- Independent Health (Buffalo, NY)
- …first-class perks, benefits and commitment to diversity and inclusion. **Overview** The Associate Medical Director , Utilization Management is responsible for ... assisting the Medical Director in the oversight of Utilization Management ( UM...programs, with focus on clinical accuracy and appropriateness. The Associate Medical Director (AMD) will… more
- ManpowerGroup (Columbia, SC)
- …back up review determinations. Identifies and makes referrals to appropriate staff ( Medical Director , Case Manager, Preventive Services, Subrogation, Quality of ... **Title:** **Managed Care Coordinator UM II** **Location: Columbia SC (Onsite)** **Duration: 3...Remote after training **Job Responsibilities:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria… more
- University of Miami (Miami, FL)
- …for a Director , Contracting & Strategic Sourcing to work at the UHealth Medical Campus. Core Job Summary The Director , Contracting and Strategic Sourcing (H) ... Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Director , Contracting & Strategic Sourcing The University of Miami/UHealth… more
- CareFirst (Baltimore, MD)
- …strategic business partners. This role encompasses six distinct units: Commercial UM intake and call center, Commercial outpatient medical pre-authorization ... based on business needs and work activities/deliverables that week. The Director , Utilization Management provides strategic leadership of the utilization management… more
- LA Care Health Plan (Los Angeles, CA)
- …includes liasing with internal Behavioral Health units, the Medical Director of Behavioral Health, attendance at UM Committee, Delegation Oversight ... RN II is responsible for ensuring that delegates contracted to perform Utilization Management ( UM ) functions on behalf of LA Care (LAC) is in compliance with all … more
- LA Care Health Plan (Los Angeles, CA)
- …the needs of LA Care's culturally diverse membership. The position supports the UM Manager/ Director . This role also assists UM Educator/Manager/ Director ... required to achieve that purpose. Job Summary The Supervisor of Utilization Management ( UM ) RN is responsible for executing the day-to-day operations of the UM… 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** Full-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)
- …the donor relations program for Sylvester Comprehensive Cancer Center. The Stewardship Associate is responsible for assisting the Director of Stewardship in ... education in the US for its academic excellence, superior medical care, and cutting-edge research. At the U, we...to create an environment where everyone contributes to making UM a great place to work. We are one… more
- University of Michigan (Ann Arbor, MI)
- …and oversee child and adolescent hospital services. Collaborating closely with the Medical Director and a multidisciplinary leadership team, this role entails ... Child Psychiatry Administrative Manager Intermediate/ Associate Apply Now **How to Apply** A cover...Reports to the Hospital Services Administrator, coordinated through the Medical Director and Program Director .… more
- University of Maryland, Baltimore (Baltimore, MD)
- …and population health and invites promising candidates to apply for Assistant, Associate , and Professor Faculty positions within the Division of Gerontology of the ... in new leadership positions may also be considered for Director , Division of Gerontology in EPH; Director ...Education, and Clinical Center (GRECC) in the Veterans Affairs Medical Center. Generous and competitive salary and start-up packages… more
- University of Miami (Miami, FL)
- …Public Health Sciences Department. This position is located in the UM Medical Campus, Health District. SUMMARY The Research Associate 3 supports research ... activities under the direction of a principle investigator, program director or designee of the principle investigator or program director . CORE JOB FUNCTIONS +… 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
- AdventHealth (Altamonte Springs, FL)
- …improvement, and maintenance Utilization Management team. The Divisional Manager assists the UM Director in the strategic planning and daily operations of ... role you'll contribute:** The Divisional Manager of Utilization Management ( UM ) is a registered nurse, who works under the...nurse, who works under the direction of the Divisional Director of Utilization Management, and provides oversight for the… 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
- HonorHealth (Scottsdale, AZ)
- …area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer ... care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more. With… 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
- University of Miami (Miami, FL)
- …logistical knowledge of organ donation/recovery process in a timely manner. 10. Keeps UM LAORA Associate Director of Recovery and Allocation apprised ... in a timely fashion. 5. Provides familiarity with all medical aspects of organ donation and bring any questions...a current list of contact numbers of all appropriate UM LAORA/ Transplant personnel and updates list as needed.… more
- Hartford HealthCare (Wethersfield, CT)
- …Direct interdisciplinary rounds daily. . Other additional duties as needed. *Reports To:* Associate Medical Director of Clinical Resource Management, ... the system. * Department Description:* The Hartford Healthcare CRM, UM , Appeals and Denials team, is a robust, physician-led...7 hospitals and works closely with CRM nurses and medical staff, to ensure compliance with CMS and appropriate… more