Medical Director - Utilization & Care Management
$227.6k - $385kHighmark Health
Highmark Health in Denver, Colorado is seeking a physician to join a team ensuring utilization management aligns with clinical standards. Responsibilities include reviewing escalated cases, participating in multidisciplinary team activities, and ensuring compliance with NCQA and CMS standards. Required qualifications include an MD or DO, with at least 5 years of clinical experience, and preferred experience in medical management. This role offers a salary range from $227,600 to $385,000 depending on experience. #J-18808-Ljbffr Highmark Health
- ...Medical Director Location: Hybrid – Englewood, NJ Department: Medical Salary... ...-based, trauma-informed care in a structured and supportive... ...and withdrawal management protocols Oversee all medical... ...assurance measures , including drug utilization reviews and medication safety...SuggestedFull timePart timeFlexible hours
$223.8k - $313.1k
...Become a part of our caring community The Medical Director relies on medical background and reviews health... ...Medicine, or those experienced in Utilization Review are encouraged to apply.... ...clear, well-reasoned utilization management determinations. Communicate with...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeHome officeMonday to FridayWeekend work$237.9k
Job Summary The Medical Director of Adolescent Inpatient Psychiatry and Substance Use Disorder Medical Management services leads and provides clinical care to service line(s) in the department of Behavioral Health Services (BHS). This role supervises other physicians and...SuggestedFull timeTraineeshipWork at officeRelocation package$75k
...Job Description At PetVet Care Centers, our mission is to improve... ...Emergency Veterinarian Medical Director to join our team at Northside... ...closely with the Hospital Manager and Regional Director. Why... ...Continuing Education: Commitment to utilize available resources of...SuggestedLocal areaRelocation$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...Suggested$70k - $90k
...OnPoint Medical Group is searching for an outstanding Practice Manager to join our team at OnPoint Pediatrics Highlands Ranch... ...network of skilled Primary and Urgent care providers who are committed to... ...: The Practice Manager will utilize leadership and interpersonal...Full timeTemporary workWork at officeRemote work$44.33 - $68.42 per hour
...Ambulatory Care Leadership Provides effective leadership and... ...quality assurance and financial management. Scope This position is... ...and physician engagement. Utilizes formal and informal recognition... ...the same. Understands the medical home concept and implements...Hourly pay- ...Clinical Professional to join the Medical Management/Health Services team. You will assist the Chief Medical Director in directing medical... ...providing medical leadership in utilization management, developing initiatives to improve care quality, and conducting medical...Flexible hours
- ...OB/GYN Hospitalist Medical Director - Denver, CO Pediatrix Medical Group is seeking a Board-Certified OB/GYN Hospitalist to... ...Census: 8 Responsibilities: In-house OB/GYN hospitalist care, leadership and management of physician roster, partnership with hospital...Full timeWork at officeRelocationRelocation packageFlexible hoursShift work
$92.6k - $127.4k
...Become a part of our caring community and help us... ...reporting to the Branch Director of the Portland/Lake Oswego... ...policy. Clinical Manager Develop, plans, implements... ...recommendations by Utilization Review staff. Upon... ...benefits, Humana provides medical, dental and vision...Full timeTemporary workApprenticeshipImmediate startRelocation package$150k - $170k
...At PetVet Care Centers, our mission is to improve the lives of animals and people — providing... .... We care for you. Position Overview The Medical Director (MD) is responsible for providing strong leadership for the hospital, managing and mentoring associate veterinarians, and...Full timeSummer workLocal areaRelocation packageFlexible hours$58.66k - $77.57k
...supporting high-quality patient care. The Supervisor plays a key... ..., ensuring accurate specimen management and timely turnaround times... ...procedures. Responsible for utilization of HIS/LIS system in department... ...families. Comprehensive Medical Coverage: Multiple Cigna health...Full timePart timeWork experience placementWork at officeLocal areaRemote work$109.17k - $203.05k
...Director, Home Health Administrator Leading Faith-Based Nonprofit... ...supervision, OASIS quality, utilization management, billing oversight, payer credentialing... ...referring physicians and care management teams pick up the... ...in You, From Day One - Medical, dental, vision, life, and...Full timeContract workLocal areaWork from homeMonday to FridayShift workDay shift$248.5k - $373k
