Medical Director, Utilization & Care Management
Highmark Health
Highmark Health is looking for a Medical Doctor or Doctor of Osteopathic Medicine in Oklahoma City. This role focuses on utilization management, conducting electronic reviews of escalated cases and ensuring compliance with regulations. The candidate will also participate in multidisciplinary teams for case management and may manage projects needing physician expertise. You will need at least 5 years in clinical direct patient care and a board certification in your specialty. #J-18808-Ljbffr
- ...high-quality and cost-effective care provided by competent co-workers. They ensure efficient utilization of available resources to... ...involved in patient flow and bed management issues in collaboration with... ...benefits - including medical, dental, and vision coverage,...SuggestedFull timeWork at officeTrial periodNight shift
- ...high-quality and cost-effective care provided by competent co-workers. They ensure efficient utilization of available resources to... ...involved in patient flow and bed management issues in collaboration with... ...Clinical Supervisor RN – Medical-Surgical Services | Nights& Evenings...SuggestedFull timeTemporary workWork at officeTrial periodRelocation packageShift workNight shiftWeekend workAfternoon shift
- ...PACE in Oklahoma City, OK is seeking a Medical Director and an Associate Medical Director to join... ...growing field of PACE (All-inclusive Care for the Elderly). The Associate Medical... ...topics related to participant care, disease management, and regulatory requirements. Actively...Suggested
- ...join our team as our Clinical Care Manager. As the Clinical Care... ...will enrich lives every day by utilizing your education and experience... ...oversight. Manage Nurses and Medication Aides Train, delegate to, and... ...with the Health Services Director, Executive Director, nursing...SuggestedFlexible hours
- ...data, analytics, AI, change management, talent and sustainability capabilities... ...clients on network strategy, utilization performance, and provider... ...line strategy and site-of-care optimization (ASC vs HOPD,... ...suite of benefits including medical, dental, vision, life, and long...SuggestedFull timeLive inWork at officeLocal areaWork from home
$63.74k - $95.26k
...Medical Case Manager CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position... ..., the employer, and the referral source Utilizes their medical and nursing knowledge to discuss the...Minimum wageFull timeWork at officeLocal areaWork from homeMonday to FridayFlexible hoursNight shift$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- ...organizes and directs hospice care and is experienced in nursing... ...professional nursing care by utilizing all elements of nursing... ...nursing procedures. Administers medications and treatments as prescribed... ...comfort care. 11. Acts as Case Manager when assigned by Clinical...Immediate start
- ...seeking an experienced and forward-thinking Medical Director (MD or DO) to lead and support our... ...maintaining high standards of patient care and provider performance. Other qualifications... ...therapy, medical weight loss utilizing GLP-1 medications, erectile dysfunction...Full timePart time
- ...Friday Overview: The Manager-Clinical Programs is responsible... ...ensuring efficient resource utilization to meet productivity and... ...appropriately staffed to meet patient care needs and is actively... ...outstanding benefits - including medical, dental, and vision coverage,...Full timeMonday to FridayShift work
- ...Enhabit Home Health & Hospice, one of the nation’s largest home-based care providers. Consistently recognized as a great place to work,... ...of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status...Full time
$42 - $52 per hour
...Services of Massachusetts is seeking a Hospice RN Case Manager to join our team of caring professionals. As a Hospice RN Case Manager, you will plan... ...hospice needs Provide professional nursing care by utilizing all elements of the nursing process Assess and evaluate...Hourly payWeekly pay$83.84k - $120k
...Description:****What You’ll Do**: The Hospice RN Case Manager plans and delivers care to patients utilizing the nursing process of assessment, planning,... ...Provide instruction to patient and family regarding medication actions, side effects, dosage, route, and frequency...Full timeShift work- ...Urgent Care Veterinary Practice Manager Are you an experienced Veterinary Practice Manager with a passion... ...: Reports to the Regional Director of Operations, UrgentVet Typically... ...team of people! ~ Health Care Plan (Medical, Dental & Vision Options) ~401k...Temporary workLocal areaWeekday work
- ...Touchmark at Coffee Creek is seeking a Clinical Care Manager to oversee licensed care staff and ensure residents receive dignified, high-quality care. You will lead a team of nurses and medication aides, coordinate clinical communications, and support move-in planning...
