Medical Director Utilization Management Oncology
The Oncology Institute (TOI)
Job Description
\n Utilization Management Medical Director Oncology\n
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\n Work Location: REMOTE (work from home)\n
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\n The Medical Director role provides clinical expertise in assessing the medical necessity, appropriateness, and efficiency of oncology care with a focus on direct utilization management for case review and clinical decision making. \n
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$275k - $325k
...Job Description Job Description About The Oncology Institute ( Founded in 2007, The Oncology Institute (NASDAQ:... ...and growing, TOI is changing oncology for the better. Utilization Management Medical Director Oncology Work Location: REMOTE (work from home)...SuggestedRemote workWork from home- ...Medical Director, Utilization Management The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Medical Director, Utilization...SuggestedFull timePart timeWork at officeLocal areaWork from homeHome office2 days per week
- ...this framework, the Office of the Promise Chief Medical Officer (CMO) and its Medical Directors report up to the Healthcare Services leadership headed... ...the Promise Health Plan Senior Medical Director, Utilization Management. The Promise Health Plan Medical Director...SuggestedFull timePart timeWork at officeWork from homeHome officeAfternoon shift2 days per week
- ...Job Id: 962 # of Openings: 1 Practice Manager COMPANY DESCRIPTION Unio Health Partners... ...urology, gastroenterology, and radiation oncology) and offers numerous ancillary services,... ...quality assurance, confidentiality, and medical records documentation to ensure...SuggestedWork at officeRemote work
$348.25k - $417.9k
...Regional Medical Director For Pace If you are as passionate about helping those in need as you are about growing your career, consider... ...be responsible for overseeing all clinical aspects of utilization management, case management, chronic disease case management, and...SuggestedFlexible hours- ...Assistant Unit Director The Boys & Girls Clubs of Central Orange Coast is looking for... ...Director will also be responsible for the management of volunteers and will oversee the... ...authority in problems relating to members; utilize guidance and discipline plan. # Purchase...Work experience placementWeekend work
$78.39k - $97.99k
...day. Job Overview The Supervisor, Utilization Management - Clinical position is responsible for overseeing... ..., health plan delegated activities, and medical management initiatives. This position works closely with the Manager, Director, Medical Director, and VP to evaluate...Work experience placementFlexible hours$310.65k - $372.78k
...Job Description & Requirements Site Medical Director StartDate: ASAP Pay Rate: $310648.00 - $372777.00 AltaMed, a leading healthcare center providing services to more than 300,000 Southern California residents, is seeking a qualified physician with prior leadership...Full timeLocal areaImmediate startShift work- ...Medical Director Position Emergency Care - Medical Director - Norwalk, CA An exceptional veterinary hospital, with a dedicated team, is... ...emergency protocols, and working collaboratively with the practice manager and leadership team. Credentials & Qualifications That Are...Relocation package
$25 - $27 per hour
...cancellations. Supporting in the development of the utilization report of caseload monthly. Managing a caseload to meet clinical quality standards,... ...for any part of the employment process because of a medical condition or disability, please send an e-mail to benefits...Hourly payFull timeImmediate startWork from homeFlexible hours$30 per hour
...Type: Part Time Job Number: Clinical Case Manager-STH-26 Closing: Open until filled.... ...services after and beyond the counseling and medical care provided by SHS staff. Under the... ...tracking of clinical case management utilization and outcomes. Participate, under the guidance...Hourly payTemporary workPart timeLocal areaImmediate startMonday to Friday$80k - $110k
...Clinic Manager Salary Range $80,000.00 - $110,000.00 Salary Job Shift Day Travel Percentage... ...which may include but is not limited to Medical, Mental Health, Ob/Gyn, Endocrinology,... ...preventative and corrective actions, Utilization Management goals, and Credentialing & Privileging...Work at officeLocal areaImmediate startFlexible hoursShift workAfternoon shift$248.5k - $373k
...Appeals And Grievances Medical Director At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities... ...policies Perform Department of Insurance/Department of Managed Healthcare, and CMS regulatory responses Communicate with...Minimum wageWork experience placementLocal areaRemote workWork from home$248.5k - $373k
...creating healthier communities. The Appeals and Grievances Medical Director supports ongoing clinical review and adjudication of appeals... ...medical policies. Perform Department of Insurance, Department of Managed Healthcare, and CMS regulatory responses. Communicate with...Remote workFlexible hours- ...Step into a transformative leadership role as a mission-driven Medical Director, leading a dedicated team of approximately 40 multi-... ...professionals. Financial Stewardship: Contribute to the development and management of the annual budget, promoting operational efficiency and...Full timeRelocation package
$111.15k - $163.74k
Carbon Health Technologies Inc in California seeks a Clinic Medical Director. This role combines clinical leadership with oversight of clinic operations, promoting a high-quality patient care experience. Ideal candidates are passionate about redefining healthcare, with...- Acuity Eye Group is seeking a Practice Manager for their La Palma office. The role involves overseeing daily clinic operations, managing schedules, and ensuring patient satisfaction. Candidates should possess a Bachelor's Degree in a related field with 3-5 years of relevant...Work at office
- ...We are seeking a Clinical Care Manager - CA to join our team at Independent Living Systems... ...care plans for patients with complex medical needs. Coordinate communication among... ...Collaborate with insurance providers and case management teams to optimize resource utilization....
