- 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
- 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
- Lompoc Valley Medical Center (Lompoc, CA)
- …equity. Position Summary: * Reports to the Director of Case Management * Plan, organize and deliver utilization management activities for BOP ... preferred. * Experience: A minimum of two years of clinical experience in Utilization Review or Case Management is preferred. * Per Diem Positions: Case … more
- LifePoint Health (Brentwood, TN)
- *System Director Utilization Review* *Who we are:* At Lifepoint Health, we provide quality healthcare to rural communities. As a valued member of our team, you ... and directs the development and implementation of a Centralized Utilization Management Program across multiple hospitals (systems)....to optimize resource use. * Collaborate with AVPs of Case Management , Revenue Cycle, hospital CFOs, and… 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
- Ochsner Health (New Orleans, LA)
- …upholding the strategic vision, direction and overall accountability for the Utilization Management Department. Develops, implements and monitors strategies for ... cost reduction and utilization management . Implements and leads all regulations...in nursing **Work Experience** Required - 7 years of case management experience in a managed care… more
- Houston Behavioral Healthcare Hospital (Houston, TX)
- …will be responsible for overseeing the inpatient and outpatient services, this includes case management processes, consulting with all services to ensure the ... Houston Behavioral Healthcare Hospital (HBHH) is recruiting for a Utilization Review Director . The UR Director...population of daily census. + Is responsible for the Utilization Management Committee quarterly. + Assess adequacy… more