Medical Director - Care Coordination & Utilization Leader
Jobleads-US
Banner Estrella Medical Center in Phoenix seeks a Medical Director of Care Coordination to lead medical necessity reviews and optimize patient care pathways. This physician executive role focuses on guidance for case management, utilization review, and quality improvement within a collaborative, multidisciplinary team.
The position emphasizes the integration of clinical care with administrative requirements, staff education, and strategic leadership in hospital operations.
#J-18808-Ljbffr Jobleads-US- ## Medical Director Care CoordinationApplylocations: Banner Estrella Med Ctr... ...a **Medical Director Care Coordination at Banner Estrella Medical... ...patient care and resource utilization. At Banner Estrella, you'll... ...nationally-recognized healthcare leader. We offer stimulating and...SuggestedWork at officeImmediate startMonday to FridayShift work
- ...Bilingual Lead Medical Coordinator - JOR The Lead Medical Coordinator is responsible for overseeing health services as well as coordinating... ...provision of timely, appropriate health services for children in care. Lead Medical Coordinators supervise Medical Coordinators and...Suggested
$248.5k - $373k
...Medical Director Oncology Optum is a global organization that delivers care, aided by technology to help millions of people live healthier... ...Oncology will provide utilization review determinations and support... ..., and serving as a thought leader and point of contact for...SuggestedRemote jobMinimum wageWork experience placementLocal area- National Youth Advocate Program (NYAP) seeks a Lead Medical Coordinator to oversee health services for children in care. You will supervise Medical Coordinators, train staff on medical topics, and help develop policies for confidential health records and PHI. Coordinate...Suggested
- ...Utilization Review Supervisor The Utilization Review Supervisor coordinates the activities of the UR department as they relate to medical necessity reviews, authorizations of inpatient, observation and sub-acute medical levels of care for Medicaid Business Segment members...SuggestedFull timeWork experience placement2 days per week
- ...Optum seeks an UM Medical Director, DME, remotely available within the... .... The position involves utilization management activities, peer... ...discussions with providers, and coordination with internal partners to... ...-effective, high-quality care. Travel may be required....Remote job
$300k - $330k
...Description Regional Medical DirectorLead the... ...of 8 New Primary Care Centers | Value-... ...Regional Medical Director to provide strategic... ...improvement Utilization management and cost... ...initiatives Care coordination and evidence-based... ...as the physician leader responsible for building...Local areaFlexible hours- Blue Cross Blue Shield of Arizona is seeking a Utilization Review Supervisor in Phoenix, AZ. This hybrid role requires coordination of medical necessity reviews and supervision of the UR team to ensure compliance with standards. Qualified candidates must have 2 years of...
- Cetechs is seeking an Administrative Care Coordinator in Phoenix, Arizona. This role provides essential administrative support to the Arizona Army National Guard medical case management team. Responsibilities include tracking soldier medical readiness, maintaining medical...Full timeMonday to Friday
$248.5k - $373k
...$248,500 - $373,000Job Area: Medical & Clinical OperationsCompany:... ...global organization that delivers care, aided by technology to help... ...care costs.The Medical Director provides physician support to... ...clinical knowledge in various utilization management activities with a...Minimum wageWork experience placementLocal areaRemote work- TriWest Healthcare Alliance is seeking an RN to supervise daily Utilization Management operations for the DoD/TRICARE contract. The role coordinates across teams to ensure timeliness, quality care, and accreditation standards. Requirements include an active registered...Remote jobContract work
- ...responsible for performing essential care for our members in our group... ...Home Manager or Assistant Director. Maintains ongoing... ...and guardians and DDD Support Coordinators Conduct weekly Resident File... ...outings, etc. 2. Responsible for Medical Aspects of Care which include...Immediate startFlexible hoursShift work
- TriWest Healthcare Alliance seeks a Nurse to supervise daily Utilization Management operations under the TRICARE contract. You will coordinate across teams to meet contractual metrics and ensure quality, efficient care delivery. The role builds staff capability and supports...Remote jobContract work
- Community Bridges, Inc. (CBI) seeks a SSVF - Health Care Case Manager to coordinate medical and behavioral health care for veterans with complex needs in Arizona. The role liaises with VA, grantees, and community clinics to ensure access to services and delivers care coordination...
- National Youth Advocate Program is seeking a Lead Medical Coordinator to oversee pediatric health services for children in care. You will supervise Medical Coordinators, train staff, and ensure confidential health records compliance across programs. You will coordinate...
