- Ascension Health (Nashville, TN)
- … market . Must be located within 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 -...root-cause analysis to enhance our processes. You'll collaborate with Market Care Management , Finance, CDI, and Physician… 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 ... do:* Manages and directs the development and implementation of a Centralized Utilization Management Program across multiple hospitals (systems). Develops and… more
- ERP International (Nellis AFB, NV)
- …No Call, No Weekends, No Holidays! **Job Specific Position Duties:** * Provides Utilization Management activities and functions by using MTF specific Quality ... disciplines to include discharge planning and referrals for case management . * Utilization management duties...appropriate health plan. Collaborates, coordinates with TOPA and Referral Management Director when needed in accordance with… more
- LA Care Health Plan (Los Angeles, CA)
- …observation) admission in the acute setting. Works with UM leadership, including the Utilization Management Medical Director , on requests where determination ... Utilization Management Admissions Liaison RN II...data presented and established criteria/guidelines, escalating to the medical director if needed. Triages and assesses members for admission… more
- Independent Health (Buffalo, NY)
- …perks, benefits and commitment to diversity and inclusion. **Overview** The Program Manager- Utilization Management (UM) will be accountable for the management ... assess and make recommendations for improvements to maintain an effective and efficient utilization management process, as well as manage medical expenses based… 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 facilitates, coordinates, and approves… 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
- HCA Healthcare (St. Petersburg, FL)
- …Healthcare colleagues invested over 156,000 hours impacting our communities. As a(an) Market Director Employee Health with HCA Florida Northside Hospital, you ... vary by location._** Come join our team as a(an) Market Director Employee Health. We care for... management , including position control, scheduling excellence, productivity management , and premium pay utilization . Maintains staffing… more
- Jacobs (Redding, CA)
- As a Market Growth Director you report to your assigned Executive Director of Sales (EDS). You are responsible for the development of a water market ... create alignment with the Lead Account Strategist (LAS), the Director of Operations (DO) aligned to your market...Development and successful execution of strategy within a specific market portfolio of clients o The utilization … more
- ChenMed (Richmond, VA)
- …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… more