Medical Director - Case Management & Utilization
Aoiassn
Aoiassn in Florida seeks a Medical Director of Case Management and Utilization Review to lead CM/UR activities and to serve as the hospital's primary physician advisor. You will supervise other Physician Advisors, participate in UR committees, collaborate with leadership to improve patient flow and resource management, and provide physician education. This senior role reports to the Senior Medical Director and requires Florida MD/DO licensure with extensive clinical and administrative experience. #J-18808-Ljbffr Aoiassn
- Overview The Medical Director of Case Management and Utilization Review leads the hospital-specific execution of Case Management (CM) and Utilization Management (UR) and related activities. The Medical Director functions as the primary physician advisor for the hospital...Suggested
- A health organization located in the Town of Florida, NY, seeks a Medical Director for Case Management and Utilization Review. The ideal candidate will lead hospital initiatives, improve resource management, and enhance patient care quality. Required qualifications include...Suggested
- Memorial Healthcare System seeks a Medical Director for Case Management and Utilization Review. The role oversees clinical decision making, ensures efficient use of resources, and leads cross-functional teams in a large academic/community hospital setting. The ideal candidate...Suggested
- # Medical Director - Case Management and Utilization ReviewHollywood, FloridaHospitalComplexity of Work: Essential Competencies and Skills: Excellent customer service and interpersonal skills. Able to effectively present information, both formal and informal. Strong written...SuggestedWork experience placement
- Memorial Healthcare System in Hollywood, Florida seeks a Medical Director to lead Case Management and Utilization Review, shaping clinical pathways and ensuring high‑quality patient care. The ideal candidate has 5+ years in medical staff administration within a large acute...Suggested
- Memorial Healthcare System is seeking a Medical Director of Case Management and Utilization Review to lead hospital-specific CM/UR execution and act as the primary physician advisor. The role supervises Physician Advisors and collaborates with the UR Committee to improve...
- A prominent healthcare system is seeking a Medical Director of Case Management and Utilization Review in New York, NY. This full-time role requires a Medical Doctor with experience in administrative roles within large hospitals. Responsibilities include leading case management...Full time
- Broward Health in Florida seeks a registered nurse in Case Management to coordinate and manage an assigned caseload, promote evidence-based outcomes, and support utilization management to determine appropriate levels of care. The role emphasizes discharge planning, compliance...
$74.8k - $112.2k
Behavioral Health Case Mgr - CT08IE We’re determined to make a difference... ...of Behavioral Health Case Managers who are responsible for the... ...information. They will utilize established clinical guidelines... ...Rehabilitation, Consultants, Medical Nurse Reviewers, etc.) for proactive...Temporary workWork experience placementWork at officeRemote work3 days per week- Statement of Purpose: The Medical Case Manager position provides case management services to individuals living with HIV/AIDS. The Medical... ...client based on need and assessment. Periodic review of client utilization of services Foster client independence though informing...Work experience placementWork at officeLocal area
$80k - $88k
AmTrust Financial Services Inc. seeks a Telephonic Medical Case Manager, RN, to provide quality telephonic case management. This remote position... .... Responsibilities include comprehensive case management, utilization review, and documentation. Candidates should possess strong...Remote job$61.86k - $96.66k
Obtains Physician orders Role The RN, Case Manager is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care... ...working with an EMR/EHR (Electronic Medical/Health Record) system Mobile Driver - Valid...Local areaImmediate startNight shift- The University of Miami is seeking a Case Manager to review medical records for admission necessity and to coordinate discharge planning for outpatient, observation, and inpatient care within a multidisciplinary team. You will secure pre-certifications, communicate with...Remote job
- Florida Blue seeks an experienced Medical Director consultant to lead utilization management reviews and policy development. In a dynamic healthcare setting, you will collaborate with case managers and physicians to render timely medical necessity decisions. The role requires...