- Valenz Health is seeking a Part-Time Medical Director to provide physician leadership for medical management and utilization review programs. You will align clinical decisions and policies with evidence-based medicine, regulations, and organizational standards in a fully...Remote jobPart time
$248.5k - $373k
...Medical Director Optum is a global organization that delivers care, aided by technology to help millions of people live healthier... ...quality, effectiveness and coordination of the medical services... ...financial data, development of utilization and performance reporting tools...Remote jobMinimum wagePart timeWork experience placementLocal areaWork from home- ARIZONA ARTHRITIS & RHEUMATOLOGY ASSOCIATES PC seeks a medical office support specialist to assist providers with patient communications... ...and documentation. You will ensure HIPAA compliance and coordinate with patient and staff to streamline prior authorizations and...Work at office
- Azarthritis is seeking a dedicated Medical Practice Support Specialist to manage patient messages, coordinate with AARA Providers, and ensure medications are authorized and available for pickup. You will work closely with Providers to review information, maintain HIPAA...
- ...caseload, and providing a teaching component for psychiatry residents. The position combines both clinic and community-based patient care, offering 40 hours of work weekly. Candidates with board eligibility or board certification are encouraged to apply. The company...Contract work
- ...Job Category: Clinical Care As our Senior... ...for STEMI cases, and coordinate data collection and reporting... ...Location: Banner University Medical Center Shift: Full... ...and assists other leaders to establish, oversee,... ...outcomes. Oversee resource utilization regarding staff,...Full timeShift work
- ...responsible for assisting in patient care to promote effective... ...for patient healthcare needs – coordinating care to minimize the... ...behavioral health services, medical care, education, placement, finances... ...and socialization services. Utilizing influencing/motivational interviewing...Temporary workMonday to Friday
- ...Humana Inc. is seeking a Medical Director to lead Medicaid care strategy and operations within a high-complexity environment. The role involves evaluating... .... You will manage complex clinical reviews, coordinate with care management, participate in peer-to-peer discussions...Remote job
- Western Container Corporation in Tolleson, Arizona, is looking for a Production Coordinator to oversee daily production activities in blow molding and injection production. The ideal candidate will ensure continuous workflow, monitor quality and safety, and actively coach...
$22 - $25 per hour
...individuals as our new Outreach Coordinator! SCHEDULE: Full-time,... ...Services & Wellness Rewards ~ Medical, Dental, and Vision for... ...1(k) Retirement Plan ~ Pet Care, Life Mart Purchase Discounts... ...~ Expertise in research, utilizing internet and search engines effectively...Hourly payFull timeWork at officeTrial periodMonday to FridayFlexible hoursNight shift$19.24 - $31.04 per hour
...Description Job Description The Telehealth Coordinator Lead is responsible for addressing... ...FUNCTIONS & RESPONSIBILITIES: Review medical notes, treatment referrals, work status... ...technical aptitude with the ability to utilize Microsoft Office including Outlook and Excel...Hourly payMinimum wageFull timeWork at officeLocal areaRemote workMonday to FridayFlexible hoursShift work- Centene Corporation is seeking a Medical Director to lead utilization management, quality improvement, and medical review activities. You will partner... ...Medical Director to shape goals, policies, and cost-effective care for a diverse member population. The role requires active...Remote job
- ...candidate is a strong healthcare leader who is passionate about patient care, staff development,... ...Clinical Manager will oversee Medical Assistants, Care Coordinators, and other clinical support personnel... ...levels. Monitor inventory utilization and control costs. Coordinate...
- Sundt Construction is seeking an Underground Utility Field Superintendent II for a Phoenix, AZ on-site role. You will lead day-to-day field activities, supervise craft workers and subs, and coordinate with the project schedule to meet safety, quality and cost goals. The...
- A safety-focused utility company in Phoenix is seeking a Director of Safety responsible for developing and implementing safety programs. This role requires at least five years of experience in occupational health in electric utilities, strong communication skills, and...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medical Director - Care Coordination & Utilization Leader. Be the first to apply!
- home health manager Phoenix, AZ
- senior manager clinical operations Phoenix, AZ
- regional director of clinical operations Phoenix, AZ
- public health project manager Phoenix, AZ
- director population health Phoenix, AZ
- medical director oncology Phoenix, AZ
- health manager Phoenix, AZ
- remote medical billing manager Phoenix, AZ
- behavioral health manager Phoenix, AZ
- clinical supervisor lcsw Phoenix, AZ


