Director, Hospice Utilization Management — Remote Leader
Centene Corporation
- Remote job
Centene Corporation is seeking a clinical professional to lead our Medical Management/Health Services Utilization Management team. The role emphasizes strong leadership, policy enforcement, and budget consciousness to optimize member outcomes. The position requires a Bachelor's degree with 7+ years of experience, including management, and RN licensure is highly preferred. The organization supports flexible work arrangements including remote, hybrid, field, or office schedules. #J-18808-Ljbffr Centene Corporation
$236.5k
...Corporation is seeking a skilled medical professional to assist the Chief Medical Director by directing medical management and quality improvement initiatives. The role emphasizes leadership in utilization management, ensuring compliance with quality standards, and optimizing...Remote job$133.7k - $247.4k
...a clinical professional on our Medical Management/Health Services team. Centene is a diversified... ...tables. Position Purpose Directs the utilization management team to ensure the... ...holidays, and a flexible approach to work with remote, hybrid, field or office work schedules....Remote workFull timePart timeWork at officeFlexible hours$106k - $161k
A leading utility services provider is seeking an experienced Utility Practice Leader for Technical Presales to drive transformation initiatives across the North American utility sector. You will advise clients, tailor solutions, and ensure delivery excellence in a client...Remote job- ...global consulting firm is seeking a confident Manager to lead SAP Finance transformation projects, specializing in the Utilities sector. Candidates should possess over 6... ...transformations in a collaborative environment. Remote work possibilities based on client needs. #J-...Remote work
- A national healthcare organization is seeking a medical professional to lead and coordinate medical management efforts. Responsibilities include utilization management, medical quality improvement, and collaboration with clinical teams to optimize patient care. The ideal...Remote jobFull timeFlexible hours
- ...steps to an exciting new career. Director Federal Health/Sr. Delivery Leader - Remote/DC Metro Director Federal Health... ...Responsible for management, oversight, and growth for a portfolio... ...revenue and gross profit growth and utilization of the program team’s billable hours...Remote jobPermanent employmentContract workFor subcontractor
$70k - $75k
Guidehealth seeks an experienced Utilization Management Registered Nurse to perform UR activities and document... ...role requires coordination with medical directors and providers while ensuring timely, compliant reviews. Remote work option; salary range $70,000-$75,000 annually...Remote job- GlobalHealth, Inc. is seeking a Utilization Management Supervisor for remote operations in Oklahoma City. The role involves overseeing the department, ensuring adherence to policies, and managing staff effectively while collaborating with various stakeholders. The ideal...Remote job
- Guidehealth is seeking a Utilization Management Registered Nurse (RN) for a fully remote, full-time position. The role involves applying medical necessity criteria... ...include collaboration with Medical Director, AI workflow integration, and participation in quality...Remote jobFull time
$170k - $352.5k
A leading health organization in Denver seeks a physician for utilization management. Responsibilities include reviewing escalated cases and participating in case management. The ideal candidate will hold an MD or DO and have at least 5 years of clinical experience. Strong...- Centene Management Company LLC is seeking a senior leader to supervise Utilization Management teams, overseeing prior authorization, concurrent, and retrospective reviews... ...champion changes in policies and practices. Remote eligibility is available, with California licensure...Remote job
$248.5k - $373k
...Medical Director Oncology Optum is a global organization... ...Oncology will provide utilization review determinations... ...case and disease management teams to achieve optimal... ...flexibility to work remotely from anywhere within the... ...serving as a thought leader and point of contact...Remote jobMinimum wageWork experience placementLocal area$248.5k - $373k
...family medicine physician to join our Utilization Management team. Optum is a clinician-led care organization... ...work and live. The Medical Director for Utilization Management will... ...You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home$97.33k - $114.5k
