- Scottish Rite for Children (Dallas, TX)
- …committed to giving children back their childhood! Job Posting Title: Director of Case Management and Utilization Management Location: Dallas - ... Details: Monday - Friday 8:00am to 4:30pm Job Description: Duties/Responsibilities: + Utilization Management supporting medical necessity and denial prevention +… more
- Prime Healthcare (Inglewood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/189094/ director -of- case - management utilization - ... Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities The Director of Case Management … more
- Ascension Health (Kalamazoo, MI)
- … management experience preferred. **Additional Preferences** There will be a dual focus on case management and utilization review in this position + ... **Details** + **Department:** Case Management + **Schedule:** Monday through...Case Management experience - Strongly preferred + Utilization … more
- UTMB Health (Friendswood, TX)
- …resource utilization to Director and/or Assistant Director of Utilization Review/ Case Management . + Maintains a documentation system of all ... ensure optimal quality, cost, and service/outcomes. Supports and actualizes the UTMB Utilization Review/ Case Management program by utilizing clinical… more
- CareFirst (Baltimore, MD)
- …location based on business needs and work activities/deliverables that week. The Director , Utilization Management provides strategic leadership of the ... utilization management team and is responsible for the design, assessment,...of services and approved claims. + Oversees retrospective reviews, case appeals, billing coordination, and clinical support. + Ensure… more
- AnMed Health (Anderson, SC)
- …and direction of the Care Coordination, Clinical Documentation, and Utilization Management programs at AnMed. The Medical Director ensures the program and ... The Utilization Review Medical Director supports operations...the leadership and staff who perform the functions of Utilization Management (UM), Case … more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Corporate Director of Clinical ... or another relevant field + A minimum of seven (7) years' experience in Clinical Utilization Review or Case Management with a large Health Plan +… more
- Trinity Health (Boise, ID)
- …of two years' experience in hospital based medicine with exposure to utilization management and documentation initiatives. 3. Demonstrated teamwork, performance ... is seeking a physician leader to become our Medical Director of Documentation and Utilization Excellence. This...MDDUE will work in a dyad partnership with the Director of Clinical Resource Management . This position… more
- Brockton Hospital (Brockton, MA)
- PURPOSE OF POSITION: The Director of Case Management is responsible for planning, directing, and managing of the activities of the Case Management ... solves problems, referring exceptional issues to Vice President. The Director of Case Management is...resource utilization . Provides training to staff on case management methods and techniques. Establishes monitoring… more
- Tenet Healthcare (Detroit, MI)
- Director of Case Management -...Oversees hospital utilization performance improvement and operational management of the site Case Management ... services. Integrates national standards for case management scope of services including: Utilization ...case management scope of services including: Utilization Management supporting medical necessity and denial… more
- BronxCare Health System (Bronx, NY)
- …and implementation of educational programs for Denial Prevention and Management . Responsibilities - Establish and maintain positive relationships with patients, ... includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality… more
- Houston Methodist (The Woodlands, TX)
- …promoting the most cost-effective utilization of the hospital's resources. The Director Case Mgmt Social Svcs position deploys population-focused teams to ... At Houston Methodist, the Director Case Mgmt Social Svcs position...in the areas of care coordination, evidence- based practice, utilization management , and service excellence. Disseminates information… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Director of Case Management is responsible for the overall operation of the Case Management Department. This includes ... to patients. This involves the delivery of comprehensive front-line Case Management services, including utilization ... Management services, including utilization management , care facilitation and discharge planning. The Director… more
- LifePoint Health (Bullhead City, AZ)
- …promote continuity of care and cost effectiveness through the integrating and functions of case management , utilization review and management of ... years management experience, five (5) years of utilization review / case management ...AHA. **Job:** **Nursing* **Organization:** **Valley View Medical Center* **Title:** * Director , Case Management * **Location:** *Arizona-Ft.… more
- Select Medical (Anderson, SC)
- **Overview** **Critical Illness Recovery Hospital** ** Director of Case Management ** **_Clinical license as a registered nurse or respiratory therapist or ... doing well by doing what is right. As the Director of Case Management **,**...resource management . + Demonstrating compliance with facility-wide Utilization Management policies and procedures. + Coordinating… more
- LifePoint Health (Rutherfordton, NC)
- …resources and knowledge and experience operating community hospitals and healthcare organizations. The Director of Case Management is responsible for the ... candidates for employment: Minority/Female/Disabled/Protected Veteran* **Job:** ** Case Management /Social Services* **Organization:** ** **Title:** * Director , … more
- HCA Healthcare (Kansas City, MO)
- …available for external hires Introduction Do you have the career opportunities as a(an) Director Case Management you want with your current employer? We ... of colleagues. Do you want to work as a(an) Director Case Management where your...to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Director Case Management ? At TriStar Centennial Medical Center, you come first. ... make a difference. We are looking for a dedicated Director Case Management like you...to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all… more
- HCA Healthcare (Gainesville, FL)
- …a work environment where diversity and inclusion thrive? Submit your application for our Director Case Management opening with HCA Florida North Florida ... benefits may vary by location._** We are seeking a(an) Director Case Management for our...to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all… more
- HCA Healthcare (Anchorage, AK)
- …Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Director Case Management with Alaska Regional Hospital you can ... in our organization. We are looking for an enthusiastic Director Case Management to help...to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all… more