Medical Director, Case Management & Utilization Review
American Academy of Family Physicians
Memorial Healthcare System is seeking a Medical Director of Case Management and Utilization Review to lead hospital-specific CM/UR execution and act as the primary physician advisor. The role supervises Physician Advisors and collaborates with the UR Committee to improve resource use and patient care quality. The position requires a Medical Doctor degree and Florida licensure, with at least five years of post-training admin experience in a large acute care hospital. #J-18808-Ljbffr American Academy of Family Physicians
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Medical Director, Case Management & Utilization Review in Florida, NY vacancy
- Overview The Medical Director of Case Management and Utilization Review leads the hospital-specific execution of Case Management (CM) and Utilization Management (UR) and related activities. The Medical Director functions as the primary physician advisor for the hospital...Suggested
- Memorial Healthcare System seeks a Medical Director for Case Management and Utilization Review. The role oversees clinical decision making, ensures efficient use of resources, and leads cross-functional teams in a large academic/community hospital setting. The ideal candidate...Suggested
- Memorial Healthcare System in Hollywood, Florida seeks a Medical Director to lead Case Management and Utilization Review, shaping clinical pathways and ensuring high‑quality patient care. The ideal candidate has 5+ years in medical staff administration within a large acute...Suggested
- # Medical Director - Case Management and Utilization ReviewHollywood, FloridaHospitalComplexity of Work: Essential Competencies and Skills: Excellent customer service and interpersonal skills. Able to effectively present information, both formal and informal. Strong written...SuggestedWork experience placement
- Aoiassn in Florida seeks a Medical Director of Case Management and Utilization Review to lead CM/UR activities and to serve as the hospital's primary physician advisor. You will supervise other Physician Advisors, participate in UR committees, collaborate with leadership...Suggested
- A health organization located in the Town of Florida, NY, seeks a Medical Director for Case Management and Utilization Review. The ideal candidate will lead hospital initiatives, improve resource management, and enhance patient care quality. Required qualifications include...
- A prominent healthcare system is seeking a Medical Director of Case Management and Utilization Review in New York, NY. This full-time role requires a Medical Doctor with experience in administrative roles within large hospitals. Responsibilities include leading case management...Full time
- Statement of Purpose The Medical Case Manager position provides case management services to individuals living with HIV/AIDS. The Medical... ...for client based on need and assessment. Periodic review of client utilization of services Foster client independence through...Work experience placementWork at officeLocal areaRelocation package
$74.8k - $112.2k
Behavioral Health Case Mgr - CT08IE We’re determined to... ...of Behavioral Health Case Managers who are responsible for the review and evaluation of Short-... ...clinical information. They will utilize established clinical... ..., Consultants, Medical Nurse Reviewers, etc.) for...Temporary workWork experience placementWork at officeRemote work3 days per week$80k - $88k
AmTrust Financial Services Inc. seeks a Telephonic Medical Case Manager, RN, to provide quality telephonic case management. This remote... ...Responsibilities include comprehensive case management, utilization review, and documentation. Candidates should possess strong communication...Remote job- The University of Miami is seeking a Case Manager to review medical records for admission necessity and to coordinate discharge planning for outpatient, observation, and inpatient care within a multidisciplinary team. You will secure pre-certifications, communicate with...Remote job
- Florida Blue seeks an experienced Medical Director consultant to lead utilization management reviews and policy development. In a dynamic healthcare setting, you will collaborate with case managers and physicians to render timely medical necessity decisions. The role requires...
$80k - $88k
...company, has a need for a Telephonic Medical Case Manager, RN. PRIMARY PURPOSE: To provide... ...These responsibilities may include utilization review, pharmacy oversight and care coordination... ...advisor, peer reviews, medical director). Partner with adjuster to provide...Work experience placementWork at officeRemote workFlexible hours- Broward Health in Florida seeks a registered nurse in Case Management to coordinate and manage an assigned caseload, promote evidence-based outcomes, and support utilization management to determine appropriate levels of care. The role emphasizes discharge planning, compliance...
