Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Medical Director - Case Management and Utilization Review

Full-time

Memorial Healthcare System

Complexity of Work: Essential Competencies and Skills: Excellent customer service and interpersonal skills. Able to effectively present information, both formal and informal. Strong written and verbal communications skills with all levels of internal and external customers. Strong analytical skills. Strong organizational skills and the ability to set priorities and multi-task. Demonstrated flexibility, teamwork, and accommodation to change in the healthcare environment.· Ability to drive results and produce outcomes. Required Work Experience: Extensive experience in one or more branches of medicine or surgery; at least, five (5) post-training years of medical staff organization/administrative experience in a large acute care hospital. Other Information: Additional Education Info: Graduate of a medical school approved by the Council on Medical Education of the American Medical Association.

Memorial Healthcare System is a community of caregivers dedicated to delivering quality patient- and family-centered care. This passion for caring extends to our teammates, who support one another and create heartfelt connections that last a lifetime. We are one family at the heart of exceptional care. Join us as we elevate the well-being of everyone we touch. #teamMHSflorida

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Medical Director - Case Management and Utilization Review in West Park, FL vacancy
  •  ...Required Work Experience: Extensive experience in one or more branches of medicine or surgery; at least, five (5) post-training years of medical staff organization/administrative experience in a large acute care hospital. Other Information: Additional Education Info:... 
    Suggested
    Full time
    Work experience placement

    Memorial Healthcare System

    Hallandale Beach, FL
    3 days ago
  •  .... Starting with Valley Hospital Medical Center in 1979, the Valley Health...  ...and providing proficient timely utilization management services to ensure that maximum reimbursement...  ...years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant... 
    Suggested
    Full time
    Local area

    The Valley Health System

    Sunrise, FL
    1 day ago
  •  ...Nevada. Starting with Valley Hospital Medical Center in 1979, the Valley Health...  ...and providing proficient timely utilization management services to ensure that maximum...  ...years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant... 
    Suggested
    Full time
    Local area

    The Valley Health System

    Sunrise, FL
    1 day ago
  •  ...RN Case Manager Fort Lauderdale, FL Region Now hiring: RN Case Manager...  ...effective manner, delivering medical case management consistent...  ...community! Responsibilities Reviews case records and reports,...  ...conferring with physicians. Utilizes clinical expertise and... 
    Suggested
    Work at office
    Local area
    Immediate start

    Crawford & Company

    Fort Lauderdale, FL
    3 days ago
  •  ...in Breathtaking Maine, is seeking a Case Management Nurse Director for a two-hospital system....  ...in the areas of discharge planning, utilization review, and resource management....  ...evaluates patients for appropriateness, medical necessity, intensity of service, severity... 
    Suggested
    Permanent employment
    Live in
    Relocation package

    Radius Staffing Solutions

    Davie, FL
    15 hours ago
  •  ...Job Description Spanish Speaker Case Manager – ABA Center (Hollywood, Florida) Full...  ...high-quality client care.   ~ Use utilization data to review client programs and ensure consistent...  ...Comprehensive benefits package   o    Medical, dental, and vision insurance   o... 
    Full time
    Work at office

    Applied ABC

    Hollywood, FL
    7 days ago
  •  ...Licensing Foreign Medical Graduate or Registered Nurse...  ...preferred) CCM (Certified Case Manager) (preferred) ACM (Accredited...  ...portals Performs concurrent reviews Contacting all HMO's on...  ...appropriate level of care and utilization of services needed... 
    Full time
    Work at office

    Larkin Community Hospital

    Hialeah, FL
    4 days ago
  •  ...Case Manager Career Opportunity Recognized for your abilities as...  ...access to: Affordable medical, dental, and vision plans for...  ...and department operations. Review/analyze case management...  ...patient record. Participate in utilization review process: data... 
    Full time
    Contract work
    Part time
    Flexible hours

    Aya Healthcare

    Sunrise, FL
    4 days ago
  • $1,688 - $1,796 per week

     ...Professional Billing), GE Healthcare Job Details Fusion Medical Staffing is seeking a Case Manager RN for a 13-week travel assignment in Fort...  ...promoting equitable access to services Conduct utilization reviews and manage length of stay, ensuring adherence to... 
    Temporary work
    Shift work

