Responsibilities Pharmacy Director Aiken Regional Medical Centers, located in Aiken, South Carolina, is a 273-bed... as Director of Pharmacy Current licensed pharmacist in South Carolina. Knowledge of systems used in Pharmacy. EEO Statement...
. Responsibilities: The Director of Rehab is responsible for the efficient management of rehabilitation services in their assigned... department, including oversight related to case management, quality improvement, care planning, clinical utilization, and patient...
. Responsibilities: The Director of Rehab OT is responsible for the efficient management of rehabilitation services in their assigned...: We offer Medical, Dental, and Vision plans to Full-Time team members. We offer Dental and Vision to Part-Time team members. Paid Time...
. The Regional Medical Director (RMD) is a developmental, pathway role to Market Chief Medical Officer which is responsible... and community-based organizations (CBOs) In addition to their administrative duties, as a licensed Medical Doctor (MD) or Doctor...
and medical directors to ensure compliance with guidelines along with participating in risk and quality management programs... decisions re: goals of care, palliative care and hospice. Utilization/Financial Management-managing resource utilization...
and medical directors to ensure compliance with guidelines along with participating in risk and quality management programs... decisions re: goals of care, palliative care and hospice. Utilization/Financial Management-managing resource utilization...
with utilization management nurses and clinical staff to support timely decision-making. Review appeals and grievances related..., NCQA/URAC standards, and MCO policies. Serve as a liaison between the medical management department and providers...
with utilization management nurses and clinical staff to support timely decision-making. Review appeals and grievances related..., NCQA/URAC standards, and MCO policies. Serve as a liaison between the medical management department and providers...
Director - Utilization Management: a. Demonstrate ownership of overall effectiveness and efficiency of UM process... flight to Des Moines, Iowa are preferred. Central Time Zone preferred. About the opportunity: As Senior Medical Director...
Director - Utilization Management: a. Demonstrate ownership of overall effectiveness and efficiency of UM process... flight to Des Moines, Iowa are preferred. Central Time Zone preferred. About the opportunity: As Senior Medical Director...
Director - Utilization Management: a. Demonstrate ownership of overall effectiveness and efficiency of UM process... flight to Des Moines, Iowa are preferred. Central Time Zone preferred. About the opportunity: As Senior Medical Director...
The UPMC Health Plan is seeking a licensed MD or DO for a fully remote Medical Director, Utilization Management role.... The Medical Director, Utilization Management is responsible for assuring physician commitment and delivery...
. Must be licensed to practice in the Pennsylvania as a medical director; additional state licensure required in all states where ACFC... Senior Medical Director of UM, the Per Diem UM Medical Director will be responsible for: Performing daily medical reviews...
Anticipated End Date: 2025-11-10 Position Title: Utilization Management / Medical Management Nurse... CA Job Description: Utilization Management / Medical Management Nurse – CA (JR169412) Virtual: This role enables associates to work virtually full...
-time. Responsibilities: We are seeking a strategic and compassionate Director of Case Management to lead our dynamic... all facets of utilization management, discharge planning, and care coordination to ensure patients receive timely, appropriate...
Responsibilities We are seeking a strategic and compassionate Director of Case Management to lead our dynamic Case... of utilization management, discharge planning, and care coordination to ensure patients receive timely, appropriate, and efficient...
of Utilization Review (UR) and Case Management!*** The UR and Case Management Director assists admissions in screening patients... years of experience in utilization review and case management. RN, LCSW, LPC, LMFT, or LCP in Virginia preferred. Current...
of Utilization Review (UR) and Case Management!*** The UR and Case Management Director assists admissions in screening patients... years of experience in utilization review and case management. RN, LCSW, LPC, LMFT, or LCP in Virginia preferred. Current...
: Leads and directs the behavioral health (BH) utilization management team to ensure appropriate member care. . Ensures... consistency of policies, procedures, and processes. Leads and develops BH utilization management strategies and objectives...
Role Overview: Under the direction of the Supervisor, the Behavioral Health Utilization Management Reviewer... to integrated care management as needed. The BH UM Reviewer will apply medical health benefit policy and medical management...