- 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
- Community Health Systems (Franklin, TN)
- …clinics, imaging centers, cancer centers and ambulatory surgery centers. **Summary:** Utilization management is the analysis of the necessity, appropriateness, and ... efficiency of medical services and procedures in the hospital setting. Utilization review is the assessment for medical necessity, both for admission to the hospital… more
- AdventHealth (Altamonte Springs, FL)
- …delay and other data for specific performance and/or outcome indicators as determined by Director of Care Management. . Documents key clinical path variances and ... **AdventHealth Corporate ** **All the benefits and perks you need...clinical nursing experience required. . Minimum two years Utilization Management experience, or equivalent professional experience. . Excellent… more
- University of Utah Health (South Salt Lake, UT)
- …to UR committee any case that surpasses expected LOS, expected cost, or over/under- utilization of resources. + Performs verbal/fax clinical review with payer as ... and administer medications within their scope of practice and according to state law. Corporate Overview: The University of Utah is a Level 1 Trauma Center and is… more
- HCA Healthcare (Richmond, VA)
- …environment where diversity and inclusion thrive? Submit your application for our Director Clinical Informatics opening with Chippenham Hospital today and find ... **_Note: Eligibility for benefits may vary by location._** We are seeking a Director Clinical Informatics for our team to ensure that we continue… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Director - Mount Sinai International- Corporate -Full-Time** Mount Sinai International, LLC ("MSI") has created a line of consulting, ... education, training and clinical knowledge transfer services and co-branded products and services...relationships. Reporting to the President, Vice President or Executive Director , Mount Sinai International and working closely with other… more
- Corning Incorporated (Corning, NY)
- Corporate Occupational Medical Director (Regional) **Date:** Jan 19, 2025 **Location:** Charlotte, NC, US, 28216Corning, NY, US, 14831 **Company:** Corning ... is seeking a motivated and dynamic US Regional Medical Director to join our expanding global team. In this...role, the incumbent will demonstrate a rare combination of clinical acumen and proven business expertise. You will leverage… more
- 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
- Humana (Charleston, WV)
- **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. The ... Corporate Medical Director works on problems of...+ Excellent communication skills + 5 years of established clinical experience + Knowledge of the managed care industry… more
- UPMC (Hanover, PA)
- …the clinical and financial plan for patients. Performs overall utilization management, resource management, discharge planning and post-acute care referrals and ... hiring a part time Professional Care Manager for our Utilization Review department in Hanover! This is a part...role in concurrent denial process. Works with Care Management Director , Physician Advisor, Attending Physicians and clinical … more