    Fusion Medical Staffing

    Fort Lauderdale, FL
    15 hours ago
  • $19.23 per hour

     ...family Conduct monthly Service Plan reviews Document all clinical services and activities...  ...and procedure Conduct individual case management sessions Provide vocational...  ...an annual Tuberculosis test. Ability utilize Microsoft Office Software Suite Ability... 
    Hourly pay
    Full time
    Work experience placement
    Work at office
    Local area
    Trial period

    WestCare Foundation

    Pembroke Pines, FL
    1 hour ago
  •  ...Case Management Director Career Opportunity Are you an experienced and compassionate...  ...to: Affordable medical, dental, and vision plans...  ...procedures, and objectives. Review operations to ensure a high...  ...experience, including Utilization Review and Discharge Planning... 
    Full time
    Part time
    Local area
    Flexible hours
    Night shift
    Weekend work
    Day shift
    Afternoon shift
    Weekday work

    Aya Healthcare

    Sunrise, FL
    1 day ago
  •  ...Healthcare Case Manager Provide comprehensive healthcare management...  ...clinical issues. Determines medical necessity/appropriateness Facilitates...  ...Program enrollees. Utilizes critical thinking and judgment...  ...management tools and information/data review. Coordinates and implements... 
    Work at office
    Remote work

    US Tech Solutions

    Hialeah, FL
    1 day ago
  •  .... We are currently seeking a FT Lead Case Manager at the Broward Outreach Center in Hollywood...  .... Participates in staff file peer reviews of care plans and client file, performs...  ...~ Paid Time Off ~ Health Insurance (Medical, Dental, Vision, Disability, GAP and Health... 
    Permanent employment
    Local area

    Miami Rescue Mission

    Hollywood, FL
    4 days ago
  •  ...PRN RN Case Manager Join Cleveland Clinic Weston Hospital's team of caregivers that remain on the leading edge of technology and...  ...CTM, ACM, CCM or AHA) Two years of recent experience in utilization review, quality or care management Knowledge of acute care and... 
    Relief
    Work at office

    Cleveland Clinic

    Fort Lauderdale, FL
    1 day ago
  •  ...include company matching 401K, medical, dental, vision and life...  ...Responsibilities Job Summary A Case Manager manages treatment services...  ...counselor and Clinical Director. Adhere to company code...  ...disorder. Knowledge of utilizing electronic health record... 
    Temporary work
    Internship
    Monday to Friday

    American Addiction Centers

    Hollywood, FL
    2 days ago
  •  ...responsibility for hospital utilization performance improvement and operational management of the Case Management Department...  ...supporting medical necessity and denial...  ...Ensure medical necessity review processes are completed...  ...to complete PE Director of Case Management orientation... 
    Full time
    Day shift

    Palmetto General Hospital

    Hialeah, FL
    4 days ago
  •  ...and resources relevant to the effective progression of care, utilization of services, appropriate level of care, and safe patient...  ...Experience: Minimum one (1) year of experience in a hospital-based Case Management practice or five (5) years in Healthcare. Other... 
    Work experience placement

    Memorial Health Care System

    Hollywood, FL
    15 hours ago
  •  ...and Qualifications As a Case Manager, your role will be to...  ...closely with the Rehab Program Director, Facility Case Management Director...  ...Comprehensive benefits for medical, prescription drug, dental,...  ...Talent Acquisition team is reviewing applications for our Registered... 
    Temporary work
    Relief
    Flexible hours

    Mission Hospital

    Aventura, FL
    4 days ago
  •  ...as a(an) Registered Nurse Case Manager? At HCA Florida Westside Hospital...  ...with the Rehab Program Director and Facility Case...  ...Certification in case management or utilization review preferred InterQual experience...  ...benefits for medical, prescription drug, dental,... 
    Temporary work
    Flexible hours