$19 - $23 per hour
Altasciences Co. in Cypress, California is looking for a Sample Management Coordinator to manage biological samples collected during clinical trials. The role involves ensuring compliance with study protocols and maintaining high levels of customer service. The ideal candidate...Hourly payPart time$50.18 - $77.91 per hour
...Provides professional nursing care by utilizing the nursing process, implementing palliative... ...interventions, administering prescribed medications and treatments, and counseling patients... .... Coordinates with the Patient Care Manager and IDG to ensure continuity of care, safe...Monday to FridayShift workWeekend work- ...coordinating delivery of services to managed care residents in... ...as a liaison to insurance and medical management professionals.... ...problem areas to department directors. 18. Assists with contract... ...departmental improvements. 30. Utilizes most efficient, safe and cost...Contract workWork at officeShift workWeekend work
- ...genetics, etc.) to provide advanced clinical managed care / clinical performance. May lead and manage a team of medical directors delivering oversight and expertise in... ...director in managed care setting supporting utilization management/quality management initiatives,...Full timeWork at officeLocal area
- ...Medical Director Emergency Medical Services (EMS) The Medical Director EMS will serve as the primary medical authority for the City of... ...and implement corrective actions Oversee procurement and management of controlled substances Ensure regulatory compliance for...
- ...POSITION SUMMARY The Clinical Services Manager is responsible for overseeing daily operations related to Utilization Management (UM), Clinical Auditing, and quality... ...requests. Collaborate with Medical Directors and providers regarding medical necessity criteria...Work at officeFlexible hours
$310.65k - $372.78k
...Site Medical Director-PACE If you are as passionate about helping those in need as you are about growing your career, consider AltaMed... ...DEA License required. Prior experience in a leadership or management role is strongly preferred. Previous experience with...Flexible hours- PIH Health, Inc. is seeking a qualified individual for a full-time management position in Cerritos, California. This role involves providing administrative leadership to clinic staff and ensuring effective patient care and flow. Candidates should possess strong communication...Full time
- Redwood Family Care Network seeks a Clinical Director - Psychiatric Nurse Practitioner in Buena Park, CA. This part-time position involves oversight of psychiatric medication practices across multiple programs while promoting a person-centered approach and compliance. The...Part time
- Concentra, Inc. is seeking a Center Medical Director in Compton, California. This key role involves managing clinical operations, ensuring high-quality occupational healthcare delivery, and providing exceptional patient care. The ideal candidate will possess strong leadership...
- ...Description A Practice manager is responsible for the daily operations of a medical office or clinic, from managing staff to handling patient interactions. Duties... ...). Financial Acumen (understands profit drivers; utilizes metrics to manage; builds the financial understanding...Work experience placementWork at officeLocal areaImmediate startFlexible hours
$150k - $180k
...Director of Clinical Research Site Operations Job Category: Executive Requisition Number: CLINI004081 Posted : April 30, 2026 Full-Time... ...quality people, teamwork, and highly experienced clinical research managers with a history of success. Along with an exceptional work...Full timeTemporary workWork at office
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