Medical Director, Utilization & Care Management
$227.6k - $385kHighmark Health
Highmark Health seeks a physician for utilization management responsibilities in Albany, NY. The role involves reviewing cases in accordance with clinical standards and participating in a multidisciplinary team for case management. Essential qualifications include an MD or DO with at least 5 years of clinical experience. The position offers a competitive salary ranging from $227,600 to $385,000, emphasizing collaboration, critical thinking, and effective communication skills. #J-18808-Ljbffr
Vacancy posted 22 hours ago
Similar jobs that could be interesting for youBased on the Medical Director, Utilization & Care Management in Albany, NY vacancy
$202k - $303k
Job Description The Medical Director participates in the broad array of activities of the Medical Services area including, but not limited to, Medical and Pharmacy Utilization Management, quality management, member care management, and medical policy processes, and support...SuggestedContract workWork at officeLocal areaRemote workWork from homeHome officeAfternoon shift$70k - $78k
...Responsibilities The Practice Manager is responsible for... ...that support patient care within the assigned... ...and Patient Centered Medical Home (PCMH), works with... ...coordinates various aspects of utilization and review and... ...with the Director of Practice Operations...SuggestedWork at officeLocal areaWork from homeWhitney M. Young Jr. Health Center
Albany, NY4 days ago$278k
...St. Peters Health Partners is seeking to recruit a full-time Nursing Home Medical Director/ Physician to lead and provide care at our nonprofit Skilled Nursing Homes in the Capital Region of Upstate New York. About The Eddy: The Eddy, located in the Capital Region...SuggestedFull timeRelocation packageShift work$310k - $345k
...Medical Director Albany, NY Full-Time Leadership Opportunity Are you a board-certified physician... ...team, improve outcomes, and shape care delivery in a dynamic post-acute environment... ..., nurses, and leadership on medication management, care coordination, and quality...SuggestedFull timeRelocation packageShift workNew York
Albany, NY2 days ago$70.07k - $108.61k
...position provides overall administrative management of a variety of business-related functions... ...mission of high quality provision of care for patients. Key Responsibilities Process... ...five years of management experience in a medical office or clinical setting. Strong management...SuggestedWork at officeShift work100 Albany Med Health System
Albany, NY4 days ago$278k
...St. Peters Health Partners is seeking a compassionate and visionary Physician Medical Director to lead medical care at Eddy Village Green in Cohoes, NY- a nationally recognized nursing home that pioneered the Green House model in New York State. This is a flexible opportunity...Full timePart timeRelocation packageFlexible hoursShift work$227.6k
...part of a physician team, ensures that utilization management responsibilities are performed in accordance... ...cases electronically and using Medical Policy criteria sets to evaluate the medical... ...to help support and improve the care of our members. Essential Responsibilities...Private practiceWork at officeLocal areaHighmark Health
Albany, NY22 hours ago$223.8k - $313.1k
...Become a part of our caring community The Medical Director relies on medical background and reviews health... ...Medicine, or those experienced in Utilization Review are encouraged to apply.... ...clear, well-reasoned utilization management determinations. Communicate with...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeHome officeMonday to FridayWeekend workHumana, Inc.
Albany, NY4 days ago$100k
...difference! Step into a Director role where your... ...employer match , along with Medical, dental, and vision insurance... ...Support Center that manages HR, recruiting, billing... ...on trauma-informed care and generational trauma... ...collaborative culture Utilize data to guide clinical...Flexible hoursAutism Learning Partners
Albany, NY24 days ago$250k - $280k
...job and more exclusive features. St. Peter’s Health Partners is seeking to recruit a full-time Nursing Home Medical Director/ Physician to lead and provide care at our nonprofit Skilled Nursing Homes in the Capital Region of Upstate New York. About The Eddy The Eddy,...Permanent employmentFull timeLocumRelocation package- ...long-term and short-term disability claims, utilizing extensive clinical knowledge to assist in... ...providers to optimize treatment outcomes and manage claimant functions effectively. Applicants should have 5 years in patient care, a BSN or CCM preferred, and strong...Temporary work
- ...specialty and routine care with an emphasis on patient... ...and a focus on medical advancement. About the... ...Plastics As Clinical Nurse Manager, you will oversee a... ...throughput, resource utilization, and patient... ...position reports to the Director of Nursing or above....Full timeMonday to FridayShift workWeekend work
$28.55 - $41.4 per hour
...Title: Office Manager – Outpatient (Full Time, Monday-Friday) Location: 63 Shaker Road, Albany... ...operations including maintenance of medical records, human resource management, property... ...clinical systems that support patient care. Facilitate collegial relationships between...Hourly payFull timeWork at officeLocal areaMonday to FridayTrinity Health Mid-Atlantic
Albany, NY3 days ago- ...you passionate about providing exceptional care to patients in a hospice setting? Do you... ...skills and experience in nursing management? If so, AdvisaCare is looking for a dedicated... ...is a plus. Benefits 401K Retirement Plan Medical/Dental/Vision benefits Vacation time Sick...