$80k - $88k
...company, has a need for a Telephonic Medical Case Manager, RN. PRIMARY PURPOSE: To provide comprehensive... .... These responsibilities may include utilization review, pharmacy oversight and care... ...advisor, peer reviews, medical director). Partner with adjuster to provide input...Work experience placementWork at officeRemote workFlexible hours- UF Health is seeking a Case Manager to apply professional nursing skills to assess patient and family needs, determine clinical appropriateness... ..., individualized planning to optimize quality of care, utilization, cost and patient satisfaction. Ideal candidates hold a...
- ## Health and Wellness Case ManagerApplylocations: University Campustime... ...Health and Wellness Case Manager will provide nonclinical case... ...notes and records utilizing the Advocate CARE system.* Coordination... ...Leo, we offer an array of medical, dental, and vision packages...Full timeTemporary workPart timeWork at officeFlexible hours
- Legacy Behavioral Health Center, Inc. is seeking a Behavioral Health Wraparound Case Manager in an in-person, independent contractor role in Brevard County. The position emphasizes client-centered wraparound case management for infants through adults, with flexible scheduling...Contract workFor contractorsFlexible hours
- CalOptima Health is seeking a Medical Case Manager to coordinate intensive case management for members, assess needs, plan care, and collaborate with providers and LTSS partners. This role emphasizes advocacy, quality improvement, and effective documentation while supporting...Remote jobFlexible hours
- ...hospitals to help improve the health of individuals and the quality of life in our community. We are seeking a Mental Health Court, CASE MANAGER , to provide screening, linkage, monitoring and substance abuse outreach services for adult clients under Mental Health Court...
- Legacy Behavioral Health Center, Inc. is seeking a Behavioral Health / Wraparound Case Manager for an in-person role serving residents across Brevard County. The position involves client centered wraparound case management and linkage to community resources in a supportive...Full timeFor contractorsFlexible hours
- ...from home) We’re looking for a dedicated Long-term Service Care Manager to join our team. In this role, you’ll manage a caseload of... ...Home Health, or Discharge Planning) Familiarity with electronic medical health records and Microsoft Office Valid driver’s license (Travel...Contract workWork at officeLocal areaRemote workWork from homeShift work
- New Horizons of the Treasure Coast and Okeechobee is seeking a Mental Health Court Case Manager to provide screening, linkage, monitoring and substance abuse outreach services for adult clients under Mental Health Court supervision. You will help coordinate treatment and...
$74.8k - $112.2k
A leading insurance company is seeking a Behavioral Health Case Manager in the Town of Florida, NY. This role involves monitoring quality care, evaluating functionality of claimants, and managing complex behavioral health claims. Candidates should have 3-5 years of clinical...Remote jobWork at office- Safe Future LLC in Florida is seeking a Targeted Case Manager - Behavioral Health to provide comprehensive case management for clients with... ...mental health or substance use disorders, helping them access medical, social, and housing resources. The role requires assessments,...
- The Hartford is seeking a Behavioral Health Case Manager to support the review and evaluation of STD/LTD claims. You will assess claimant functionality, work with clinical teams, and leverage vocational resources to facilitate safe return-to-work outcomes. Ideal candidates...Remote jobWork at office
- Care Manager Isle Health and Rehab Center is looking for Care Manager to join their Team. About us: Isle Health and Rehab Located in Flemming... ...strong referral relationships with hospitals, physicians, case managers, assisted living facilities, and community partners to...Local area
- BayCare Health Systems is seeking an experienced Case Manager to join our Pasco County team. This field-based role covers all of Pasco County and involves direct behavioral case management for adults and children with serious mental health conditions or substance use disorders...
- A community health organization is seeking a Case Manager for the Mental Health Court to provide screening, linkage, and outreach services for adult clients. Responsibilities include assessing clients, coordinating services, and participating in various community activities...
- Centerstone, a leading nonprofit behavioral health system, is looking for a Case Manager to provide mental health and substance abuse services. This role involves working with clients in various environments to ensure continuity of care and link them to necessary resources...
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