Remote Director, Utilization Management - Long-Term Care
Centene
Tallahassee, FL
- Remote job
Centene is seeking a Director of Utilization Management in a remote-capable role based in Florida. You will lead the utilization management team to ensure policies are applied for optimal member outcomes, with emphasis on Long-Term Care UM and NCQA standards. The role requires 7+ years of experience with prior management, a Bachelor's degree, and RN licensure is preferred. Competitive pay and flexible work options are offered. #J-18808-Ljbffr Centene
Vacancy posted 6 hours ago
Similar jobs that could be interesting for youBased on the Remote Director, Utilization Management - Long-Term Care in Tallahassee, FL vacancy
$101.72k - $198.36k
...Location: California - Ability to work remote, but selected candidate must reside... ...some or all of the following functions: utilization management, care management, behavioral health and... ...utilization management, care transitions, long-term supports and services (LTSS),...Remote workContract workWork experience placementWork at officeLocal areaMolina Healthcare Careers
Bakersfield, CA15 days ago$112.7k - $193.2k
...with one of the nation's leading health care organizations and build your career at... ...operational oversight for all Utilization Management functions, including inpatient utilization... ...clinical and non‑clinical operations. The Director is accountable for ensuring all...Remote jobMinimum wageFull timeContract workWork experience placementLocal area- ...Director Transformers, T&D Hardware & Utility Remote, Nationwide A fast-moving infrastructure supply organization... ..., and the chance to build long-term customer partnerships across some... ...procurement teams, estimators, project managers, and executive stakeholders to...Remote workFor contractors
Blue Signal Search
United States1 day ago $150k - $200k
...for the Southeastern US Director – Utility Substations About the... ...Lakewood, Colorado) and full-time remote candidates. Essential... ...Resource Allocation and Management ~ Develops appropriate team... ...equipment, etc.) ~ Dependent Care Match ‘Atwell’ness:...Remote workFull timeWork at officeLocal areaAtwell, LLC
Denver, CO2 days ago$101.6k - $142k
...of technology-enabled revenue cycle management solutions for health systems, including... ...the possible in healthcare. The Director of Virtual Utilization Review will serve as a strategic leader... ...Project, or similar) **This is a remote position; however, candidates must...Remote workTemporary workWork at officeLocal area$160k
...Integra’s Utilization Management (UM) division is looking for an experienced... ...teams for a managed care organization. This... ...with Chief Medical Director to establish, adopt, and... ...Company-paid short term disability coverage (location... ...opportunities Remote Opportunities We are actively...Remote workTemporary workLocal areaFlexible hoursIntegra Partners
Lansing, MI1 day ago$121.5k - $224.9k
## Director, Utilization ManagementApply: Remote-FL: Full time: Posted Today: 1664296**Position Purpose:** Directs the utilization management team to ensure the appropriate application of policy procedures... ...and a strong background in Long-Term Care (LTC) Utilization Management,...Remote workFull timePart timeWork at officeFlexible hoursCentene Corporation
Eastern, KY1 day ago$175k - $190k
Tract Capital Management, LP is seeking a Utility Development Leader to manage power development strategies and lead electrical infrastructure projects... ...of $175,000 to $190,000 plus bonuses and is eligible for remote work. #J-18808-Ljbffr Tract Capital Management, LPRemote job- Centene Corp. seeks a Director of Utilization Management remote in Florida to lead the UM team, ensuring policy alignment, timely reviews, and compliant... ...role demands expert LTC UM knowledge, Medicaid managed care experience, and strong leadership in a matrix environment...Remote job
- ...engagements as a Consulting Director with deep... ...service reliability asset utilization and overall operational... ...planning transportation management and warehouse collaboration... ...across on site and remote settings to maintain... ...optimization gained through long term engagement in...Remote workShift work
$121.5k - $224.9k
About This Role The Director of Utilization Management directs the utilization management team to ensure... ...experience and a strong background in Long-Term Care Utilization Management. Highlights... ...$121,500 - $224,900/year Location: Remote, FL Brand/Division: Centene...Remote workFull timeWork at officeFlexible hours- ...Health is seeking an experienced Registered Nurse to support utilization management from a remote home-based setting across the United States. The role involves assessing patient needs, planning and coordinating care, and collaborating with providers to render coverage...Remote workWork from homeWeekend work
4062 Aetna Resources, LLC
Columbia, SC1 day ago $134.6k - $230.8k
...is a global organization that delivers care, aided by technology to help millions... ...training and quality organization supporting utilization management operations across a large,... ....You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaUnitedHealth Group
Charlotte, NC3 days ago- ## Associate Dental Director, Government Programs Dental Consulting and Utilization ManagementApply: This is... ...position, both in-office and remote.: Okemos, MI: Detroit,... ...and Utilization Management**Number of Positions:*... ..., quality-of-care reviews, peer-to-peer...Remote workFull timeWork at office
- ...Description Job Description Senior Director, Care Management (RN) | New Opening Lead care... ...schedule with 3 days onsite and 2 days remote. What you'll do Lead care management... ...care management, case management, or utilization management . ~ Strong working...Remote workSummer workLocal area
