- Humana (Tallahassee, FL)
- …of medical services and/or benefit administration determinations. The Associate Director , Utilization Management Nursing, requires a solid understanding ... and help us put health first** Humana Healthy Horizons is seeking an Associate Director , Utilization Management Nursing, who utilizes clinical nursing skills to… more
- University of Miami (Miami, FL)
- …abdominal organs in approximately 50% of cases. + In conjunction with the Medical Director assumes ultimate responsibility for donor management and the process ... to work in Miami, FL. The Recovery Coordinator 1 ( UM LAORA) assists in the recovery, packaging, preservation and... medical record. + Shares on-call responsibility with Medical Director to oversee clinical evaluation and… more
- Humana (Sacramento, CA)
- …community and help us put health first** The Long-term services and supports (LTSS) Medical Director 's primary responsibility is the review of medical ... necessity of a given service, level of care, or medical item/supply. The Medical Director 's...have discussions with external physicians, providers, Care Coaches, and UM Team associates by phone or internal messaging to… more
- University of Michigan (Ann Arbor, MI)
- …unit(s) for operation of the unit. Works collaboratively with ACS administrators, medical director leads, and administrative managers. Supports the alignment of ... accountable for staffing and scheduling of nursing and clinical assistive staff. Assists Medical Director and/or medical leads, Administrator and/or unit… more
- University of Miami (Medley, FL)
- …Department of Business Development and Managed Care is currently seeking an Executive Director , Managed Care Operations to work at our offices in Medley, Florida. ... The Executive Director , Managed Care Operations develops, implements, and optimizes the...all timely and accurate provider loading and configuration of UM credentialed, employed physicians within all contracted third-party, managed… more
- Compass Group, North America (Miami, FL)
- Morrison Healthcare We are hiring immediately for a Director of Nutrition Systems position! + Location: University of Miami Hospital, Sylvester Comprehensive Cancer ... their core mission: to be a state-of-the-art academic, research, medical system; to deliver high quality, passionate care; to...as the diagnosis, treatment, and research hub for the UM health system. + Bascom Palmer Eye Institute serves… more
- Ascension Health (Nashville, TN)
- …in utilization management to optimize patient care, and partner with the National Senior Director of UM to align on organizational goals. Ready to lead and ... TN market. Must be located within TN market. We're looking for an experienced Director of Utilization Management to join our team! In this pivotal role, you'll lead… more
- University of Michigan (Ann Arbor, MI)
- …**Additional Information** + Directly responsible to the Clinical Nurse Supervisor, Manager, and Medical Director of PES. + Functionally responsible to the RN on ... Medical Assistant Associate Apply Now **How...Time** Part-Time **Regular/Temporary** Regular **FLSA Status** Nonexempt **Organizational Group** Um Hospital **Department** MM Psych Emergency Svc **Posting Begin/End… more
- LA Care Health Plan (Los Angeles, CA)
- …for Authorization Technicians Leads, Authorization Technician and clerical staff in the UM department. Ensure Associate Supervisors are providing consistent and ... Job Summary The Supervisor, Authorization Technician supports the Utilization Management ( UM ) Specialist by handling all administrative and technical functions of… more
- University of Miami (Miami, FL)
- …of Miami/UHealth Department of Neurological Surgery is currently seeking a full time Concierge Associate to work in Miami, FL. The Concierge Associate plays an ... University of Miami Miller School of Medicine by facilitating medical care for patients who ask for additional help...ask for additional help navigating the clinic. The Concierge Associate works to plan and execute a ctivities designed… more
- University of Miami (Miami, FL)
- …+ Organized, detail oriented, excellent people and communication skills, and knowledge of UM medical school research environment. #LI-YC1 The University of Miami ... an exciting opportunity for a Full Time Sr. Research Associate 3 to work at the UHealth Medical...appropriate record keeping. Other duties as assigned by the Director . This list of duties and responsibilities is not… more
- AmeriHealth Caritas (Charleston, SC)
- …authorize services and appropriately identify and refer requests to the Medical Director when indicated. The BH UM Reviewers are responsible to ensure that ... medical necessity review. It is within the BH UM Reviewer's discretion to retain requests for additional information...per year (based on business needs).** + RN Requirements: Associate Degree in Nursing. Bachelor Degree preferred. Current and… more
- LA Care Health Plan (Los Angeles, CA)
- …setting. Works with UM leadership, including the Utilization Management Medical Director , on requests where determination requires extended review. ... based on clinical data presented and established criteria/guidelines, escalating to the medical director if needed. Triages and assesses members for admission… more
- University of Miami (Miami, FL)
- …innovation in graduate education, both online and residential, reports directly to the Associate Dean and inaugural director of online MPH, and offers ... online MPH director . JOB FUNCTIONS 1. In consultation with the Associate Dean/ director , coordinates faculty advisory boards and committee meetings, assists… more
- University of Michigan (Ann Arbor, MI)
- …evaluation of new programs. + Assist the Residency and Fellowship Program Directors, Medical Student Education Director , and Associate Chair for Education ... Department of Emergency Medicine with functional responsibility to the Associate Chair for Education. This role will work closely...Our training programs include a required rotation for all UM medical students, a four-year residency with… more
- Blue KC (KS)
- …UM system in accord with UM concurrent review guidelines. Consults with Medical Director on cases outside medical policy, notifies providers and ... of our offerings include:** **Highly competitive total rewards package, including comprehensive medical , dental and vision benefits as well as a 401(k) plan that… more
- University of Miami (Miami, FL)
- …as a liaison between the Director of Program (Admin), Program Director (s), administrative leadership, UM /JMH Graduate Medical Education (GME) ... or more medical residency or fellowship programs. + Assists the Program Director (s) (PD) and/or Associate Program Director (s) in developing and… more
- Commonwealth Care Alliance (Boston, MA)
- …care environment is strongly preferred. + Primary care discipline, prior experience as Associate Medical Director (or equivalent) or physician reviewer in ... Clin Alli-Physicians Group **Position Summary:** Reporting to the Senior Medical Director of Medical Policy...leadership and subject matter expertise to our utilization management ( UM ) group. This role is a key role in… more
- University of Miami (Miami, FL)
- …graduate students. The incumbent may lecture or conduct demonstrations and teach across UM schools. The Associate Professor, tenure earing, will partner and ... Lives The University of Miami is among the top research universities and academic medical centers in the nation, and one of the largest private employers in South… more
- University of Miami (Miami, FL)
- …. CORE JOB SUMMARY The University of Miami is currently seeking a Medical Technologist to work at the UM Hospital in Miami. The ... characteristics of cellular therapy products.3. Set up, adjust, maintain, and clean medical laboratory equipment to ensure that it is operating efficiently and… more