- ...Overview Director of Clinical Operations – Lead the Future of Senior Care Relocation assistance is available! At Diversicare,... ...Services in areas such as event management, grievance response, guardianship... ...growth, including: Medical/Dental/Vision Insurance Excellent...Temporary workRelocation package
$191.15k - $305.85k
...Job Description The Medical Director brings a unique set of knowledge... ..., and members as needed. Utilizes clinical knowledge and experience... ...quality and cost-effective care for members. The... ...~ Project planning and management Core Skills: Strategy...Local area- ...Hospice Office Manager Valir Hospice OKC - Oklahoma City, OK 73102 Overview Position Type: Full Time Job Shift: Day Education... ...terminally ill patients and their families with customized medical care and pain management, as well as emotional and spiritual support...Full timeWork at officeShift work
$124k - $280k
...STARS/Quality Clinical Consultant, Senior Manager, you will engage with clients in the... ...projects with a focus on payer modernization- Utilizing analytical thinking to develop and... ...offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay,...Full timeH1b- ...continually elevating standards of care for stroke, heart failure and... ...through education and medical staff interaction, including clinical... ...use and applications Utilizes Integrity Selling to change the... ..., you’ll meet with the hiring manager (and possibly others on the team...Daily paidFull timeLocal area
$31.83 - $63.65 per hour
...will lead to achieved value. Manage ongoing relationships with clients... ...focusing on client success in utilizing Oracle's solutions. Through... ...which includes the following: # Medical, dental, and vision insurance,... .../Spouse/Child) # Health care and dependent care Flexible Spending...Hourly payTemporary workFlexible hours- ...create a more efficient path to quality care. With human-centered, healthcare-relevant... ...care.? Requirements The Customer Service Manager (CSM) oversees the SMRC’s provider-facing... ...Additional Documentation Request (ADR) letters, medical review determinations, Discussion and...For contractorsWork experience placementRemote work
$90k
...Clinical Care Manager (RN) will act as a team Clinical Care Manager by providing care coordination and clinical management for One Care... ...the XXXX region. Keywords: R.N., RN, registered nurse, nursing, medical, community based, home care, healthcare, Care coordinator, Patient...Temporary workWork at officeFlexible hours$100k - $120k
...dental clinicians to improve the quality of care through faster diagnoses, increase... ...Role: We are seeking a Clinical Success Manager to join our Customer Success team. This role... ...paid dental and vision coverage Generous medical contributions The opportunity to work on...$62.4k - $97.22k
...continuum of services such as primary care, urgent care, behavioral health, care management, nutrition, family planning,... ..., pharmacy, radiology, and medical specialties including HIV care,... ...Encounters 72 hours ≤ 5% Slot Utilization Rate ≥ 85% Administrative and Cross...Flexible hours- ...clinical outcomes. Responsibilities Design and implement care delivery models, workflows, and utilization management solutions Drive measurable improvements in patient... ...a market competitive suite of benefits including medical, dental, vision, life, and long‑term disability...Live inWork at officeLocal areaWorldwide
$50 per hour
...Newton, MA Reports To: Home Health Clinical Manager Salary Range: Starting at $50/hr Looking... ...is Where the Heart Is! At West River Care, we’ve been a family-run organization for... ...direct nursing care, including wound care, medication administration, IV therapy, catheter care...Full timeRelocation package- ...American Geriatrics Society is seeking a visionary Medical Director to shape clinical strategy, care delivery, and program development within an inpatient behavioral health setting. This executive role requires a board-certified psychiatrist and Massachusetts licensure...
- Society for Maternal-Fetal Medicine seeks a Division Director of Maternal Fetal Medicine to provide leadership to the MFM faculty and oversee outpatient MFM services, prenatal care, and high-risk care. The role includes developing care plans, safety oversight, and contributing...
$90k
Clinical Care Manager (RN) will act as a team Clinical Care Manager by providing care coordination and clinical management for One Care enrollees... ...XXXX region. Keywords: R.N., RN, registered nurse, nursing, medical, community based, home care, healthcare, Care coordinator,...Temporary workWork at officeFlexible hours
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