provider needs and feedback. ... New Hampshire's substance use disorder and behavioral health care management , utilization management and quality...effectiveness of ACNH SUD and BH programs. + Attend case management meetings and monthly rounds as… more
    AmeriHealth Caritas (08/13/24)
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  • Care Logistics EMS Dispatcher / Care Logistics…

    Hartford HealthCare (Newington, CT)
    …ability to multitask by utilizing multiple computer systems *_Reports To:_*Manager Bed Management ; Dir , EMS Network Dev't *_Education:_* Requires high school ... our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices...The EMS Dispatcher will work directly with Bed and Case Managers across the system and is the liaison… more
    Hartford HealthCare (09/10/24)
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  • Assistant Director of Research & Assessment

    University of Florida (Gainesville, FL)
    …offer both on-call and ongoing trauma-informed supports-through teams including CART, case management , therapy providers, and peer services--for students ... type: Non-Tenure-Track Faculty Location: Main Campus (Gainesville, FL) Categories: Executive/Director/ Management , Grant or Research Administration, Health Care Administration/Support Department:… more
    University of Florida (06/21/24)
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  • Senior Associate Director of Clinical Services

    Johns Hopkins University (Baltimore, MD)
    …in multi-disciplinary clinical and administrative teams including clinic staff meetings, case consultation, high-risk case management , peer chart ... leadership skills, and a keen understanding of clinical service delivery models, data management , and reporting. The service model will incorporate a range of visit… more
    Johns Hopkins University (07/10/24)
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  • Director Access Services Centennial

    Baylor Scott & White Health (Frisco, TX)
    **JOB SUMMARY** Dir Access Services is responsible for planning, organizing, and coordinating the patient access function for Baylor Scott White Health (BSWH), which ... regulatory requirements. 8. Collaborates with physicians, physician office personnel, associates, case managers, third party payer review personnel, and others to… more
    Baylor Scott & White Health (09/13/24)
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