- Fallon Health (Worcester, MA)
- …appeals review + Member appeals review + Pharmacy issues and referral requests + Medical director on-call coverage + Support the benefits and technology review ... license to practice medicine in MA (or licensable). Board certified in medical or surgical specialty. **Experience:** Utilization management; network management;… more
- CareFirst (Baltimore, MD)
- …location based on business needs and work activities/deliverables that week. The Director , Utilization Management provides strategic leadership of the ... is responsible for the design, assessment, implementation and outcomes of utilization management strategies using a multidisciplinary approach to enhance member… more
- University of Colorado (Aurora, CO)
- Clinical Pathology Medical Director ; Assistant Professor to Associate Professor - 33849 Faculty **Description** **University of Colorado Anschutz Medical ... Campus** **Department: Pathology** **Job Title:** **Clinical Pathology Medical Director ; Assistant Professor to Associate Professor** **Open Rank - Assistant… more
- CareOregon (Portland, OR)
- …CareOregon is a federal contractor and must comply with all federal laws. Job Title Associate Medical Director - Maternal, Child, and Youth Department ... Exempt Requisition # 24391 Direct Reports N/A Manager Title Medical Director , CPCCO Pay & Benefits Estimated...to address member needs. + Implement, direct, and oversee utilization , case, disease, and/or quality management programs. + Develop… more
- Lancaster General Health (Lancaster, PA)
- **Summary** **Job Description** **POSITION SUMMARY:** The Associate Medical Director , Hospitalist Services is responsible for assisting the Medical ... of the LGHP Hospitalists practice. The Associate director will report to LGHP Medical ...provided by the Hospitalists, quality improvement, education of staff, medical and utilization review and feedback, and… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... safety net required to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations of… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will facilitate, coordinate and approve medically… more
- Beth Israel Lahey Health (Burlington, MA)
- …healthcare services. Leverage health informatics and data analytics across campuses The Director will oversee the integration and utilization of health ... taking a job, you're making a difference in people's lives.** The Institute Director will develop the strategic plan, research priorities, and recruit and build a… more
- Dartmouth Health (Lebanon, NH)
- Overview Associate Medical Director - Cheshire Hospital Medicine Physician Advisor The Cheshire Medical Center’s Department of Hospital Medicine is a ... Management, Care Management, and Clinical Documentation. The PA supports Utilization Management by performing concurrent, evidence-based second-level medical … 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 Type: Full ... the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically… more