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 Highmark Health
$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. ~ Human Resources - Process... ...working in a management capacity in a medical office or clinical setting. Must project...SuggestedWork at officeShift 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...SuggestedPrivate practiceWork at officeLocal area$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...SuggestedFor contractorsPrivate practiceWork at officeLocal area$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...SuggestedFlexible hours$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$94.4k - $293.8k
...clinical outcomes. As a Clinical Manager you will l ead care delivery and clinical operations transformations that improve throughput, utilization, and frontline performance for providers... ...suite of benefits including medical, dental, vision, life, and long-term...Live inWork at officeLocal areaWorldwide$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$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 start$94.4k - $293.8k
Responsibilities Design and implement care delivery models, workflows, and utilization management solutions Drive measurable improvements in patient flow, capacity... ...a market competitive suite of benefits including medical, dental, vision, life, and long‑term disability...Work at officeLocal areaWorldwide- ...Job Description This is professional medical work providing supervision of professional... ...Activities: Aligns with the American Medical Directors Association (AMDA/PALTC) “Roles of the... ...to providing the highest quality of care to our residents. Our mission is to provide...Immediate startFlexible hours
- 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
- ...Association is seeking a full-time Specialty RN to provide in-home care for patients in the Troy area. Work days are typically Monday... ...role offers training in wound care, IV therapy, and disease management, with orientation and support to address the whole patient in a...Full timeMonday to FridayFlexible hours
- ...nurses, offering clinical & career advice Maintain the standards of care for the unit Review Resident records & quality of care Monitor... ...families Represent the unit's interests with the upper-level management Requirements: Must hold valid State RN License 3 years Long...
- ...Troy Center is hiring a Registered Nurse (RN) Unit Manager in Troy, NY. Responsibilities Handle all supervisory duties for assigned unit... ...nurses, offering clinical & career advice Maintain the standards of care for the unit Review Resident records & quality of care Monitor...
$26.41 - $61.79 per hour
A healthcare provider is seeking a Remote BH Care Manager LCSW, LMFT, or LMHC in New York to provide support for care management and coordination activities. The role requires at least 2 years of health care experience, preferably in behavioral health. The Care Manager...Hourly payRemote work$82.5k - $166.1k
...decisions and better patient care. We want people just as dedicated... ...will lead to achieved value. Manage ongoing relationships with... ...focusing on customer success in utilizing Oracle's solutions. Using... ...which includes the following: # Medical, dental, and vision insurance,...Temporary workWork experience placementLocal areaRemote workFlexible hours- ...to performing visits and completing coordination of client care, the RN Case Manager is the point of contact for all disciplines involved with... ...care. Performing accurate OASIS collection, ensuring the medication profile remains current, ensuring lab values have been reported...Work at office
- ...Description The Hospice RN Case Manager is responsible for coordinating and managing the care of patients in a hospice... ...including pain and symptom management, medication administration, and patient... ...duties assigned by the Hospice Director or designated supervisor. Requirements...Full timeShift workWeekend workWeekday work
$186.49k - $278.88k
...Job Summary In collaboration with the Senior Director of Clinical Management, the Director is responsible for the operational strategy and management... ...development where necessary. • Serves as contact for Medical Affairs/PBS related to medical information requests,...Contract workTemporary workLocal areaFlexible hours$150.03k - $224.25k
...Job Summary Under the direction of the Director/Associate Director of Clinical Management, the Senior Clinical Study Manager is responsible for the oversight... ...business days. Company benefits: Comprehensive medical, dental, vision, prescription drug coverage, company...Contract workTemporary workLocal areaFlexible hours$190.8k - $300.3k
...We are seeking a Growth and Improvement minded Regional Medical Scientific Director (aka Medical Science Liaison, MSL) in Inflammatory Bowel... ...scientific education and dialogue Excellent stakeholder management, communication, and networking skills Thorough comprehension...For contractorsWork at officeRemote workRelocationVisa sponsorshipFlexible hoursShift work- ...compassionate full‑time Registered Nurse Case Manager to join our healthcare team. In this rewarding... ...will coordinate and oversee the individualized care of patients, ensuring they receive the highest standard of medical services in their home environment. This position...Full timeWork from homeFlexible hoursDay shiftWeekday work
$223.8k - $313.1k
...Overview Become a part of our caring community and help us put health first The Medical Director relies on fundamentals of CMS... ...opportunities for medical management operational improvements... ...Intermediate to advanced skills utilizing Microsoft Office and Internet...Full timeTemporary workApprenticeshipWork at officeRemote workWork from homeMonday to Friday$150.03k - $224.25k
Job Summary Under the direction of the Director/Associate Director of Clinical Management, the Senior Clinical Study Manager is responsible for the oversight and management of Otsuka clinical studies, including coordination with other relevant parties (e.g., other Otsuka...Contract workLocal area$81.2k - $111.65k
...provider of evidence-based mental health care, serving more than 20 million people... ...communication, written communication, project management, and quantitative abilities. You... ...~Successfully negotiating with medical directors, administrators, network contracting, finance...Full timeContract workRemote work- ...Clinical Data Management Leader Provide leadership, strategic planning, direction and implementation... ...Make decisions and chart course through careful evaluation of risks and benefits with... ...for clinical development programs with medical devices leading toward FDA filing /...
- ...Administrator for the Medicine - General department. This role provides overall administrative management, budget development, and staff leadership to ensure high-quality patient care and efficient operations. You will supervise administrative and clinical staff, oversee...
$95k - $105k
...RN Unit Manager – Skilled Nursing Registered Nurse Unit Manager overseeing daily nursing... ...operations, staff supervision, and resident care in a skilled nursing facility. Employer:... ...Benefits Weekly pay 401(k) with company match Medical, dental, and vision insurance Paid time...Weekly payFull timeMonday to FridayDay shiftWeekday work$98.21k - $144.71k
...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 hours$76.52k - $163.9k
...Sr. Practice Solutions Relationship Manager The Practice Solutions team is highly focused... ...managed dental, optometry, veterinary and medical specialty practices. Providing the unparalleled... ..., flexible spending, and dependent care accounts; adoption assistance; an employee...Work experience placementLocal areaFlexible hours
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