- Alameda Health System (Oakland, CA)
- …Generous paid time off plans Role Overview: Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing ... adapting to ad hoc duties as needed. In essence, they orchestrate efficient utilization management to deliver high-quality patient care. DUTIES & ESSENTIAL JOB… more
- Jupiter Medical Center (Jupiter, FL)
- …paid time off. Role Description This is a full-time on-site role for a Hospitalist Medical Director based in Jupiter, FL. The Hospitalist Medical Director ... utilization , and participating in quality improvement initiatives. Additionally, the Medical Director will provide direct patient care, mentor staff, and… more
- Trinity Health (Syracuse, NY)
- …team to oversee department activities. Manage cost management , utilization review, quality assurance, and medical protocol development. Participate ... St. Josephs Health is seeking a fellowship-trained, board-certified Medical Director of OB/GYN for a 0.1 FTE (4 hours per week) position. This is a unique and… more
- Houston Methodist Specialty Care Group (Houston, TX)
- Medical Director Network Hospitals - Hospitalist Medicine - Houston Methodist Hospital At Houston Methodist, the Medical Director Network Hospitals ... care coordination, improve operational performance, and drive quality outcomes. The Medical Director Network Hospitals position will support the alignment… more
- Northwell Health Physician Partners (New York, NY)
- …pathologist who will serve as Vice Chair of Laboratory Medicine as well as a proactive Medical Director for our Core Laboratory. Join us in shaping the future of ... of continuous improvement and collaboration. Assist the Chair with departmental management , strategic initiatives, and policy development. Oversee all Core Lab… more
- Buckeye Community Health Plan (Thornville, OH)
- …the Chief Medical Director to direct and coordinate the medical management , quality improvement and credentialing functions for the business unit. ... Provides medical leadership of all for utilization management , cost containment, and medical...of performance improvement initiatives for capitated providers. Assists Chief Medical Director in planning and establishing goals… more
- One Medical (San Mateo, CA)
- …people, processes and technology that make One Medical unique. As an Office Medical Director , you'll have the chance to lead your local team in demonstrating ... practicing sustainability. In collaboration with your manager, the District Medical Director and your operations partner, the...Medical to the local community Owning specific office management and HR functions Managing a patient panel with… more
- Fresenius Medical Care (Carrollton, GA)
- …Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws. Responsible for strong Director and physician ... communicated to and implemented by the facility staff. Maintains integrity of medical records and other FMS administrative and operational records. Complies with all… more
- Monogram Health (Jacksonville, FL)
- …Palliative Care physician will be integrated into their local market with the pod Medical Director and primarily renders care in the home and through ... bonus on case-by-case? Roles & Responsibilities? Collaborate with market Medical Director and the care team to...suite of technology-enabled clinical services, including case and disease management , utilization management and review,… more
- Fresenius Medical Care (Tulsa, OK)
- About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As ... advance your career into an Area Team Lead or Director of Operations role. Our culture: We believe our...a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in… more
- Luminis Health (Annapolis, MD)
- Luminis Health Title: Team Leader RN - Cardiac OR Reports to: Clinical Nursing Director of the Operating Room and Surgeon Leader Job Code: 002023 FLSA Status: ... Collaborate with the Surgeons, Charge Capture Coordinator, the Clinical Nursing Director , the Surgical Services Business Manager, Central Sterile Services leadership… more
- UPMC (Pittsburgh, PA)
- …The UMPC Health Plan is seeking a licensed MD or DO for a fully remote Medical Director , Utilization Management role. The Medical ... full remote role._ Responsibilities: + Actively participates in the daily utilization management and quality improvement review processes, including concurrent,… more
- Elevance Health (Indianapolis, IN)
- ** Utilization Management Medical Director - Indiana Medicaid** **Location:** This role enables associates to work virtually full-time, with the exception ... required by law. Alternate locations may be considered. The ** Medical Director ** is responsible for reviewing cases...and Family Medicine specialties preferred. + 3-5 years of Utilization Management experience preferred. + Indiana license… more
- Wellpath (Lemoyne, PA)
- …and point of care support. **How you make a difference** The Medical Director of Utilization Management leads and oversees utilization review, ... appropriate utilization of medical services. The Medical Director of Utilization Management serves as a key liaison with external partners and… more
- Humana (Raleigh, NC)
- … Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care received ... caring community and help us put health first** The Medical Director actively uses their medical...healthcare providers, clinical group practice management . + Utilization management experience in a medical… more
- Humana (Indianapolis, IN)
- … Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the ... caring community and help us put health first** The Medical Director relies on medical ...healthcare providers, clinical group practice management . + Utilization management experience in a medical… more
- Humana (Baton Rouge, LA)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an ... caring community and help us put health first** The Medical Director relies on medical ...healthcare providers, clinical group practice management . + Utilization management experience in a medical… more
- CVS Health (Springfield, IL)
- …Management in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior authorization and ... Fortune 6 company, has an outstanding opportunity for a Medical Director - Medical Affairs...commercial client program support. Will share in reviews of utilization management (PA) criteria and clinical policy… more
- Dignity Health (Bakersfield, CA)
- …remote patient monitoring, and CRM. - Provide backup support to the Medical Director of Utilization Management in medical review activities, ... offices, primarily in the Bakersfield/Central CA region.** **Position Summary:** The Medical Director of Physician Engagement is responsible for developing… more
- Dignity Health (Bakersfield, CA)
- …the managed care populations. This leader will have direct oversight of the Medical Director of Utilization Management (UM) and the Medical ... Relations, Customer Service, and Clinical Oversight functions. + Oversee and manage the medical director capacity to support Managed Care Services and approve… more
