- Premera Blue Cross (Mountlake Terrace, WA)
- …We are seeking an experienced **MD** to join our team as an **Assistant Medical Director ( Utilization Management - Oncology)** . The AMD will leverage their ... In addition, they will support clinical programs (disease and case management ), as well as the review...of Internal Medicine is preferred for the Assistant Medical Director with an Oncology focus. (Required) + Unrestricted Washington… more
- Bayer (New York, NY)
- …diverse minds to make a real difference, there’s only one choice. Associate Director , Regional Marketing - ONC Prostate - NYC/Boston Associate Director , Regional ... RESPONSIBILITIES The incumbent will be responsible for 5 primary functions. In each case act as Brand Champion to deliver brand communication strategy. 1) Key… more
- Bayer (San Diego, CA)
- …minds to make a real difference, there’s only one choice. Cardiorenal Associate Director Regional Marketing - California PURPOSEAs part of the field-based Product & ... incumbent will be responsible for activities across five key areas, in each case , acting as a champion to deliver brand communication strategy. Strategic Thought… more
- Menorah Medical Center (Leawood, KS)
- …the care team Collaborating closely with the Rehab Program Director , Facility Case Management Director , and interdisciplinary team to ensure seamless, ... Introduction Do you have the career opportunities as a(an) PRN Registered Nurse Case Manager you want with your current employer? We have an exciting opportunity… more
- Katmai (Usaf Academy, CO)
- **SUMMARY:** Performs healthcare coordination and case management activities IAW Medical Treatment Facility (MTF) instructions. **ESSENTIAL DUTIES & ... Commission on Accreditation of Healthcare Organizations(JCAHO), Ambulatory Health Care (AAAHC) & Case Management Society of America (CMSA)). + Collaborates with… more
- Stony Brook University (Stony Brook, NY)
- …the Director will advance institutional advising priorities through effective management of advising technologies, systems, and outreach. The Director will ... Director of Advising Systems & Technology **We are...intersection of technology and student success. **Duties:** **Advising Systems Management ** + Serve as system manager for CRM. +… more
- Luke Staffing (Yigo, GU)
- …co-workers, families, peers, and other health team members. + Submits all concerns through Utilization Management Director ; be able to identify, analyze, and ... of clinical nursing experience is required. One year of previous experience in Utilization Management is required. Full time employment in a nursing field… more
- Commonwealth Care Alliance (Boston, MA)
- …member experience. - Address provider inquiries related to care coordination, utilization management , and program participation, collaborating with internal ... quality care. The BH Provider Engagement Program Manager reports to the Director of Delegation Partnerships and Provider Engagement. Supervision Exercised: - No,… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …nuances and applying medical interpretation skills + Assists with referrals to Case Management , Service Coordination and Population Health programs when ... Integrated Eligibility Redesign System (TIERS) + Supports the Medical Director throughout the EMR and State Fair Hearing process...+ Inputs EMR and Fair Hearing data into the Utilization Management system with accuracy and completeness… more
- Stanford Health Care (Palo Alto, CA)
- …the clinical, operational, and administrative initiatives of the service line Medical Director and unit nursing management team. . Conduct regularly scheduled ... competency and adherence to policy through practice analysis and case review of APPs with physicians. . Investigate and...operational, and administrative initiatives of the service line Medical Director and unit nursing management team. +… more
- Cordis (Chicago, IL)
- …in-servicing.?? Responsible for direct revenue generation (transactional Business) through direct case support. ?Reports to National Clinical Sales Director .? ... or annual basis. + Focused on driving depth and increasing Cordis product utilization in existing accounts through the cultivation of new physician users and… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …of Texas or compact license + 3+ years Nursing experience + 1+ years Utilization Management and Appeals experience + Excellent verbal, written and computer ... Members/LARs, physicians, hospital representatives, and other + Providers regarding case status, due process, rationale, and regulatory requirements + Coordinates… more
- Stanford Health Care (Newark, CA)
- …for ensuring safe and high-quality triage, conducting educational sessions and clinical case discussions, and helping the frontline team build their clinical acumen ... in select areas of Stanford Hospital and Clinics. In collaboration with the Director of Advanced Practice, the APP manager will participate in developing structured… more
- Stanford Health Care (Menlo Park, CA)
- …management services, which includes strategic planning, financial performance management , resource utilization , contract administration, operational metrics, ... planning and activation of complex projects under the general supervision of the Director . Ensures the completion of projects are in scope, on schedule, within… more
- Stanford Health Care (Palo Alto, CA)
- …**Locations** Stanford Health Care **What you will do** + Partners with the Medical Director and unit nursing management team, participates in a wide variety of ... job.** **A Brief Overview** Provides the opportunity to develop and practice management and leadership skills. Includes direction and education for the clinical and… more
- Stanford Health Care (Palo Alto, CA)
- …the clinical, operational, and administrative initiatives of the service line Medical Director and unit nursing management team. + Conduct regularly scheduled ... is a Stanford Health Care job.** **A Brief Overview** Provides supervision and management of advanced practice providers (APPs) in a distinct clinical service line.… more
- Prime Healthcare (Inglewood, CA)
- …status, ie full-time or part-time. Responsibilities We are seeking a strategic and compassionate Director of Case Management to lead our dynamic Case ... of staff and systems to effectively operate a comprehensive Case Management Program. The Director ...supervision to case managers, social workers and case management coordinators/discharge planners, utilization … more
- Fallon Health (Worcester, MA)
- … to identify and prioritize the cost of care opportunities related to Utilization Management . + Works with VP/ Medical Director to set agenda related to UM ... With the general direction from the VP Sr. Medical Director Clinical Management and SVP/Chief Medical Officer...inpatient case management with out-patient case management and utilization … more
- UNC Health Care (Morrisville, NC)
- …and well-being of the unique communities we serve. **Summary** : The **Executive System Director of Utilization Management (UM)** is a strategic and ... The Executive Director works closely with leaders from various departments- case management , physician advisors, revenue cycle, medical staff, nursing, and… more
- Centene Corporation (Richmond, VA)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Directs the utilization management team to ensure the appropriate application of ... manages Utilization Operations specific to the daily operations of Utilization Management including timeliness, quality and performance outcomes, provider… more
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