• Corporate Director

    Prime Healthcare (Ontario, CA)
    …Responsibilities The Corporate Director of Clinical ... to individual and Company performance. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/172723/ corporate - director -of- clinical - utilization -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime… more
    Prime Healthcare (08/29/24)
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  • Utilization Management Director

    CareFirst (Baltimore, MD)
    …location based on business needs and work activities/deliverables that week. The Director , Utilization Management provides strategic leadership of the ... plans and sets goals within the context of the corporate policies and procedures. Develops annual goals, and prepares,...Upon Hire Required. **Experience:** 8 years' Experience in a clinical and utilization review role. 3 years… more
    CareFirst (08/27/24)
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  • Associate Director of Corporate

    UT Health (Houston, TX)
    Associate Director of Corporate Engagement and Foundation Relations in Development **Location:** Texas Medical Center-Houston, Texas **Hot** **Category:** ... #: 240002CS UTHealth Houston's Office of Development is seeking an Associate Director of Corporate Engagement and Foundation Relations. This role offers… more
    UT Health (09/28/24)
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  • Manager II Behavioral Health Services…

    Elevance Health (FL)
    …necessity review for behavior analysis services. + Responsibilities include overseeing clinical rounds, coordinating with medical director to ensure program ... **JR133557 Manager II Behavioral Health Services ( Utilization Management for Behavior Analysis Services)** Responsible for Behavioral Health Utilization more
    Elevance Health (11/02/24)
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  • Organ Utilization Administrative…

    LifeCenter Northwest (Bellevue, WA)
    Utilization Administrative Coordinator is responsible for supporting the Organ Utilization Director and the department's Managers along with administrative ... + Calendar management and meeting support - Manage the calendar of the Director of Organ Utilization and scheduling for the leadership team, scheduling… more
    LifeCenter Northwest (09/07/24)
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  • Director of Clinical Informatics

    Peak Vista (Colorado Springs, CO)
    Director of Clinical Informatics Summary Title: Director of Clinical Informatics ID:1101-5055 Department Location:3205/3207 N. Academy, Colorado Springs, ... the Electronic Health Record (EHR), practice management application and associated clinical solutions. The Director will oversee the implementation, deployment,… more
    Peak Vista (11/02/24)
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  • Director Clinical Quality Value…

    Penn State Health (Hershey, PA)
    …PDF for more detailed steps for assistance._ **Union:** Non Bargained **Position** Director Clinical Quality Value Analysis - Supply **Location** US:PA: Hershey ... to evaluate new product requests, identify and drive product standardization and appropriate utilization of clinical products to deliver optimal value and care.… more
    Penn State Health (10/05/24)
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  • Medicare Grievances and Appeals Corporate

    Humana (Columbus, OH)
    **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... preservice appeals. The Corporate Medical Director works on problems of...+ Excellent communication skills + 5 years of established clinical experience + Knowledge of the managed care industry… more
    Humana (10/29/24)
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  • Executive Clinical Director Quality…

    AdventHealth (Tampa, FL)
    …the general direction of the Chief Quality and Safety Officer, the Executive Clinical Director of Quality & Safety will provide project management, redesign ... care across the continuum (acute and ambulatory) for AdventHealth. The Executive Clinical Director Quality & Safety must lead/facilitate performance improvement… more
    AdventHealth (09/18/24)
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  • Director -Nursing & Women's Oncology…

    Baptist Memorial (Memphis, TN)
    …risk management, utilization review, reimbursement, and oversight of all clinical patient care facilities with in Baptist Medical Group. Responsibilities * ... education + Employee referral program Job Summary: Position: 237 - Director -Nursing & Women's Oncology Services Facility: BMG- Corporate Department: MG… more
    Baptist Memorial (10/16/24)
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  • Clinical Director , Perioperative…

    Roper St. Francis (Charleston, SC)
    …Weekly Hours:** 40 **Work Shift:** Days (United States of America) The Clinical Director , Perioperative Services is responsible for providing leadership and ... St. Francis Eye Center locations. This role partners closely with the Director of Perioperative Services - Roper Downtown/Roper Berkeley to support in developing… more
    Roper St. Francis (08/28/24)
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  • Senior Director Clinical Trials…

    e CancerCare (Fresno, CA)
    Purpose: The Director , Clinical Trials & Research, for CCARE Physicians, PC, is responsible and accountable for the daily operations and management of staff, of ... in the department. Promote clinical excellence through applied clinical knowledge, leadership, team recommendations and research utilization . Ensure… more
    e CancerCare (08/16/24)
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  • Case Manager (LVN) - Utilization Mgmt…

    Sharp HealthCare (San Diego, CA)
    **Facility:** Corporate Offices **City** San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** California ... and employer business practices. **What You Will Do** The CMI performs clinical /medical necessity reviews and authorizes medical services that meet medical criteria.… more
    Sharp HealthCare (10/30/24)
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  • Program Director , Clinical

    Beth Israel Lahey Health (Danvers, MA)
    …**Job Description:** Under the direction and in collaboration with the Executive Director of Addiction Treatment Services, the Program Director is responsible ... program design and implementation and fiscal management of the 23 bed Clinical Stabilization Services (CSS) Program. He/she manages total resources to ensure that… more
    Beth Israel Lahey Health (10/27/24)
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  • Medical Director , Behavioral Health (Part…

    Magellan Health Services (San Diego, CA)
    …supervision of the use of the medical necessity criteria. + Along with the Corporate Clinical team, implements clinical practice standards and policies ... clinical quality improvement activity (QIA) in collaboration with the clinical lead senior medical director , and quality improvement staff. May… more
    Magellan Health Services (10/27/24)
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  • Medical Director - Florida

    Humana (Columbus, OH)
    …hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilization management experience ... a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
    Humana (10/29/24)
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  • Associate Medical Director - UM PT

    Independent Health (Buffalo, NY)
    …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 and will support the development...The AMD will collaborate with internal teams to support corporate HEDIS initiatives with appropriate clinical program… more
    Independent Health (10/18/24)
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  • Medical Director - South Central

    Humana (Columbus, OH)
    …hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilization management experience ... a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
    Humana (10/29/24)
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  • Remote Behavioral Medical Director

    Centene Corporation (Sacramento, CA)
    …and utilization management programs in accordance with regulatory, state, corporate , and accreditation requirements. + Assists the Chief Medical Director ... Assists in the development and implementation of physician education with respect to clinical issues and policies. + Identifies utilization review studies and… more
    Centene Corporation (10/26/24)
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  • Senior Medical Director , Behavioral Health…

    Magellan Health Services (Albuquerque, NM)
    …plans for individual members. + Evaluates the effectiveness and cost of care of clinical programs through review and analysis of utilization and financial data., ... the need for modifications and additions to medical policy. May participate on corporate medical policy and clinical guideline committees. May do background… more
    Magellan Health Services (10/02/24)
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