- Ascension Health (Nashville, TN)
- …TN market. Must be located with in the TN market. We're looking for an experienced Director of Utilization Management to join our team! In this pivotal role, ... **Details** + **Department:** Utilization Management + **Schedule:** Monday -...optimize patient care and partner with the National Senior Director of UM to align on organizational goals. Ready… more
- Banner Health (AZ)
- …looking to leverage your abilities - apply today. In this role of **Associate Director Pharmacy Utilization Management ,** you will oversee the Pharmacists ... are expected to form a dyad with the Associate Director Pharmacy Technician, who oversees the pharmacy technicians and...Grievance and Appeals, Customer Care, Claims, and the Medical Utilization Management Teams. You will manage results… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Corporate Director of Clinical ... 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 Healthcare… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …resources to help you flourish and leaders who 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 Health Care Coordination… more
- Centene Corporation (Columbus, OH)
- …of Ohio.** **RN License is highly preferred.** **Position Purpose:** Directs the utilization management team to ensure the appropriate application of policy ... manages Utilization Operations specific to the daily operations of Utilization Management including timeliness, quality and performance outcomes, provider… 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 Management … more
- Intermountain Health (Las Vegas, NV)
- … management , claims, network management , and finance. As the Medical Director for Utilization Management , you are responsible, in partnership with ... timely documentation and reporting. + Demonstrated knowledge of case management , utilization management , quality management , discharge planning,… more
- Wellpath (Lemoyne, PA)
- …education, and point of care support. **How you make a difference** The Medical Director of Utilization Management leads and oversees utilization ... care and the appropriate utilization of medical services. The Medical Director of Utilization Management serves as a key liaison with external partners… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Under the supervision of the Director , Utilization Management (UM) Operations & Member Services, the UM Operations Specialist will provide ... and data entry in other software systems. Will be working primarily with the Director , UM Operations & Member Services, but will also assist with projects or… more
- Humana (Carson City, NV)
- …and help us put health first** Humana Healthy Horizons is seeking an Associate Director , Utilization Management Nursing, who utilizes clinical nursing skills ... and communication of medical services and/or benefit administration determinations. The Associate Director , Utilization Management Nursing, requires a solid… more