...Spring Health, a global leader in mental health, is seeking a Clinical Manager to lead its remote clinical team delivering EAP mental health services. This full-time role involves overseeing operational health, ensuring quality service delivery, and mentoring team members...Remote workFull time- ...Manager, Utilization Management Medical Director Medical Mutual employees must submit their applications through MySource. This is a hybrid-remote role based out of the Brooklyn, OH office, with the Manager, Utilization Management Medical Director expected to work...Remote workCasual workWork at office
$95k - $115k
...: Clinical Supervisor / RN, Hospice Location: Fall River, MA... ...Clinical Supervisor / RN, Hospice Remote/Virtual Position : No... ...Hospice Registered Nurse/RN Team Director You Can Be If you meet... ...leadership memebrs to monitor, manage, and mentor staff in patient...Remote workFull timeWork at officeMonday to FridayFlexible hours- Westwood Professional Services in Lansdale, PA, is seeking a Remote Sensing Project Lead - Electric Utility Aerial Mapping to oversee the full lifecycle of... ...knowledge of LiDAR workflows and PLS-CADD, and the ability to manage #J-18808-Ljbffr Westwood Professional ServicesRemote job
- ...solar energy firm is seeking an ambitious Commissioning Manager to oversee commissioning efforts for Utility Scale Solar and Battery Energy Storage projects. The ideal candidate will lead coordination between remote and on-site teams, manage commissioning documentation,...Remote work
- ...data-driven decisions for the IHS PATH EHR system. This remote role requires strong analytical skills and experience... ...and data visualization tools. The analyst will collect, manage, and analyze cost and utilization data across IHS facilities, build dashboards, and collaborate...Remote job
- EVCS is hiring a Manager, Utility Relations & Energy Optimization for a remote, nationwide role. You will be the single point of contact with utility companies across the EVCS network, owning interconnection, rate optimization, billing audits, and tariff advocacy. You will...Remote job
- ...migration, and integration validation to bring customers live. This remote role with up to 25% travel partners with Customer Success,... ...Engineering to deliver scalable, secure deployments and repeatable success patterns across utilities and energy customers. #J-18808-Ljbffr ItronRemote work
$210k - $225k
Puma Biotechnology, Inc. is looking for an Associate Medical Director to provide medical leadership in oncology clinical trials. Responsibilities... ...in drug development. This full-time position is primarily remote, requiring strong leadership and communication skills, with a...Remote workFull time- Itron is looking for a Technical Implementation Consultant to lead the technical deployment of its SaaS platform for utility customers. This role is pivotal in ensuring secure and scalable implementations, involving responsibilities such as technical discovery, configuration...Remote job
$280k - $310k
A distinguished behavioral health organization seeks a Medical Director to lead psychiatric consultation and clinical innovation within... ...extensive clinical experience and proven leadership skills. A fully remote position with a competitive salary range of $280,000 to $310,00...Remote job- ...implementation and configuration of enterprise SaaS solutions for utilities. You will partner with clients and cross-functional teams to... ...and JavaScript, while mentoring consultants and guiding projects through testing and production releases. #J-18808-Ljbffr Remote JobsRemote work
- ...independent performance with minimal supervision and a mix of on-site and remote work scheduling. Ideal candidates hold a bachelor’s degree in business or engineering and have at least six years of related experience in contract management or #J-18808-Ljbffr Sirius Talent GroupRemote workContract work
$90k - $120k
BerryDunn is seeking a Utility Billing/Customer Information System Implementation Project Manager to join our Local Government Practice Group. In this role, you will guide client and vendor teams in implementing utility billing systems across departments with up to 50%...Remote jobLocal area- Pellegrin Health Management Group (PHMG) is seeking a Medical Director to lead clinical strategy for its telehealth platform and future brick-and-mortar clinics. This remote, part-time role starts with growth into a full executive leadership position as the organization...Remote jobPart time
- ...Cynwyd, PA is seeking an Interconnection Manager to oversee gas and electrical interconnection... ...experience in renewable energy and utility interface. Strong communication and negotiation... ...opportunities and the possibility of remote arrangements for exceptional candidates,...Remote work
- Ontrak seeks a National Medical Director to lead clinical strategy and externally represent our behavioral health programs. This role focuses... ..., and marketing to advance care quality while controlling costs, largely in a remote capacity with travel. #J-18808-Ljbffr OntrakRemote job
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