$20.19 per hour
...a career that changes lives - including yours! As a Targeted Case Manager assesses client and family needs and coordinates provision of... ...health record system Participate in family service planning, case reviews, and community outreach efforts Who Thrives Here? You're...Full timeRelocation package- The Hartford is seeking a Behavioral Health Case Manager to support the review and evaluation of STD/LTD claims. You will assess claimant functionality, work with clinical teams, and leverage vocational resources to facilitate safe return-to-work outcomes. Ideal candidates...Remote jobWork at office
- ...hundred thousand patients. And a utilization function about to be built from the... ...builds it. This is the first Regional Medical Director for Utilization Management in the company's history. You... ...necessity criteria, the referral review workflow, and the founding baselines...Relocation package
- StaffMed Health Partners is seeking a Regional Medical Director for Utilization Management to author policy, establish medical necessity criteria, and shape referral review workflows. You will partner with the Chief Medical Officer in a true dyad to set baselines and drive...
- Centene Corporation in the United States seeks a clinical professional to lead Medical Management/Health Services, driving utilization review, cost containment, and medical quality improvement for 28 million members. This role collaborates with care management, providers...Remote jobWork at office
- ## RN Case Manager - Full timeApplylocations: Main Campustime type: Full timeposted on: Posted... ...and Patient Satisfaction, Jupiter Medical Center is the leading destination for... ...the patient. Coordinates and completes utilization review activities to ensure compliance with...Full timeFlexible hours
Jupiter Med
Florida, NY3 days ago $25k
...community As a Clinical Manager at CenterWell Home... ...to the Branch Director, you will lead and... ...onsite in-office. Review referrals,... ...standards; monitor case management quality... ...documentation review, utilization review findings, and... ..., Humana provides medical, dental and vision...Full timeTemporary workApprenticeshipWork at officeCenterWell Home Health
Florida, NY5 hours ago- ...supervision of a physician Provides case management to an assigned group of... ...strategies and procedures utilizing community resources as... ...condition, responsible for medication reconciliation Participates... ...clinical record/utilization review of medical records and quality...Immediate startNight shiftWeekend work
CR & RA Investments, LLC
Florida, NY4 days ago $61.86k - $96.66k
Obtains Physician orders Role The RN, Case Manager is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care... ...working with an EMR/EHR (Electronic Medical/Health Record) system Mobile Driver - Valid...Local areaImmediate startNight shift$21.56 - $40.09 per hour
...and your family: Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance... ...and concerns and participates in patient case conferences and discharge planning to ensure... ...as required by state law. Applicants may review general information about Florida’s...Full timeWork experience placementLocal areaWork from homeShift work- PAM Health Rehabilitation Hospital of Jupiter seeks a Case Manager to coordinate care for an inpatient population. You will review admission records to ensure proper utilization of hospital resources and determine admission for the appropriate level of care. You will assess...
- ...motivated Hospice Registered Nurse (RN) Case Manager to join our dedicated hospice team in the... ...and rewarded. Benefits & Wellness: Medical, dental, vision, life insurance, retirement... ...employment laws.For further information, please review the Know Your Rights notice from the...Monday to FridayWeekend work
- Spanish Speaker Case Manager - ABA Center (Hollywood, Florida) Full-Time | Comprehensive Benefits Lead with Purpose. Empower... ...to guarantee continuous, high-quality client care. Use utilization data to review client programs and ensure consistent, reliable service....Full timeWork at office
- Description JOB PURPOSE: The Disaster Case Manager is responsible for supporting individuals... ...and progress towards recovery goals. * Utilize online software to document and track case... ...with the Case Management Supervisor to review caseload and receive guidance. *...Night shiftWeekend work
- ...communities. Job Description Summary: The Case Manager extender works collaboratively with... ...and communications with utilization management and care coordination team... ...care coordination/UM team and Manager/Director of UM team for review and decision. 7. Provides general...Work at officeLocal areaShift work
$34 - $36 per hour
...detail‑oriented, and tech‑savvy Case Management Coordinator to support... ...case management , focusing on medically complex and supportive populations... ...wellness, appropriate care utilization, and positive long‑term... ...care management tools and data review Develop, implement, and...Contract workLocal areaMonday to Friday
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medical Director, Case Management & Utilization Review. Be the first to apply!
Related searches
- healthcare program manager Florida, NY
- hospital manager Florida, NY
- medical director Florida, NY
- senior director clinical operations Florida, NY
- director of health information management Florida, NY
- director sr. director clinical operations Florida, NY
- medical director remote Florida, NY
- director behavioral health Florida, NY
- remote healthcare project manager Florida, NY
- psychiatry medical director Florida, NY