Director of Medical Management

Your Role The Medical Director is a key member of the Medical Management team within the Healthcare Quality and Affordability business unit. This is a front-line utilization management position that has core responsibilities in inpatient concurrent review, pre and post service utilization review, and collaboration with RN Case and disease managers. This...

Join to apply for the Nurse Director role at Atria Management Company 4 days ago Be among the first 25 applicants Responsibilities Supervise, develop, and schedule the resident services staff according to Atria’s policies, procedures and standards. Establish and maintain a medication system which adheres to state, federal and company laws, regulations and...

Medical Director page is loaded## Medical Directorlocations: Remote-NYtime type: Full timeposted on: Posted Todayjob requisition id: 1578153You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering...

Medical Director page is loaded## Medical Directorlocations: Remote-ORtime type: Full timeposted on: Posted Todayjob requisition id: 1617853You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering...

Per Diem Medical Director page is loaded## Per Diem Medical Directorlocations: Remotetime type: Part timeposted on: Posted 27 Days Agojob requisition idAbout Altais:At Altais, we’re on a mission to improve the healthcare experience for everyone—starting with the people who deliver it. We believe physicians should spend more time with patients and...

2 days ago Be among the first 25 applicants You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. We’re Hiring Remote Medical...

Stallant Health & Wellness - Physician (Medical Director) – Rural Health Clinic This role combines direct patient care two days a week and serving as Medical Director, providing guidance and oversight to our team of Advanced Practice Providers. Key Responsibilities Providing direct patient care during scheduled clinic days (2 days per week). Serving as...

Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Vision Director will report to the Medical Director, Operations. In this role you will provide leadership and guidance on vision specialty program...

Company: Highmark Inc. Job Summary This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of...

A fantastic career opportunity for Manager of Risk Management and Patient Safety is now available with a growing and financially stable Medical Center in beautiful, coastal and warm Southern California. If you enjoy a lifestyle surrounded by the coast, mountains, rivers, lakes and wine countries, look no further! The Manager of Risk Management and Patient...