Career Match Pro
Anchorage, AK10 days ago $133.7k - $247.4k
Position Purpose: Directs the long-term care of members with physical/... ...objectives within long-term care management to improve member and/or... ...Superior Health Plan: Resource Utilization Group (RUG) certification... ...flexible approach to work with remote, hybrid, field or office...Remote jobFull timeContract workPart timeWork at officeFlexible hours$130.33k - $195.48k
...providing excellence in patient care, embracing multi-... ...Description The Corporate Director of Care Management and Ambulatory Nursing provides... ...oversight of care management, utilization management, CDI programs,... ...models, including virtual care, remote monitoring, and cross-...Remote workContract workLocal area$161k - $221.75k
...experienced Associate Director, Clinical... ...open to considering remote candidates with the... ...agreementsMatrix manage biomarker assay development... ...approach utilizing a combination of factors... ...both short term and long-term incentives, including... ...in our mission. Caring Deeply. Achieving...Remote workFull timeContract workTemporary workLocal areaBiogen Idec
San Francisco, CA4 days ago- ...Director, Revenue Cycle Management Application/Product Delivery for BJC HealthCare BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services... ...mental health, rehabilitation, long-term care and hospice. BJC is...Remote workFlexible hours
Aya Healthcare
Saint Louis, MO3 days ago $29 - $62 per hour
About This Role The Utilization Management Nurse Consultant role at CVS Health involves utilizing clinical... ...with a strong background in acute care and a passion for improving healthcare... ...Highlights Pay: $29 - $62/hour Location: Remote, TX Residency: Must reside in EST or...Remote workWork at officeWork from homeAfternoon shift- Gainwell Technologies LLC is seeking an Associate Manager, Clinical Quality to lead QA for Prior Authorization reviews.... ...RN license, strong leadership skills, and 5+ years in PA/utilization management. This remote US role offers growth opportunities and a comprehensive...Remote job
- ...Health is seeking an experienced Registered Nurse for a fully remote Utilization Management Nurse Consultant role. This position is ideal for... ...looking to make a clinical impact without direct patient care. Highlights include a remote role in VA with Virginia residency...Remote work
CVS Health
United States5 days ago - ...Humana is seeking a Utilization Management Nurse to support coordination, documentation, and communication of medical services... ...can work independently and make critical patient-care decisions. This full-time, remote position offers a competitive salary and comprehensive...Remote workFull time
Humana
United States5 days ago $160k - $180k
...Consulting; Infrastructure; Utility Services; Environmental Health... ...Sciences; Buildings & Program Management; and Geospatial Technology.... ...lifecycle material sourcing, remote logistics, and final delivery... .... This policy applies to all terms and conditions of employment,...Remote workContract workSeasonal workWork at officeLocal area- ...work with a great team! Signet Health manages the behavioral health services at... .... We are looking for an experienced Utilization Review Director (RN) at our new, free-standing psychiatric... ...patients receive the appropriate level of care, and that all services rendered meet...
Signet Health Corporation
Midland, TX27 days ago - ...Job Description Job Description RN Director of Utilization Management Eastern United States The RN Director of Utilization Management leads... ...financial operations, working with Case Management, Managed Care, Patient Financial Services, and Patient Access to keep...
Healthcare Recruitment Partners
Gainesville, GAa month ago $59.5k - $116.6k
...UnitedHealth Group is seeking a Utilization Management Nurse RN to work remotely from anywhere in the U.S. This role involves ensuring efficient health services... ...requires an active RN license and 3+ years of Managed Care or Clinical experience. The successful candidate...Remote workWeekend workkozmetickesluzby.vecnakraska.sk - Jobboard
United States3 days ago- ...CVS Health is seeking a Utilization Management Nurse Consultant for a remote Texas position. The role uses clinical nursing experience to assess, plan, implement... ..., with a strong focus on utilization management and care coordination. Ideal candidates hold an associate...Remote workAfternoon shift
CVS Health
United States2 days ago $26.01 - $62.32 per hour
...RN Utilization Management Nurse Consultant (Medicare – Joint Procedures) We're building a world of... ...surrounded by passionate colleagues who care deeply, innovate with purpose, hold... ...CVS Health bonus, commission or short-term incentive program in addition to the base...Remote workHourly payFull timeTemporary workWork at officeWork from homeWeekday workOak St. Health
United States3 days ago- ...Humana is seeking an Utilization Management Registered Nurse to interpret and coordinate medical services and benefit determinations for post-acute care. You will work remotely, reporting to the Manager of Utilization Management, and support SNF, home health, and DME coordination...Remote work
Humana
United States1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Director, Utilization Management - Long-Term Care. Be the first to apply!
Related searches
- director workforce management Tallahassee, FL
- director of inventory management Tallahassee, FL
- director of training and development Tallahassee, FL
- director of innovation Tallahassee, FL
- science director Tallahassee, FL
- director of credit Tallahassee, FL
- director of fulfillment Tallahassee, FL
- director estimating Tallahassee, FL
- director of culinary Tallahassee, FL
- director of college counseling Tallahassee, FL