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...Description
Job Title: Director, Utilization Management
Department: Health Services - UM
About the Role:
Leads and shapes the Utilization... ..., including prior authorizations, concurrent review, medical claims review, and appeals and grievances. Directs the Utilization...
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...compels us to keep moving forward.
Job Overview
The LVN Utilization Management Nurse (UM Nurse) will provide routine review of... ...hospitalization, home care, and inpatient/outpatient treatment plans for medical necessity and efficiency with coverage guidelines. The UM...
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Hourly pay
Holiday work
Flexible hours
...Managing Director, Medical Education
About the Company
Prominent medical education organization
Industry
Higher Education
Type
Privately Held
About the Role
The Managing Director, Medical Education role is a key leadership position that involves...
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Remote job
...Job Summary:
Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. Ensures cost effective and quality patient care by appropriate utilization of resources. Provides direction to staff which may include...
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Local area
...to keep moving forward.
Job Overview
Under the direction of the Director, Medical Management this position is responsible for overseeing and managing the day-to-day operations of the Utilization Management Department, health plan delegated activities, and medical...
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Holiday work
Remote job
Flexible hours
$90k - $150k
...the role:
You will report to Associate Director, Facility Engineering. Design,... ...providing technical support to critical Utilities areas, you may also perform the following... ...employees may be eligible to participate in medical, dental, vision insurance, a 401(k) plan...
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Minimum wage
Holiday work
Full time
Temporary work
For contractors
Local area
Shift work
...position is responsible for the management of the daily operations of Utilization Management (UM) at APLA Health and... ...Government, Health Plan/IPA and medical group requirements.
Ensures staff... ...Chief Medical Officer, clinic directors and site medical directors. Promotes...
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Contract work
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...Description
Job Description PACE Medical Director
About the Company:
We are a... ...program participants. Our focus is on managing chronic illnesses in elderly patients... ...Improvement Program (QAPI).
Monitor utilization management trends and set outcome targets...
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...hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty.... ...A valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry...
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Second job
Local area
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...care when the patient does not meet the medical necessity for Inpatient hospitalization.... ...indirect caregiver, patient advocate and manages patients in the most cost effective way... ...providing continuity of care, including Utilization management, Transfer coordination, Discharge...
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Local area
...Job Summary:
Develops, manages and directs the Utilization Management programs in a Service Area or a Medical Center. Develops and manages programs that emphasize appropriate... ...-01|NUE|Non Union Employee Job Level: Director/Senior Director Department: Sunset...
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Full time
Contract work
Local area
Shift work
...certified "Best Place To Work"!
What would this role do?
As a Utilization Management Coordinator, you report to the Supervisor of Utilization... .... Must be in office on Thursdays
~ Health Benefits: Medical, Dental and Vision
~ Company covers 100% of dental and vision...
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Hourly pay
Local area
Monday to Friday
...Description: Job Summary:
The Bioethics Program Director provides leadership and oversight for the Medical Centers Bioethics Program, including healthcare... ...at KP SCAL Regional Committee on Bioethics and manages projects for the Southern California Region
Provides...
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Full time
Local area
Shift work
...plays a critical role in our participant's journey and our Utilization Management team ensures we can provide timely, quality, compliant, and... ...Assist the team in reviewing prior-authorization requests for medical necessity and appropriateness
Identify, develop, and...
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Hourly pay
Holiday work
...exceptional patient care. Take your career to the next level. You can do all this and more at UCLA Health.
As a Manager for Medicare Advantage Utilization Management, you'll provide direct management to a team of UM coordinators and nurses. You'll work closely with...
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Remote job
Flexible hours
Monday to Friday
...Santa Anita Convalescent Hospital is hiring for a full-time Medical Records Director!
Summary: The Medical Records Director has... ...the position. Nothing in this job description restricts managements right to assign or reassign duties and responsibilities to...
Holiday work
Full time
Work experience placement
Shift work
Weekend work
...Marina Veterinary Center is seeking an exceptional Associate Medical Director to provide additional clinical leadership and play a vital... ...while overseeing the delivery of comprehensive services and managing the talented Associate DVM team.
In this key position, you...
Outdoor
Vivo HealthStaff is looking for a Medical Director for an Urgent Care clinic in one of the fastest-growing physician... ...Emergency Department
Prior experience in managed care setting
Knowledge of Quality Outcomes, Utilization Management, Medical Management, Regulatory...
Permanent employment
Full time
Relocation package
Monday to Friday
...Location
APLA Health Center, CDU/MLK Medical Campus - Los Angeles, CA
Salary Range... ...the Chief Medical Officer or Site Medical Director (when hired), the Sexual Health Services... ...as part of APLA Health Quality Management Program
Applies APLA Health PrEP and...
Full time
Temporary work
Part time
Saturday
3 days per week
1 day per week
Monday to Friday
...simply belong. All to leave your mark for more sustainable growth.
Dare to make an impact?
YOUR ROLE
The Director of Medical Key Account Management is a sales leadership position that will manage a team of Key Account Managers, who are responsible for selling Henkel...
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