- Prime Healthcare (Ontario, CA)
- …Responsibilities The Corporate Director of Clinical ... to individual and Company performance. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/160505/ corporate - director -of- clinical - utilization -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime… more
- Universal Health Services (Harahan, LA)
- …and intensive outpatient). River Oaks Hospital is seeking a dynamic and talented UTILIZATION REVIEW DIRECTOR to direct and serve within the Utilization ... advocates for patient length of stay and level of care. Coordinates utilization review activities with other departments to ensure reimbursement for services… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Director of Clinical Case Management? At HCA Healthcare, you come first. HCA ... lives and you have the opportunity to make a difference. We are looking for a dedicated Director of Clinical Case Management like you to be a part of our team.… more
- HCA Healthcare (Portsmouth, NH)
- …Do you want to join an organization that invests in you as a Market Clinical Resource Director ? At Portsmouth Regional Hospital, you come first. HCA Healthcare ... a difference. We are looking for a dedicated Market Clinical Resource Director like you to be...teams and supply chain leadership. + Interacts with HealthTrust corporate supply chain, HCA Clinical Services Groups,… more
- CSL Behring (King Of Prussia, PA)
- The Associate Director , Corporate Accounts is responsible for managing all aspects of CSL's business & portfolio brands within a defined group of Specialty ... while adhering to CSL Behring Core Values. The Associate Director , Corporate Accounts is a member of...strategic account plans to enhance the positioning & increase utilization of CSL Behring products. Provides timely feedback with… more
- Baptist Memorial (Memphis, TN)
- …education + Employee referral program Job Summary: Position: 85 - System Director -Supply Chain Facility: BMHCC Corporate Office Department: HS Supply Chain ... policy/procedure governing supplier business relationships. Working in collaboration with clinical leadership, analyze supply categories and supplier market share to… more
- University of Utah Health (Salt Lake City, 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
- Premera Blue Cross (Mountlake Terrace, WA)
- …that we serve through our Healthsource blog: https://healthsource.premera.com . As the ** Director of Pharmacy and Clinical Consulting** , you will participate ... and continued close partnership with functional areas across the company. The Director will oversee the development of pharmacy clinical quality and… more
- Humana (Columbus, OH)
- **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 and ... preservice appeals. The Corporate Medical Director works on problems of...+ Excellent communication skills + 5 years of established clinical experience + Knowledge of the managed care industry… more
- Brookdale Senior Living (Brentwood, TN)
- …who have been with us for at least a year. Responsibilities The Director of Clinical Reimbursement is responsible for the oversight of Medicare/Medicaid/Managed ... Overview Brookdale seeks experiencedDirector of Clinical Reimbursementto support our SNF Portfolio. This opportunity...This opportunity is based out of our Brentwood, TN corporate office. Voted by Newsweek in 2024 as one… more
- Universal Health Services (Memphis, TN)
- …our team and love what you do! We are currently hiring a full time Director of Utilization Management (UM) for Compass Intervention Center! The UM Director ... and evaluation of department policies and procedures are in compliance with all corporate , Joint Commission, federal, state and local regulations. The UM Director… more
- Baptist Memorial (Memphis, TN)
- …risk management, utilization review, reimbursement, and oversight of all clinical patient care facilities with in Baptist Medical Group. Responsibilities * ... education + Employee referral program Job Summary: Position: 237 - Director -Nursing & Women's Oncology Services Facility: BMG- Corporate Department: MG… more
- e CancerCare (Fresno, CA)
- Purpose: The Director , Clinical Trials & Research, for CCARE Physicians, PC, is responsible and accountable for the daily operations and management of staff, of ... in the department. Promote clinical excellence through applied clinical knowledge, leadership, team recommendations and research utilization . Ensure… more
- Elevance Health (Richmond, VA)
- …office locations Work schedule: Monday - Friday, standard business hours.** The Medical Director Clinical Programs is responsible for designing and implementing ... care in support of the innovation and execution of corporate clinical interventions. + Provides clinical...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Emory Healthcare seeks an innovative, progress-driven leader to serve as the Corporate Director , Sourcing and Contracting. **Description** + Leads a sourcing ... and contracting process to enable the achievement of established goals and the utilization of preferred contract terms. + Manages and maintains a repository of… more
- Sharp HealthCare (San Diego, CA)
- **Facility:** Corporate Offices **City** San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** California ... and employer business practices. **What You Will Do** The CMI performs clinical /medical necessity reviews and authorizes medical services that meet medical criteria.… more
- Sharp HealthCare (San Diego, CA)
- **Facility:** Corporate Offices **City** San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** California ... with appropriate reading level and regulatory agency requirements. Performs clinical /medical necessity reviews and authorizes medical services that meet medical… more
- Highmark Health (Charleston, WV)
- …success and works closely with all divisions and departments within the corporate structure to provide clinical consultation and support with regard ... as a resource for information and consultation on the issues related to utilization management, clinical services and medical affairs, including such issues as… more
- Humana (Columbus, OH)
- …of variable factors. The Staff Geriatrician or Physician with Ten (10) Years of Clinical Practice with Older Adults (Medical Director ) is dedicated full time to ... a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- Magellan Health Services (Albuquerque, NM)
- …supervision of the use of the medical necessity criteria. + Along with the Corporate Clinical team, implements clinical practice standards and policies ... clinical quality improvement activity (QIA) in collaboration with the clinical lead senior medical director , and quality improvement staff. May… more