Medical Director - Case Management and Utilization Review
Health eCareers
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
- ...Broward Health Medical Center Shift: Shift 1 FTE: 1.000000 Summary: The Director has overall responsibility for hospital utilization, performance improvement and operational management of the Case Management Department in order to promote effective...SuggestedShift work
- ...clinical professional on our Medical Management/Health Services team.... ...rates of behavioral health utilization and/or severe psychosocial vulnerability... ...to address medical needs. Reviews benefits options, researches... .../inpatient utilization, case management and discharge planning...SuggestedRemote workFlexible hours
- ...patients using the functions of Utilization Resource Management, Transition of Care, Discharge Planning, and Case Management in order to... ...Specific Duties Coordinates medical DCP needs specific to... ...admission and concurrent/retro reviews using available third-party...SuggestedDaily paidWork experience placementFlexible hours
- ...of Every One. Job Title PRN RN Case Manager Location Weston... ...Weston Hospital Department Utilization And Quality Assur-Weston Hospital... ...years of recent experience in utilization review, quality or care management Knowledge...SuggestedReliefWork at officeShift work
- ...RN Case Manager Location: Pembroke Pines, Florida We have an outstanding... ...care coordination and utilization of healthcare resources to... .... Works with attending/ED medical staff to assign appropriate... ...status utilizing criteria-based review and provision of resources...SuggestedWork experience placementRelocation packageShift workAfternoon shift
- ...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...ReliefWork at office
- ...assisting with emergency medical claims to guiding... ...Expedition The Medical Case Manager is a Licensed... ...capable of securing and reviewing clinical data in order... ...or refer to Medical Director or peer reviewer.??... ...medical-surgical cases, utilization management, discharge...Temporary workInternshipWork at officeLocal areaImmediate startWork from home2 days per week3 days per week
$85k - $125k
...Texas. Job Description The Director of Settlements is a high-impact... ...oversees a team of senior case managers focused on claims negotiation... ...authority, and case valuation Review and guide team execution of... ...depending on the selected plan. The medical insurance plans include...Full timeTemporary workWork at officeImmediate start- ...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 paidFlexible hours
- ...Case Manager As a Case Manager, you will be part of a stable, established, and yet still... ...Sick ~ Fifteen (15) paid Holidays ~ Medical, Dental, and Vision coverage ~ Term and... ...Develops, implements, coordinates, reviews and updates case management and individual...Contract workTemporary workLive inWork at officeLocal areaFlexible hours
- ...Director Of Case Management Location: Pembroke Pines, Florida At Memorial, we are dedicated to improving the health, well-being and, most... .../Fumes = 60% Hazardous Chemicals = 60% Hazardous Medication = 40% Latex = 60% Computer Monitor = 80% Domestic...
- ...holistic approach to patient management and requires strong leadership... ...both the social work and case management teams in achieving... ...fostering collaboration. The Director oversees case management operations... ...Chemicals = 60% Hazardous Medication = 40% Latex = 60%...Work experience placementShift work
- ...Services include crisis intervention, case management, parenting skills training, child development... ...is required. Demonstrate proficiency utilizing Microsoft software packages.... ...including evenings, weekends and holidays. Vacation, Medical, Dental, Vision, Holidays...Immediate startFlexible hoursAfternoon shift
- ...Job Description Job Description Job Title: Intensive Case Manager Job Type: Direct Care Staff Department: Residential... ...the following: Provide intensive case management services utilizing the Transition to Independence Process (TIP) model. Job functions...Contract workShift work
- ...Permanent Supportive Housing Case Manager Essential Job Responsibilities. Permanent Supportive... ..., home-based services, training, medical services, mentoring, and socialization).... ...needed. Maintain progress notes and progress reviews in client records as specified in agency...Permanent employmentWork at officeLocal areaWork from home
- ...ESSENTIAL JOB RESPONSIBILITIES Housing Case Manager Conduct comprehensive interviews... ..., ensuring families receive coordinated medical, social, and community-based support throughout... .... For further information, please review the Know Your Rights notice from the...Permanent employmentTemporary workWork experience placementWork at officeLocal areaFlexible hours
- ...24-hour accountability for managing the functions of Access, Care... ...the central resource to the Director - Case Management to develop strategies... ...and interim performance reviews for all staff and contributes... ...clinical decision making, medical criteria, and discharge planning...Work experience placementInterim roleWork at officeShift work
- ...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
- ...Must be able to work in a stressful environment and take appropriate action. This role demands an expert level understanding of case management, social work practices, and roles in discharge planning to ensure high quality efficient patient care. This role must be able...Work experience placement
$75k
...saving lives! The National Manager of Case Management Services plays a... ...verification, eligibility reviews, and addressing patient... ...closely with Site CEOs, Clinical Directors, Business Development, and... ...field, finance/accounting, or medical management preferred....Remote work$60k - $80k
...personal injury law firm in Aventura looking for an experienced Case Manager who can hit the ground running. This is a full-time, in-... ...on case status, timelines, and next steps * Gather, review, and analyze medical records, bills, and treatment summaries * Coordinate with...Full timeWork at officeMonday to Friday- ...Licensed Practical Nurse (LPN) Case Manager The Licensed Practical... ...Registered Nurse (RN) and/or Director of Nursing. The LPN Case... ...scope of practice. Provide medication management, treatment administration... ...in audits, chart reviews, and corrective action plans...
- ...Housing Case Manager- Fort Lauderdale Airport Housing Opportunities Coordination: Oversee... ...management and accuracy. Refer the client to Medical, Dental, Behavioral Health, social... ...needed. Maintain progress notes and progress reviews in client records as specified in agency...Hourly payPermanent employmentWork at office
$50k - $89.6k
Case Manager, Crew Relations Position Summary The Case Manager, Crew Relations will be responsible for an investigation caseload, and... ...) or Case Management Tool. Ability to work independently and utilize resources to problem solve a variety of complex, highly sensitive...Full timeTemporary workWork at officeLocal areaImmediate startFlexible hoursNight shift- .... 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 workFlexible hours
- ...coordination and disease management for patients with... ...particularly in complex motility cases, ensuring meticulous care and thorough review of disease processes.... ...care team involved. Utilize assessment skills and... ..., age-specific, medical, behavioral, pharmacy,...Shift work
- ...coordination of care and disease management for patients with... ..., optimizing APP utilization, and supporting timely... ..., age-specific, medical, behavioral, pharmacy,... ...certification Prior case management experience... ...Administration: Please review the Equal Employment Opportunity...
$85k - $125k
...Jersey and Texas. Job Description Role Overview The Manager of Senior Case Management (Negotiations & Settlements) is a high-impact... ...the employee premium, depending on the selected plan. The medical insurance plans include options for national coverage and free...Full timeTemporary workWork at officeImmediate start- ...TITLE: REMOTE CASE MANAGER - INTEGRATED CARE. LOCATION: FORT LAUDERDALE, FL. 33304. DURATION: 6+ MONTHS. LICENSE : LCPC, LCSW OR RN. THE RN REQUIRES A MIN. BACHELOR’S DEGREE. ALL OF OTHER LICENSES REQUIRES A MASTER’S DEGREE. TEMP-TO-PERM REMOTE POSITION....Permanent employmentTemporary workLocal areaRemote work
- ...highly organized, tech-savvy Case Management Coordinator to join our Case... ...members to evaluate the medical needs of the member to facilitate... ...information, Medication review, Community resources and supports... ...Program enrollees. Utilizes critical thinking and judgment...Temporary workWork at officeMonday to Friday
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