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Keywords: Utilization Management Medical Director - CA Licensed, Location: USA

Page: 5

Medical Director, Behavioral Health Children's Services

and continuous improvement. To achieve this, we're looking for a Medical Director, Behavioral Health Children's Services... difference for our customers in every interaction Your key responsibilities: The medical director provides clinical...

Company: MVP Health Care
Location: Tarrytown, NY
Posted Date: 27 Sep 2025

Medical Director

Recovery Center is seeking a Licensed M.D. ,Addictionologist, Medical Director position at a medical detox and residential...Medical Director Location: Hybrid - Springfield, Massachusetts Department: Medical Salary: Competitive, based...

Posted Date: 13 Sep 2025

Medical Director

Recovery Center is seeking a Licensed M.D. ,Addictionologist, Medical Director position at a medical detox and residential...Medical Director Location: Hybrid - Springfield, Massachusetts Department: Medical Salary: Competitive, based...

Location: Worcester, MA
Posted Date: 13 Sep 2025

Medical Director (Texas Remote)

: Position Objective: The Medical Director is a strategic role and is responsible for leading and supporting provider teams... as assigned Position Requirements/ Skills: Medical Degree from an accredited institution Currently licensed to practice...

Location: Dallas, TX
Posted Date: 29 Aug 2025

Medical Director (Texas Remote)

Position Objective: The Medical Director is a strategic role and is responsible for leading and supporting provider teams... as assigned Position Requirements/ Skills: Medical Degree from an accredited institution Currently licensed to practice...

Company: VIPcare
Location: Texas
Posted Date: 29 Aug 2025

National Accounts Medical Director

that the medical director provides clinical oversight for Utilization Management, Case Management, and Total Population Health... Medical Director is responsible for serving as the Operational Medical Director for our care management models...

Company: Elevance Health
Location: Indianapolis, IN
Posted Date: 27 Aug 2025

Behavioral Health Medical Director-Psychiatrist Appeals

Anticipated End Date: 2025-08-30 Position Title: Behavioral Health Medical Director-Psychiatrist Appeals... Job Description: Behavioral Health Medical Director-Psychiatrist Appeals Location: California. This role enables associates to work virtually...

Company: Elevance Health
Location: Woodland Hills, CA
Posted Date: 16 Aug 2025

Director Medical Imaging

. The Director of Medical Imaging will support Banner Desert Medical Center and Children's at Desert. Banner Desert Medical...: All levels of medical imaging and nursing management and staff, medical staff, and all other members of the interdisciplinary...

Company: Banner Health
Location: USA
Posted Date: 14 Aug 2025

Pediatric & Family Medicine Medical Director - Florida

leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical... Indiana only: Medical Doctor or Doctor of Osteopathy, Indiana-licensed Geriatrician that assists the Chief Medical Director...

Company: Centene
Location: Florida
Posted Date: 13 Aug 2025

Hospital Medicine Medical Director

or eligible to become licensed in New York 2 years+ Hospitalist Medical Director experience preferred Practice in the Heart...Transform patient care and the community as a Hospitalist Medical Director in Binghamton, New York We believe...

Company: Sound Physicians
Location: Binghamton, NY
Posted Date: 08 Aug 2025

Behavioral Health Medical Director - Managed Care (DC, DE, or NC)

utilization management, including review of prior authorizations, concurrent reviews, and appeals. Collaborate with medical... regulations. General Provide strategic direction for health plan market/ product medical management and health service...

Location: USA
Posted Date: 11 Oct 2025

Patient Care Manager - Full Time (32 Hours/Week) - Traverse City, MI New Munson Healthcare Traverse City, Michigan Patient Care Management Day shift

in utilization management, managed care, and payer issues that may impact the course of care. Timely response to screening... financial considerations which may impact placement. Utilizes the Program Manager, Director and Medical Advisor as expert...

Posted Date: 17 Oct 2025

RN Care Management Coordinator

services. Note: InterQual - It is the policy of the Medical Affairs Utilization Management (UM) Department to use InterQual.... Prior discharge planning and/or utilization management experience is desirable. Medical management/precertification...

Posted Date: 16 Oct 2025
Salary: $40 - 45 per hour

Quality Management Specialist I

activities as determined appropriate. Provide support to the Quality Management Vice-President, Quality Management Director...Responsibilities Implementation of the Quality Management Plan within the corporation. Incident Management – review...

Company: DePaul
Location: Rochester, NY
Posted Date: 12 Oct 2025
Salary: $23.2 - 24.7 per hour

Quality Management Specialist I

, Quality Management Director and Quality Management Specialist II as requested. Participate in DePaul’s overall Quality... Management planning. Performs all other duties as assigned. Qualifications: Registered Nurse or Licensed Practical Nurse...

Company: DePaul
Location: Rochester, NY
Posted Date: 12 Oct 2025
Salary: $23.2 - 24.7 per hour

Care Management Coordinator Behavioral Health (UM) - Remote (PA/NJ/DE)

members BH condition to the Medical Director for their further review and evaluation. The BH Care Management Coordinator...: InterQual - It is the policy of the Medical Affairs Utilization Management (UM) Department to use InterQual (IQ) criteria...

Posted Date: 09 Oct 2025

Manager - Case Management

the Director on the various needs of the Case Management and Utilization Review function, such as staffing needs, supplies... leadership and management to licensed nursing professionals providing Case Management and utilization review services and support...

Posted Date: 28 Sep 2025

RN Acute Case Manager - System Care Management - Full Time Day

Medical Director and other members of the healthcare team to provide appropriate medical management and resource utilization..., accountability, and authority for coordinating the medical management of hospital patients, using outcomes-based approaches. The...

Company: Guthrie
Location: Binghamton, NY
Posted Date: 28 Aug 2025
Salary: $37.5 - 53.06 per hour

Care Management Coordinator Behavioral Health, ABA services - Remote (PA/NJ/DE)

Medical Affairs Utilization Management (UM) Department to use InterQual (IQ) criteria for the case review process when... Coordinator provides relevant information regarding members BH condition to the Medical Director for their further review...

Posted Date: 27 Aug 2025

Day Shift Nurse - LPN or RN

under the supervision of the Clinical Liaison/Medical Director. Participates in Performance Improvement, Utilization Review... in incorporating medical issues into treatment planning. Takes verbal orders from the Director of Nursing or Clinical Director...

Posted Date: 19 Oct 2025
Salary: $30 - 32 per hour