- Alameda Health System (Oakland, CA)
- …paid time off plans Role Overview: Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational ... more
- Wellpath (Lemoyne, PA)
- …education, and point of care support. **How you make a difference** The Medical Director of Utilization Management leads and oversees utilization review, ... more
- Ascension Health (Nashville, TN)
- …market. Must be located with in the TN market. We're looking for an experienced Director of Utilization Management to join our team! In this pivotal role, you'll ... more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Corporate Director of Clinical ... more
- Trinity Health (Boise, ID)
- …Description:** Saint Alphonsus is seeking a physician leader to become our Medical Director of Documentation and Utilization Excellence. This position will be ... more
- AnMed Health (Anderson, SC)
- The Utilization Review Medical Director supports operations and direction of the Care Coordination, Clinical Documentation, and Utilization Management ... more
- Intermountain Health (Las Vegas, NV)
- …management, care management, claims, network management, and finance. As the Medical Director for Utilization Management, you are responsible, in partnership ... more
- Centene Corporation (Columbus, OH)
- …Ohio.** **RN License is highly preferred.** **Position Purpose:** Directs the utilization management team to ensure the appropriate application of policy procedures ... more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Under the supervision of the Director , Utilization Management (UM) Operations & Member Services, the UM Operations Specialist will provide ... more
- Ochsner Health (New Orleans, LA)
- …comply with Federal and State regulations/quality initiatives. Reports to the System Medical Director of Utilization . This job description is a summary of the ... more
- AdventHealth (Maitland, FL)
- …Medical Director is responsible for providing physician review of utilization , claims management, and quality assurance related to inpatient care, outpatient ... more
- Prime Healthcare (Inglewood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/200257/ director -of-case-management utilization ... more
- Humana (Columbus, OH)
- …to the Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the ... more
- Humana (Columbus, OH)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an ... more
- CVS Health (Springfield, IL)
- …Account Management in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior authorization and appeals) ... more
- Humana (Columbus, OH)
- …or utilization management. **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization Management of the ... more
- Humana (Columbus, OH)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an ... more
- The County of Los Angeles (Los Angeles, CA)
- …service capacity and compliance with state and federal mandates. The Deputy Director oversees utilization management, provider expansion, and high-acuity client ... more
- Martin's Point Health Care (Portland, ME)
- …managed care experience with progressively increasing responsibilities in medical director capacities, including utilization management and medical policy ... more
- HCA Healthcare (Las Vegas, NV)
- …and external agencies to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all aspects of daily hospital ... more
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