- HCA Healthcare (Las Vegas, NV)
- …**Introduction** Do you want to join an organization that invests in you as a Director Case Management ? At Sunrise Hospital, you come first. HCA Healthcare ... and you have the opportunity to make a difference. We are looking for a dedicated Director Case Management like you to be a part of our team. **Job Summary… more
- Select Medical (Henderson, NV)
- **Overview** **Dignity Health Rehabilitation Hospital** _Partnership with Select Medical_ **Position:** Director of Case Management **Location:** Henderson, ... criteria, and implementation of safe and appropriate discharge plans. The Director of Case management is also responsible for maintaining a patient… more
- HCA Healthcare (Las Vegas, NV)
- …+ You will collaborate with the Rehab Program Director and Facility Case Management Director regarding departmental functions, and coordinates efforts ... at Southern Hills Hospital and Medical Center! **This position will require Case Management nurse experience. Rehab experience preferred.** **Job Summary and… more
- Humana (Carson City, NV)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants..., depending on the line of business. The Medical Director conducts Utilization Management or clinical validation… more
- Humana (Carson City, NV)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care… more
- CenterWell (Carson City, NV)
- …prior experienceparticipatingin teams focusing on transitions of care, quality management ,utilizationmanagement, case management , discharge planning and/or ... of business metrics. + Experience working with Casemanagersor Caremanagerson complex case management , including familiarity with social determinants of health.… more
- Humana (Carson City, NV)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- PagerDuty (Carson City, NV)
- …world-all in a flexible, award-winning workplace. PagerDuty is seeking a **Senior Director , Platform Product Management ** to join our diverse, customer-focused ... Inc. (NYSE:PD) is a global leader in digital operations management . Trusted by nearly half of both the Fortune...the merits of an API structure and the business case for integration with a potential platform partner. You… more
- Highmark Health (Carson City, NV)
- …required based on business need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral & Written Communication Skills + ... as the physician member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases, particularly… more
- Humana (Carson City, NV)
- …experience with national guidelines such as NCD/LCD, MCG(R) or InterQual** **The Medical Director conducts clinical case reviews of requests received by members ... of the Medicare population and reports to the Lead Medical Director .** **Other duties:** + Identify medical management operational improvements, including those… more
- Humana (Carson City, NV)
- …experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received by members of ... the Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those… more
- Humana (Carson City, NV)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Humana (Carson City, NV)
- …a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). ... The Medical director work assignments involve moderately complex to complex issues...where the analysis of situations or data requires a case by case consideration of the Medicare… more
- Datavant (Carson City, NV)
- …our bold vision for healthcare. Datavant is seeking a strategic and hands-on ** Director of Quality** to lead product and supplier quality assurance efforts within ... data (RWD) solutions through tokenization, data linkage, and privacy-preserving analytics. As Director of Quality, you will own the implementation and evolution of… more
- Evolent (Carson City, NV)
- …meaningful impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use ... Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On a requested… more
- Elevance Health (Las Vegas, NV)
- **Clinical Operations Associate Medical Director ** **Carelon Medical Benefits Management ** **Post Acute Care Benefit Utilization Management ** **Schedule:** ... of care for the people we serve._ The **Clinical Operations Associate Medical Director ** is responsible for supporting the medical management staff ensuring… more
- Parexel (Carson City, NV)
- …are expanding our esteemed Medical Sciences Team and seeking an Associate/Medical Director to support the growth of our Global Immunology and Inflammation ... Therapeutic Franchise. As an Associate / Medical Director , you will work closely with some of the...include any direct medical advice on patient care or management + Communicate with relevant sponsor counterparts on challenges… more
- Datavant (Carson City, NV)
- …bold vision for healthcare. **What We're Looking For** We are seeking an experienced Director of Risk Bearing Provider Sales to lead our efforts in selling chart ... to influence product roadmap and go-to-market approaches. + **Relationship Management ** + Establish and maintain executive-level relationships with provider clients… more
- Datavant (Carson City, NV)
- …bold vision for healthcare. **About the Role** We are seeking a **Senior Director of Product** to lead the **Provider Experience Zone** -owning the strategy, vision, ... and commercial success **Qualifications** + 10+ years in Product Management , including 5+ years leading SaaS product teams +...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Centene Corporation (Las Vegas, NV)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... fresh perspective on workplace flexibility. **We're Hiring:** Full-Time Medical Director . This role will be a hybrid role working...documentation. It will work with our hospitalist groups, nurse case managers, and the hospital case managers.… more