- Catholic Health Initiatives (Lexington, KY)
- …the community. **Responsibilities** The Utilization Management (UM) Director is responsible for the market (s) development, implementation, evaluation and ... processes appeals and reconsiderations. In collaboration with the Division Director Care Coordination, the UM Director develops... programs to meet the Care Coordination goals and market utilization management goals while… 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,...the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …care about your success. The Utilization Management (UM) Director is responsible for the market (s) development, implementation, evaluation and direction ... of the Utilization Management Program and staff in support of the CommonSpirit...processes appeals and reconsiderations. In collaboration with the Division Director Care Coordination, the UM Director develops… more
- Elevance Health (Columbus, OH)
- **Clinical Operations Associate Medical Director ** **Carelon Health** **Genetics Testing Utilization Review** **Location** : The ideal candidate will live within ... including radiology, cardiology and oncology._ The **Clinical Operations Associate Medical Director ** is responsible for supporting the medical management staff… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... safety net required to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations… more
- Huron Consulting Group (Chicago, IL)
- …as the expert you are now and create your future. **Qualifications** The Utilization Management Specialist is responsible for ensuring the appropriate ... to facilitate optimal patient outcomes while managing healthcare costs. The Utilization Management Specialist ensures compliance with regulatory requirements and… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will facilitate, coordinate and approve… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II will facilitate, coordinate, and approve… more
- Dow Jones (Princeton, NJ)
- **Job Description:** **Title: Director , Content Licensing Market Data Management ** **Reports To: Global Content Licensing Director ** **Department: ... and inventory/cost review and control. In this role, the Director , Content Licensing Market Data Management...to grow together + Promote, leverage and ensure effective utilization of market data services by establishing… more
- Monte Nido (Miami, FL)
- …+ Understanding of Medicare medical necessity criteria; consult with Admissions staff and Director of Utilization Management on all evaluations for Medicare ... providing the opportunity for people to realize their healthy selves. ** Utilization Review Clinician** **Monte Nido** **Remote** **Monte Nido has been delivering… more
- Katmai (Usaf Academy, CO)
- …(BSN) is required. + Minimum of two (2) years of prior experience in Utilization Management . + Must possess a current, active, full, and unrestricted Registered ... background checks. **DESIRED QUALIFICATIONS &** **SKILLS** + Certification by a Utilization Management -specific program such as Certified Professional in… more
- The Hartford (King Of Prussia, PA)
- … will provide direct underwriting leadership, sales leadership, and agency management for the Middle Market Underwriting Center (MMUC). Responsibilities ... Promotes utilization of services: Claims and Risk Engineering Middle Market Underwriting Operations + Inspires team to achieve operating plan objectives through… more
- CBRE (Kansas City, MO)
- Project Management Director - Kansas City Market Job ID 164459 Posted 25-Apr-2024 Service line GWS Segment Role type Full-time Areas of Interest ... America **About the role** The purpose of the Project Management Director is to build and lead...development skills, a good knowledge of the Kansas City Market , and lead a team of project management… more
- Jacobs (Irvine, CA)
- As a Market Growth Director ( Market GD) you report to your assigned Executive Director of Sales (EDS). You are responsible for the development of a ... strategy to include input and create alignment with the Lead Account Strategist (LAS), the Director of Operations (DO) aligned to your market , and Market … more
- LifePoint Health (Gallatin, TN)
- … Management /Coding* **Organization:** **HighPoint - Sumner Corporate Offices* **Title:** * Market Director of Health Information Management * **Location:** ... personnel action where appropriate Drag Edit Delete Follow overall market trends and communicate significant shifts to HIM Leadership...Serves as a liaison and resource for the Quality Management and Utilization Review areas. Provides input… more
- LifePoint Health (Gallatin, TN)
- …hospital. **Job:** **Case Management /Social Services* **Organization:** ** **Title:** * Market Director of Case Management * **Location:** ... Provide Case Management leadership and management for hospitals within a market ...program. Ensure staff competencies in all areas of care management to include utilization review, transition/discharge planning,… more
- Encore (Orlando, FL)
- Position Overview The Associate Director , Project Management (ADPM) is responsible for the execution of complex and/or high-risk events and the management , ... mentorship and development of assigned project managers. This position assists the Director , Project Management (DPM) and sales team in determining event… more
- ChenMed (Columbus, OH)
- …expanding and we need great people to join our team. The Associate Market Clinical Director will directly supervise, performance manage and train Clinical ... workplace concerns. + Reviews/approves center-level referrals and provides back-up for market referral and delegated utilization authorizations. Other duties as… more
- HCA Healthcare (Wichita, KS)
- …Do you want to join an organization that invests in you as a Market Director Clinical Professional Development? At Wesley Medical Center, you come first. ... and you have the opportunity to make a difference. We are looking for a dedicated Market Director Clinical Professional Development like you to be a part of our… more
- Trinity Health (Des Moines, IA)
- …Dallas, Jasper, Polk, Wapello, Warren and Webster counties. **GENERAL SUMMARY:** The Market Director , Nursing is primarily accountable for the infrastructure ... care and cost reductions. **ESSENTIAL FUNCTIONS:** . Responsible for creating a nursing management mentor program. . Assists in unit director orientation and… more