AdvisaCare
Albany, NY2 days ago $76.52k - $163.9k
...Sr. Practice Solutions Relationship Manager The Practice Solutions team is highly focused... ...dental, optometry, veterinary and medical specialty practices. Providing the unparalleled... ..., flexible spending, and dependent care accounts; adoption assistance; an employee...Work experience placementLocal areaFlexible hoursUMB Bank
Albany, NY3 days ago- St. Peter's Health Partners is seeking a Hospice RN Manager for the Intake and Admissions department in Albany, New York. In this full-time... ...a BSN. You will lead a team dedicated to enhancing patient care experiences in a growing environment committed to operational excellence...Full time
- A leading healthcare network is seeking a Hematology Oncology-Medical Director in Albany, NY. This role involves managing a patient-centered team, overseeing daily patient loads, and collaborating on clinical trials. The ideal candidate will be board-certified in Internal...
- ...schedules and call patient loads are all manageable/equitable. # Average Albany Clinic Volume... ...Medicine with subspecialty certification in Medical Oncology and Hematology, or actively in progress. # Values patient-centered care and has desire to work within a team model...Full timeContract workWork at officeRelocationRelocation packageMonday to FridayWeekend work
Trinity Health
Delmar, NY2 days ago $94.4k - $293.8k
...Responsibilities Design and implement care delivery models, workflows, and utilization management solutions Drive measurable improvements in patient flow... ...a market competitive suite of benefits including medical, dental, vision, life, and long‑term disability coverage...Work at officeLocal areaWorldwideAccenture
Albany, NY1 day ago$104k - $131k
...to prioritize individualized care for patients facing chronic kidney... .... The Dialysis Clinic Manager is responsible for dialysis facility... ...managers Comprehensive medical, dental and vision benefits Life... ...care initiatives with medical director, social worker, dietitian, charge...For contractorsDialysis Clinic
Troy, NY4 days ago- St. Peter's Health Partners is looking for a Per Diem RN Hospice Care Manager to work in nursing homes across the Capital Region in New York. The role involves case managing hospice patients, addressing their symptom management needs, and coordinating support with families...Daily paidWork from homeFlexible hoursWeekday work
- Trinity Health is seeking an experienced Facilities Manager for Samaritan Hospital in Troy, NY. This full-time day shift position requires oversight of MEP systems and equipment, ensuring their efficient operation and compliance with healthcare standards. The ideal candidate...Full timeDay shift
- Troy Center is seeking a Registered Nurse (RN) Unit Manager in Troy, NY. The role involves handling supervisory duties, implementing employee... ...less experienced nurses. The ideal candidate will maintain high care standards, review Resident records, and address any concerns...
$48 - $63.38 per hour
Trinity Health is seeking a Hospice RN Manager for the Community Hospice in Albany, NY. This full-time role involves overseeing all aspects... ...supervisory experience and a background in hospice or acute care. Additionally, the role offers a competitive pay range between $...Full timeDay shift$68.97k - $113.31k
...investigation and assessment of medical information regarding... ...medical data, to assist the Case Managers in determining claim liability... ...individuals to obtain appropriate care and ensure optimal treatment outcomes... ...the customer experience. Utilize independent vendors to perform...Temporary workWork at officeRemote workVisa sponsorshipWork visaFlexible hoursGuardian Life
Albany, NY1 day ago- 3. Opportunity Details - Nurse Home Medical Director - Physician - Cohoes, NY# Nurse Home Medical Director - Physician - Cohoes, NY## OPPORTUNITY... ...those aspects that make private practice work well in the care of patients. It is one of the largest multi-specialty physician...Full timePart timePrivate practiceWork at officeRelocationRelocation packageFlexible hoursShift work
St. Peter's Health Partners
Cohoes, NY22 hours ago - ...Albany Medical College is seeking a Practice Manager to provide overall administrative management within the Medicine - General department. The role requires overseeing patient relations, staffing, financial activities, and ensuring compliance with regulations. The ideal...
Albany Medical College
Albany, NY1 day ago - ...Rehabilitation & Nursing at Barnwell in Valatie, NY, is seeking an experienced RN Unit Manager to oversee daily nursing operations, supervise staff, and uphold high-quality resident care in a skilled nursing facility. This full-time, day-shift role offers a salary of $95,...Weekly payFull timeDay shift
- Affinity Home Health Care Inc. in New York is seeking a Lead Dentist/Managing Clinical Director to oversee clinical operations and deliver exceptional patient care. You will lead a patient-centric team, conduct comprehensive exams, and develop treatment plans with patients...
$120 - $135 per hour
...conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented... ...Minimum 20 hours per week. As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make...Full timePart timeWork at officeImmediate startEvolent
Albany, NY1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medical Director, Utilization & Care Management. Be the first to apply!
Related searches
- clinic supervisor Albany, NY
- clinical data manager remote Albany, NY
- clinical research manager remote Albany, NY
- director sr. director clinical operations Albany, NY
- health services manager Albany, NY
- behavioral health supervisor Albany, NY
- clinical director Albany, NY
- medical director utilization management Albany, NY
- occupational health manager Albany, NY
- senior director clinical operations Albany, NY