    Mission Hospital

    Fort Lauderdale, FL
    3 hours ago
  •  .... As a(an) Registered Nurse Case Manager with HCA Florida Aventura Hospital...  ...with the Rehab Program Director, Facility Case Management...  ...Comprehensive benefits for medical, prescription drug, dental,...  ...that invests in you! We are reviewing applications for our Registered... 
    Temporary work
    Flexible hours

    Mission Hospital

    Aventura, FL
    2 days ago
  • $75k - $90k

     ...and reasonable caseloads. On-call support is available for our case managers, ensuring you always have the help you need. As an RN Case...  ...Nurse / RN in the state you work in. Proficiency with Electronic Medical Records (EMR) software. Excellent planning, organizing, and... 
    Full time
    Immediate start

    Moments Hospice

    Aventura, FL
    3 days ago
  •  ...Job Description Job Description Job Title: Per Diem Case Manager Job Type: Direct Care Staff Department: Residential Position...  ...supervisory duties. EQUIPMENT USED: Must be able to utilize basic word processing, email, and internet programs. Must be... 
    Daily paid
    Shift work

    Covenant House Florida Inc

    Fort Lauderdale, FL
    6 days ago
  •  ...Gentiva is seeking a Hospice RN / RN Case Manager to serve patients and families in their homes, providing skilled nursing care based on individualized plans of care. You will assess patient needs, coordinate interdisciplinary care, and document care while supporting... 

    Gentiva

    Plantation, FL
    2 days ago
  •  ...FT Case Manager I Would you like to make a difference in the lives of those in the greatest of need? Imagine how it would feel to know...  ...Discounts ~ Holidays (12) ~ Paid Time Off ~ Health Insurance (Medical, Dental, Vision, Disability, GAP and Health Savings Account)... 
    Permanent employment
    Local area

    The Caring Place

    Hollywood, FL
    2 days ago
  •  ...Case Manager The University of Miami's Department of Psychology has an exciting opportunity for a full-time Case Manager...  ...skills, and a dynamic presentation style. Independently reviews diagnostic and other medical and social service reports to determine eligibility for... 
    Full time
    Work experience placement
    Local area
    Night shift
    Weekend work
    Afternoon shift

    University of Miami

    Miami Lakes, FL
    2 days ago
  •  ...Personal Injury Intake Case Manager Join an Award-Winning Plaintiff Personal Injury Law...  ...relationships with clients, coordinating medical treatment, managing insurance and...  ...and PIP. Experience requesting and reviewing medical records and bills. Experience... 
    Full time
    Monday to Friday

    The Ward Law Group, PL

    Miami Lakes, FL
    2 days ago
  • $24 - $28 per hour

     ...Job Description Job Description Salary: $24-$28 Job description Qualifications include: Certified Behavioral Health Case Manager (CBHCM) **MUST HAVE THE CBHCM CERTIFICATION** Have a Bachelors degree from an accredited university or college with a major in... 
    Daily paid
    Full time
    Local area

    Multicultural Alliance Health Care Solutions Inc

    Fort Lauderdale, FL
    5 days ago
  •  ...driven individual with a knack for problem-solving and a heart for helping others? Join our team as a Per Diem Behavioral Health Case Manager! As a crucial member of our dynamic team, you'll be at the forefront of empowering individuals and families to overcome... 
    Daily paid
    Flexible hours

    PICKETT FENCES FAMILY STABILIZATION

    Fort Lauderdale, FL
    15 days ago
  •  ...Work: Responsible for day-to-day oversight and coordination of case management and discharge planning functions ensuring patient care meets...  ...processes. Strong background in clinical decision making, medical criteria, and discharge planning. Must be proficient with Interqual... 
    Work experience placement

    Memorial Healthcare System

    Hollywood, FL
    15 hours ago
  • $26 - $42 per hour

     ...Register here today: Florida Care Managers (Miami) & Care Review Clinicians Virtual Hiring Event Event...  ...may qualify for care coordination/case management based on clinical judgment...  ...entry skills and previous experience utilizing a clinical platform.  • Excellent verbal... 
    Hourly pay
    Full time
    Contract work
    Work experience placement
    Work at office
    Local area

    Molina Healthcare

    Miami Gardens, FL
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Medical Director - Case Management and Utilization Review. Be the first to apply!