...Medical Director Optum is a global organization that delivers care, aided by technology to help millions of people live healthier... ...and ongoing relationship management activities with existing clients... ...data, development of utilization and performance reporting tools...Remote jobMinimum wagePart timeWork experience placementLocal areaWork from home- A healthcare provider in Denver is seeking a Medical Director for Anesthesiology to lead a collaborative team and ensure high-quality care. This role emphasizes partnership among CRNAs and anesthesiologists, focusing on clinical leadership and operational oversight. A flexible...Full timeFlexible hours
- ...responsible for providing case management, consultation, and clinical... ...community, including outpatient care, hospitals, treatment... ...referrals, collecting and tracking utilization, satisfaction, and outcome... ...activities supporting the Clinical Director. Update and provide training...Full timeTemporary workWork experience placementInternshipWork at office
$73.75k
...pediatrix.com Overview Maternal-Fetal Medicine Physician Medical Director in Denver, CO $100K Sign-On Bonus Responsibilities... ...Director to join our well-established practice providing care to several clinics in the Denver metro area and delivery sites...Full timeWork at officeRelocationRelocation packageShift workWeekend workWeekday work- ...Description Practice Manager Mile High Animal Hospital, A Thrive Pet Healthcare... ...in Aurora, CO More than a word, care is present in everything you do. At... ...for new pet adoptions • Top quality medical, dental, and vision insurance plus health...Flexible hours
$74.09k - $114.69k
...career opportunities as a Hospice Manager of Clinical Services RN you... ...HealthONE Hospice & Family Care which is part of the nation's... ...our quality model, and utilizing services appropriately to achieve... ...or corrections to ensure the medical records reflect compliance with...Temporary workLocal areaFlexible hours$100k - $115k
...Join our team as a Clinical Manager at Wind Crest! As a key... ...skilled nursing and long-term care neighborhood, ensuring the delivery... ..., vision and values ~ Medical, dental and vision packages,... ...Medication Errors, Restraint Utilization, Re-hospitalization, Anti-...Work at officeLocal areaImmediate start- Vivent Health in Denver is seeking a seasoned Practice Manager to lead daily operations of our health center. You will oversee patient services... ...management, and staff development within a collaborative HIV care model. This onsite role offers a comprehensive benefits package,...
$227.6k
...part of a physician team, ensures that utilization management responsibilities are performed in accordance... ...cases electronically and using Medical Policy criteria sets to evaluate the medical... ...to help support and improve the care of our members. Essential Responsibilities...Private practiceWork at officeLocal area- ...family we serve benefits from the guidance of our hospice medical director. End-of-life care requires not only compassion but also careful... ..., therapies, and comfort measures to keep symptoms well managed. Team support: Provides leadership to nurses, CNAs, social...
$100k - $130k
...knit community that values high standard of care. Our Facility: Digital radiology Digital... ...physical examinations and diagnostic/medical/surgical/dental procedures that deliver the... ...Makes decisions confidently and effectively. Manages time and tasks appropriately. Models a...Full timePart timeWork at officeLocal areaFlexible hours- A veterinary practice is looking for an experienced Medical Director to guide their clinical team in Littleton, Colorado. This leadership role emphasizes high-quality patient care, enhancing medical protocols, and mentoring staff. The position offers a collaborative environment...Relocation package
$63.74k - $95.26k
...Description CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Denver, CO. Work from... ...the employer, and the referral source Utilizes their medical and nursing knowledge to...Minimum wageFull timeWork at officeLocal areaWork from homeMonday to FridayFlexible hoursNight shift$90k - $115k
...Healthcare Talent Acquisition Manager (Hybrid in Denver)... .... Reporting to the Director, Talent Management, you... ...the future of patient care! If you care deeply about... ...collaborate with administration, medical directors, and... ...future clinical needs. Utilize job boards, and...LocumWork at officeRelocation- The Vet Service in Aurora, Colorado is seeking a Small Animal Medical Director Veterinarian to lead a dedicated clinical team while actively engaging in patient care. This role encompasses leadership responsibilities and the opportunity to influence clinical standards,...
- A healthcare service provider is seeking a dedicated Associate Medical Director Visit Physician in Westminster, CO. This PRN position offers a chance to provide exceptional care in the Greater Denver area. Qualified candidates must hold a valid medical license and DEA....Relief
$40.35 - $58.87 per hour
...supporting safe, high-quality care for which they can practice.... ...general supervision of the unit’s director or designee the CNC assumes... ...with other members of the management team, this individual is responsible... ...the traditional focus on medical needs to the needs of the...Hourly payTemporary workLocal areaFlexible hoursShift work
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